Instructions
You are an intern in a rural emergency department. Gerald Beasley, 67, developed right arm weakness and trouble finding words 90 minutes ago. His CT brain shows no bleed. He weighs 82 kg. The telestroke neurologist on video recommends thrombolysis with tenecteplase if he consents.
Perform a focused examination
Explain thrombolysis and the management plan to Mr Beasley and obtain his consent
- You do not need to take a history
- Please verbalise your examination; findings will be provided on request
CT brain
No haemorrhage; no established infarct.