Hyperacute

DEFINITION

Hyperacute stroke care is defined as the healthcare activities that take place between the time of first contact with a potential stroke patient and either admission to hospital or outpatient management in the community.

Fifty-four percent of patients who seek acute care for stroke arrive at the emergency department by ambulance, while a significant proportion of the rest will seek help from their primary care physician. This section addresses management of patients with stroke and transient ischemic attack in these two care settings.

Following extensive consultation, two timelines have been established to provide emergency medical services in Canada within the 4.5 hour-window from symptom onset to administration of thrombolytic therapy. These are:

1. The pre-hospital phase that starts with symptom onset and includes on-scene management and transport time, which should be 3.5 hours or less; and


2. The emergency department phase that includes the diagnostic evaluation and consideration of treatment options, which should be 60 minutes or less.

• Outpatient Management of TIA and Non-Disabling Stroke
• EMS Management Of Acute Stroke
• ED Evaluation and Management
• Acute Thrombolytic Therapy
• Acute Aspirin Therapy
• Acute Subarachnoid Hemorrhage
• Intracerebral Hemorrhage