Stroke or TIA

ABCs, glucose

Consider thrombolysis/thrombectomy

Consider BP lowering

Consider warfarin

Consider CEA or stent

Treat specific cause

Clip or coil Chap. 19

Consider surgery

Treat specific cause

Deep venous thrombosis prophylaxis
Physical, occupational, speech therapy
Evaluate for rehab, discharge planning
Secondary prevention based on disease

End

Establish cause

Atrial fibrillation, 17%

Carotid disease, 4%

Other, 64%

Establish cause

Aneurysmal SAH, 4%

Hypertensive ICH, 7%

Other, 4%

Obtain brain imaging

Ischemic stroke/TIA, 85%

Hemorrhage 15%