santonyxx

Must agree its very time consuming and ardouos at times, however sensitive enough to detect Stroke specific deterioration. Does anyone use any kind of abridged version that could be used more routinely as regular observations, such as the GCS (Glasgow Coma Scale) is used?

I work on an Acute Stroke unit in the UK, we have fairly recently initiated a thrombolysis service, isn't it a trill to see the recovery, resolution of symptoms so rapidly after administration? Sorry - would like to agree within the above our guidelines, we record NIHSS on admission, 2hrs post rtpa - Actiplase - 24hrs then 7 days, not always a discharge date, often our patient move on to rehabilitation from our unit. Again what a thrill to see the inprovement and discharge home so quickly after major brain injury could have been sustained