Section 1: ED Referring Sites
All referring centres should have 24/7 access to CTA to accurately identify potential EVT candidates.
Identified referral sites (only sites that deliver tPA) should contact CritiCall Ontario to request a consultation for EVT, with the Stroke Endovascular Team.
Sites that use Telestroke for tPA consultation will contact CritiCall Ontario to request a consultation with the Telestroke Neurologist prior to requesting consultation for EVT.
If after consultation, the patient is confirmed “Life or Limb”, the CritiCall Ontario agent will facilitate transport coordination by contacting Ornge or the Central Ambulance Communication Centre (CACC).
It is recommended that Land Transfer is utilized whenever possible to support the timely management of these patients.
Protocols / Tools
Transfer Policies for EVT:
- Brantford Hospital
- Ottawa Hospital
- EVT Drip and Ship Protocol for use by Telestroke Site
- EVT Transfer Guide Poster for use by Telestroke Site - QHC Belleville
- EVT Transfer Algorithm – Quinte/KGH
Consent Forms to Treatment:
Acute Stroke without tPA:
- Stroke Protocol Medical Directives – Brantford Hospital
- Transfer Orders – GRH
- Timeline Documentation Summary – GGH
Acute Stroke with tPA:
Presentations / Videos
There are currently no resources for this item.