Stroke

Thrombolysis contraindications

Absolute

‘BRAIN VAIN’ (we want to protect the brain!)

Bleeding diathesis

Recent head trauma (<3/12)

Active bleeding

Ischaemic stroke (<3/12)

Neoplasm (intracranial, malignant)

Vascular abnormality (intracranial)

Aortic dissection (suspected)

Intracranial haemorrhage (ever)

Non-STEMI! (Not completely correct – could ne new LBBB, but I had to put something here!)

Relative

‘AVOID CCHIPPS’?

Anti-coagulation

Vessel punctured (non-compressible)

Other intracranial abnormality

Ischaemic stroke >3/12

Dementia

CPR (prolonged >10min, traumatic)

Cancer (advanced metastatic)

Hypertension (severe, uncontrolled)

Internal bleeding (within 4 weeks) 

Pregnancy

Peptic ulcer (active)

Surgery (major, within 3 weeks)

Driving  after stroke:

Private standards: A person should not drive for at least 4 weeks following a stroke.