Emergency · Explanation & counselling

Stroke treatment consent

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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N N C P

2 min reading · 10 min station · reminders at 2 min

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.

  1. Perform a focused examination

  2. 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.

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Investigations

Examination

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