Hyperacute

Stroke Signs & Symptoms

The Heart and Stroke Foundation of Ontario conducts public awareness campaigns promoting the warning signs and symptoms of stroke using a variety of methods including television ads, print media and local events.

Taking Action in Stroke Prevention: A Quick Response Pocket Guide

Emergency Medical Services

Educational Workshop for Emergency Medical Services Care of Suspected Acute Stroke Patients

A Resource for Implementation of Canadian Best Practice Recommendations for Stroke: Emergency Medical Services Management of Suspected Stroke Patients. This resource is comprised of two components: Core content that can be integrated into educational materials and a comprehensive workshop package.

Thrombolytic Therapy and Endovascular Thrombectomy

Regional and District Acute Stroke Protocol

Regional Acute Stroke Protocol: Kingston General Hospital Site

If you have any questions about the Regional Acute Stroke Protocol, please contact Cally Martin, Regional Director, cally.martin@kingstonhsc.ca or Colleen Murphy, Regional Stroke Best Practice Coordinator, colleen.murphy@kingstonhsc.ca 

Regional Acute Stroke Protocol - Referring Centres

Quinte Code Stroke Video

Reinactment of a "Code Stroke" using telestroke at Quinte Health Care.

Emergency Stroke Care: How are we doing?

Annual Evaluation - Presentation made to the Southeastern Ontario Regional and District Acute Stroke Protocol Committee

Endovascular Thrombectomy (EVT)

KGH Endovascular Thrombectomy

KHSC-KGH site has completed a weekday pilot study of EVT that selects eligible patients using the ESCAPE Trial criteria. The service is now being delivered on a 24/7 basis. 

ACT-FAST- Large Vessel Occlusion Screen

The ACT-FAST is a large vessel occlusion screen for EVT being used to guide decision making for triaging patients arriving in the Emergency Department with stroke symptoms between 6-24 hours. The ACT-FAST algorithm has high specificity and reliability for recognizing large vessel occlusion in severe stroke (Zhao et al., 2018). The Acute Stroke Protocol is activated for patients arriving within 6-24 hours of onset if ACT-FAST screen is positive. Once the Acute Stroke Protocol or Code Stroke is activated, the physician will further determine patient eligibility for EVT. Patient selection for EVT is then based on advanced CT perfusion imaging using RAPID software.This imaging software helps quantify the amount of salvageable brain tissue and therefore assesses eligibility for EVT up to 24 hours in an evidence-based manner.