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Dr. Emily Senecal (Emergency Medicine): A 72-year-old left-handed woman was transported by helicopter from her home to the emergency department of this hospital because of a sudden change in mental status and left hemiparesis.
On the day of admission, she was well when last seen by her husband at 11:30 a.m. At 12:15 p.m., her son called her at home, and she produced only slurred and unintelligible speech. He called his sister, who notified emergency medical services (EMS). At 12:45 p.m., the daughter arrived at the patient's home, followed shortly by EMS, and they found the patient lying on the
Management
Primary Transport of Patients with Acute Stroke
Use of Neuromuscular Blockade
Reasons to Consider Thrombolysis in Acute Ischemic Stroke
Anatomical Diagnosis
Source Information
From Emergency Services (S.H.T.), Tele-Stroke and Acute Stroke Services (L.H.S.), and Emergency Neuroradiology (M.H.L.), Massachusetts General Hospital; and the Departments of Surgery (S.H.T.), Neurology (L.H.S.), and Radiology (M.H.L.), Harvard Medical School.
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