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| The UCSD Stroke Team is available 24 hours per day, 7 days per week. One physician and one house officer are on call at all times. Call is shared by two senior faculty and two fellows. There are three senior neurology house officers who share call for the house officer position on the team.
Upon arrival in the Emergency Room at UCSD Medical Center, the Stroke Team will meet the patient and an immediate neurologic history and physical examination will be carried out. At this point it is generally possible to exclude patients who are suffering from a peripheral nerve lesion, migraine, or other disorder that is non-emergent yet mimicking stroke. |
In the remaining patients the “Code Stroke” continues:
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The patient is transported for a CT brain scan.
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Limited laboratory studies including CBC with platelet count and coagulation studies are performed.
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The patient is either diagnosed with ischemic stroke and is eligible for thrombolytic therapy, or has an alternative diagnosis.
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If the patient has ischemic stroke, tPA is administered per FDA guidelines.
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The patient is then admitted to an observation area or Intensive Care Unit.
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Tests necessary to establish the cause of the stroke may be ordered.
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Rehabilitation services such as physical, occupational and speech therapy are typically offered after the first 24 hours.
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Other medical diagnoses such as diabetes and hypertension are treated, in consultation with the patient’s primary care physician.
See an illustration of a stroke 
Stroke Center
Perlman Ambulatory Care Center
9350 Campus Point Drive, Suite 1C
La Jolla, CA 92093
(858) 657-8540 |