Clinical Case Database / Category: Case Based Discussion

Early management of ischaemic stroke

Publication details

Ashis Banerjee FRCS FCEM
Foundation Years Journal, volume 2, issue 1, p.13 (123Doc Education, London, January 2008)


An ambulance paramedic crew phones the emergency department to state that they are bringing in a 65-year-old man with right hemiparesis and dysphasia. The patient is maintaining a patent airway and is haemodynamically stable. You consider what to do while awaiting his arrival to the resuscitation room.

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Ashis Banerjee FRCS FCEM (Corresponding author)

Consultant/Honorary Senior Lecturer in Emergency Medicine
Emergency Department
Chase Farm Hospital
The Ridgeway


1. Chalela, J, Kidwell, CS, Nentwich, LM, et al Magnetic resonance imaging and computer tomography in emergency assessment of patients with suspected acute stroke-a prospective comparison. Lancet 2007; 369: 293-298
2. National Clinical Guidelines for Stroke Intercollegiate Stroke Working Party 2nd edition Clinical Effectiveness & Evaluation Unit, RCP London


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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