Stroke

Question 1

What are the transport requirements for : MASS positive > 12 hours and
ACT-FAST negative
Suspected TIA

Answer 1

Non-urgent transport

Question 2

What is the transport requirement for:
MASS Positive < 12 hours
ACT-FAST negative

Answer 2

Non-ECR eligible stroke

Question 3

What is the transport requirement for:
MASS Positive < 24 hours
ACT-FAST positive

Answer 3

Possible ECR eligible stroke

Question 4

What is ECR?

Answer 4

Endovascular clot retrieval

Question 5

WHat is the treatment for:

MASS Positive < 12 hours
ACT-FAST negative

Answer 5

• IV access - 18G in large vein with reflux valve
• Transport to nearest thrombolysing stroke centre
• pre notify hospital
• consider R/V with MSU

Question 6

What is the treatment for:

MASS Positive < 24 hours
ACT-FAST positive

Answer 6

• IV access - 18G in large vein with reflux valve
• transport urgently to ECR centre
• pre notify hospital
• consider R/V with MSU

Question 7

What is the MASS stroke assessment

Answer 7

Facial droop

Speech - you cant teach an old dog new tricks

Hand grip

Question 8

What is the ACT FAST assessment

Answer 8

-> ARM
- position arms at 45degrees
Encourgae patient to hold up.

RIGHT ARM DRIFTS or doesnt move
-> CHAT
Look for severe language defecit

RIGHT ARM DRIFTS or doesnt move
-> TAP
Tap shoulder on left side and call patients name

Question 9

What is the eligibility criteria to be ACT FAST Positive?

Answer 9

• defecits are new or worse
• known onset <24 hours
• living at home independently
• No evidence of stroke mimics