COVID-19 local/national protocols for stroke

Locally and nationally approved protocols and guidelines for key aspects of stroke/TIA care in Greater Manchester.
Other key resources can be found here.
Pre-hospital
Thrombolysis
Salford Royal thrombolysis in acute ischaemic stroke including management of angioedema
Salford Royal thrombolysis in acute ischaemic stroke management of acutely elevated BP
Salford Royal thrombolysis in acute ischemic stroke assessment and eligibility for IV Alteplase
Other acute care
Salford Royal management of BP in Acute ischemic Stroke
Salford Royal emergency intra arterial intervention in acute ischemic stroke
Salford Royal prevention of Hospital Acquired Thrombosis
Salford Royal decompressive hemicraniectomy in MCA infarction
Salford Royal CVST assessment and management of adults
Salford Royal TIA/Minor stroke policy (Covid-19 response)
Royal Pharmaceutical Society guidance on safe switching of Warfarin to DOAC during COVID-19
Salford Royal oxygen prescribing and administration in adults
Management of ICH
ABC-ICH is a bundle of care with three main interventions which have been shown to improve patient outcomes:
- Fast reversal of Anticoagulants
- Intensive Blood pressure lowering
- Care pathway – ensuring all appropriate patients are transferred to their local HASU and those meeting referral criteria are referred to neurosurgery
You can find out more about the project and additional resources here.
Greater Manchester ICH pathway
Greater Manchester SOP for management of anticoagulant-associated spontaneous ICH
‘A’ protocol octaplex with POC
‘A’ protocol beriplex with POC
Salford Royal ICH ‘C’ protocol
Community care
Community referral form (COVID-19)
COVID-19