A pre-hospital team is called to a 55-year-old male who has developed acute confusion and right-sided weakness. His blood glucose is 4.2 mmol/L. His b...

Question

A pre-hospital team is called to a 55-year-old male who has developed acute confusion and right-sided weakness. His blood glucose is 4.2 mmol/L. His blood pressure is 185/95 mmHg. The time of symptom onset is confirmed as 2 hours ago. The nearest hyperacute stroke unit with thrombectomy capability is 50 minutes away by road. A hospital without thrombectomy but with thrombolysis capability is 15 minutes away. Where should the patient be transported?

Accepted Answer

Transport to the nearest thrombolysis-capable hospital - thrombolysis can be initiated within the 4.5-hour window; thrombectomy transfer can be arranged subsequently if needed

Answer

Transport to the nearest hospital regardless of stroke capability

Answer

Stay on scene until HEMS arrives for air transfer

Answer

Always bypass to the thrombectomy centre regardless of distance

Answer

The destination does not matter as stroke treatment is the same everywhere

uk-dipimc MCQ (SBA): Stroke Transport Decision