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Use NIH Stroke Scale Routinely
- Learn and use the NIH Stroke Scale for quick, objective stroke severity assessment and monitoring.
- Certify via the NIHSS course and document scores pre-treatment and during the first 12 hours.
Use Modified Rankin For Prognosis
- Use the modified Rankin Scale to communicate expected functional outcomes with families.
- Reference mRS at 3 months to set realistic goals and guide treatment choices.
Start With Rapid Noncontrast CT
- Obtain a non-contrast CT immediately to exclude hemorrhage before thrombolysis.
- Add CTA to evaluate vessel occlusion anatomy when available to guide therapy.