Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presented with sudden onset of focal neurological deficits including [unilateral weakness/hemiparesis], [facial droop], and [aphasia/dysarthria]. Symptoms noted at [Time of onset] by [Witness/Patient]. No history of recent trauma, seizures, or anticoagulant use. Last known well at [Time].
Clinical Examination Findings
Vitals: BP [Value] mmHg, HR [Value] bpm, SpO2 [Value]%. General: Patient is [alert/lethargic/comatose]. Cardiovascular: Regular rhythm, no murmurs. Pulmonary: Clear to auscultation bilaterally. Skin: No signs of trauma or petechiae.
Treatment Protocol
1. Immediate activation of Stroke Protocol. 2. Assess eligibility for IV thrombolysis (tPA) or mechanical thrombectomy. 3. Maintain permissive hypertension (BP <185/110 mmHg if thrombolysis candidate). 4. NPO status. 5. Neuro-checks q1h. 6. Stat non-contrast CT head.