ACLS | Stroke

🧠 ACLS Deep Dive: Stroke Edition (High-Yield & Real-World) 🚨

1️⃣ Stroke Chain of Survival — “Time = Brain” Recognize ➡️ Call 9-1-1 🚑 ➡️ EMS alerts hospital ➡️ Rapid diagnosis ➡️ Treatment (thrombolytics or EVT). Goal: minimize brain injury, maximize recovery. Every minute = 1.9 million neurons lost. ⏱️

2️⃣ Critical Drug — Alteplase (tPA) 💉 • Window: ≤3 hr from symptom onset (extend to 4.5 hr in select pts). • EVT (mechanical thrombectomy): up to 24 hr for large-vessel occlusion (LVO). • Dose: 0.9 mg/kg (10% bolus 1 min → 90% infuse 60 min; max 90 mg). • BP goal: ≤185/110 mm Hg before tPA and ≤180/105 mm Hg for 24 hr after. • Absolute no-go: any intracranial hemorrhage on CT/M ...