Question

The first critical decision point in the suspected stroke algorithm is?

A) Consideration of fibrinolytic therapy
B) General assessment and stabilization of the patient
C) Performance and assessment of a non-contrast CT to differentiate between hemorrhagic and ischemic stroke
D) Review of risks and benefits of fibrinolytic therapy with patient and/or family

Answer 1

The first critical decision point in a suspected stroke algorithm is the general assessment and stabilization of the patient, which precedes treatment decisions and imaging studies to differentiate between ischemic and hemorrhagic stroke.

Step-by-step explanation:

First Critical Decision Point in Suspected Stroke Algorithm

The first critical decision point in the suspected stroke algorithm is: B) General assessment and stabilization of the patient. Before considering treatment options such as fibrinolytic therapy, it is crucial to stabilize the patient and perform a rapid assessment of neurological function, which is vital in an emergency situation. Determining the type of stroke, whether ischemic or hemorrhagic, by using imaging studies like a non-contrast CT scan is necessary before administering any thrombolytic agents. In the case of an ischemic stroke, caused by a thrombus, administering a thrombolytic agent can be life-saving if done within the critical 3-hour window post-stroke onset.