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Acute large vessel ischaemic stroke — RCPSC EM MCQ

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HardNeurological emergenciesAcute large vessel ischaemic strokeRCPSC EM

A 67-year-old develops aphasia and right hemiplegia 70 minutes before arrival. Glucose is 6.2 mmol/L, BP is 174/92 mmHg, and non-contrast CT shows no haemorrhage. CTA shows a left M1 occlusion. What is the most appropriate next step?

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Correct answer: E — Activate thrombolysis and endovascular thrombectomy pathways

Activate thrombolysis and endovascular thrombectomy pathways is correct: the clues indicate Acute large vessel ischaemic stroke and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian Stroke Best Practices; ED stroke systems