Question

A 58-year-old man presents to a small rural hospital with sudden left-sided weakness and slurred speech that began 30 minutes ago. CT brain is not available on site. Blood pressure is 168/96 mmHg. The nearest stroke centre with CT and thrombolysis capability is 200 km away. What is the most appropriate immediate management?

Accepted Answer

Arrange urgent transfer to the stroke centre via retrieval service and manage airway, breathing and circulation while awaiting transfer

Answer

Observe locally and reassess in 24 hours

Answer

Start aspirin 300 mg and keep in the local ward

Answer

Start intravenous thrombolysis without imaging

Answer

Discharge home with outpatient CT brain booking

Practice question