[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-506353-105":59,"doc-detail-506353-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","telestroke-referral-algorithm-patient-selection-and-screening-guide","Telestroke Referral Algorithm - Patient Selection and Screening Guide","","This document provides a comprehensive clinical guide for identifying and managing acute stroke patients eligible for telestroke consultation. It details the step-by-step ACT-FAST stroke screening process, which evaluates arm weakness, language deficits (CHAT test), and gaze or shoulder sensitivity (TAP test) to identify potential large vessel occlusions. The guide includes essential patient exclusion criteria, such as symptoms lasting over 24 hours or severe pre-stroke comorbidities, ensuring that resources are focused on patients who would benefit most from advanced diagnostic procedures like Head CT and CTA. Furthermore, it outlines the mandatory information required for a referral, including patient demographics, medical history, current medications, and baseline examination findings, facilitating efficient communication with the stroke care team through the CritiCall system to optimize stroke intervention outcomes.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/telestroke-referral-algorithm-patient-selection-and-screening-guide/506353/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/telestroke-referral-algorithm-patient-selection-and-screening-guide/506353.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of the ACT-FAST stroke screen?","Question",{"text":113,"@type":114},"The ACT-FAST screen is a two-step diagnostic tool used to identify severe neurological deficits that are likely associated with a large vessel occlusion, helping clinicians determine if a patient is a suitable candidate for telestroke intervention.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the primary exclusion criteria for a Telestroke consultation?",{"text":118,"@type":114},"Patients are generally ineligible if their stroke symptoms have lasted longer than 24 hours, if they suffer from severe pre-stroke comorbidities, or if they present with only mild or non-disabling isolated neurological deficits.",{"name":120,"@type":111,"acceptedAnswer":121},"What specific information is required on the Telestroke Referral Worksheet?",{"text":122,"@type":114},"The worksheet requires patient age and sex, key timing metrics (ED arrival and last seen well), history of bleeding, recent surgical or trauma history, current medications such as antiplatelets or anticoagulants, and initial physical examination findings including blood pressure and heart rate.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},506353,1791518117,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Telestroke: Patient Selection  \n• The Telestroke Referral Algorithm can be used as a reference  \n✓Look at the exclusions: > 24 hours, severe pre-stroke comorbidities, mild isolated deficits (see note 1), and non-disabling deficits (see note 2)  \n✓The ACT-FAST is optional; however, it is helpful in determining which patients have severe neurological deficits and are most likely to have a large vessel occlusion (LVO) on their CTA both required to be eligible for EVT  \n• Fill out the Telestroke Referral Worksheet before calling CritiCall  \n• If in doubt, call for a Telestroke Consultation","cbCaim2XbyMhqY3W","https://ap.wps.com/l/cbCaim2XbyMhqY3W","pdf",438952,"English","# Telestroke Referral Algorithm\n## ACT-FAST Stroke Screening\n## Patient Eligibility Criteria\n## Required Patient Information","[{\"question\":\"What is the purpose of the ACT-FAST stroke screen?\",\"answer\":\"The ACT-FAST screen is a two-step diagnostic tool used to identify severe neurological deficits that are likely associated with a large vessel occlusion, helping clinicians determine if a patient is a suitable candidate for telestroke intervention.\"},{\"question\":\"What are the primary exclusion criteria for a Telestroke consultation?\",\"answer\":\"Patients are generally ineligible if their stroke symptoms have lasted longer than 24 hours, if they suffer from severe pre-stroke comorbidities, or if they present with only mild or non-disabling isolated neurological deficits.\"},{\"question\":\"What specific information is required on the Telestroke Referral Worksheet?\",\"answer\":\"The worksheet requires patient age and sex, key timing metrics (ED arrival and last seen well), history of bleeding, recent surgical or trauma history, current medications such as antiplatelets or anticoagulants, and initial physical examination findings including blood pressure and heart rate.\"}]","Telestroke Referral Algorithm - Patient Selection and Screening Guide | PDF",1791163151]