A 35-year-old with suspected ischemic stroke (NIHSS 5) arrives at a hospital without thrombectomy capability. CT is negative for hemorrhage, LVO suspe...

Question

A 35-year-old with suspected ischemic stroke (NIHSS 5) arrives at a hospital without thrombectomy capability. CT is negative for hemorrhage, LVO suspected. After tPA, which is the best systems step?

Accepted Answer

Transfer promptly to thrombectomy-capable center

Answer

Observe locally

Answer

Delay transfer for 24 h imaging

Answer

Start therapeutic heparin en route

Answer

Hold antiplatelets for 3 days

us-abem MCQ (SBA): Stroke Systems of Care

A 35-year-old with suspected ischemic stroke (NIHSS 5) arrives at a hospital without thrombectomy capability. CT is negative for hemorrhage, LVO suspected. After tPA, which is the best systems step?