Emergency Medicine Journal Direct

Just then, the trauma patient was moved. The CT slot opened. CT head was performed at 67 minutes from onset: No haemorrhage. No early ischaemic changes on ASPECTS. CT angiography showed a proximal left middle cerebral artery (M1) occlusion with good collaterals.

The stroke consultant, Dr. Khan, arrived. “This is a large vessel occlusion. Thrombolysis alone may not recanalise. We need mechanical thrombectomy, but our nearest centre is 45 minutes away by ambulance.” emergency medicine journal

The decision was shared with Mr. Patel’s wife, who tearfully agreed to both – “Do everything.” Just then, the trauma patient was moved