Hyperacute Care Guidelines

Admit directly to a HASU and be assessed for emergency stroke treatments by a specialist physician without delay.
Suspected acute stroke should receive brain imaging urgently and at most within 1 hour of arrival at hospital.
Interpretation of acute stroke imaging for thrombolysis decisions should only be made by healthcare professionals who have received appropriate training.
Patients with Ischaemic stroke who are eligible for endovascular therapy should have a CTA from aortic arch to skull vertex immediately. This should not delay the administration of IV thrombolysis.
MRI with stroke-specific sequences (DWI imaging, T2*) should be performed in patients with suspected acute stroke when there is diagnostic uncertainty.

Acute hospitals receiving medical admissions that include people with suspected stroke should have arrangements to admit them directly to a hyperacute stroke unit on site or at a neighbouring hospital, to monitor and regulate basic physiological functions such as neurological status, blood glucose, oxygenation, and blood pressure.
Patients with acute stroke should only receive supplemental oxygen if their oxygen saturation is below 95% and there is no contraindication.

Suspected acute stroke should receive brain imaging urgently and at most within 1 hour of arrival at hospital.
Interpretation of acute stroke imaging for thrombolysis decisions should only be made by healthcare professionals who have received appropriate training.
Patients with Ischaemic stroke who are eligible for endovascular therapy should have a CTA from aortic arch to skull vertex immediately. This should not delay the administration of IV thrombolysis.
MRI with stroke-specific sequences (DWI imaging, T2*) should be performed in patients with suspected acute stroke when there is diagnostic uncertainty.

Recurrent seizures after stroke should be treated in a manner similar to when they occur with other acute neurological conditions, and anti-seizure drugs should be selected based upon specific patient characteristics.
Prophylactic use of anti-seizure drugs is not recommended.