Blood pressure lowering: aim for BP < 140 mmHg systolic (if <6 hours of onset) or < 180 mmHg systolic (if >6 hours of onset). Use labetalol 10mg IV, then consider GTN infusion. If a patient does meet these criteria, a referral should be made to the closest mechanical thrombectomy centre. Patients who do not fit the criteria for thrombolysis/thrombectomy

If your patient is unconscious and their respiratory rate is inadequate (too slow or irregular with big pauses), you can provide assisted ventilation through a bag-valve-mask (BVM): ventilate at a rate of 12-15 breaths per minute (roughly one every 4 seconds). CPR The NIHSS is a systematic, quantitative assessment tool for stroke-related neurological deficits. The higher the number, the greater the deficit and the bigger the stroke. Until the end of time: James Strole, 70, founder of the Coalition for Radical Life Extension in Arizona, with some of the many pills and supplements he takes daily Well done, you’ve now stabilised the patient and they’re doing much better. There are just a few more things to do… Take a history

Wordle Helper

There are several conditions which can mimic a stroke. When assessing a suspected stroke patient, it is important to consider these differentials. Stroke can happen to anyone, of any age, at any time. It's vital to know how to spot the signs of a stroke in yourself or someone else. What to do if someone is having a stroke

Further interventions will depend on the clinical context and may be required to manage stroke mimics. CPR If the patient is conscious, sit them upright as this can also help with oxygenation. Assisted ventilation Using your thumbs, slightly open the mouth by downward displacement of the chin. Oropharyngeal airway (Guedel) The idea of never dying might sound like something from science fiction, but the experimental techniques are far removed from a brain in a jar, a body in a freezer or a heart wired up to a car battery. Clearly communicate how often would you like the patient’s observations relayed to you by other staff members.Any medications or fluids will need to be prescribed at the time (in some cases you may be able to delegate this to another member of staff). Further investigations will depend on the clinical context and may be required to exclude stroke mimics. Interventions