Neurology Emergency Response Protocol Template

1. Initial Assessment Protocol

IMMEDIATE ACTIONS

• Assess consciousness (AVPU scale)
• Check vital signs (ABC)
• Perform rapid neurological examination
• Activate emergency response system if needed

CRITICAL INFORMATION GATHERING

• Time of symptom onset
• Last known well time
• Current medications
• Recent procedures/surgeries

2. Emergency Categories and Response

STROKE PROTOCOL

1. Acute Stroke Symptoms

   • Time window assessment
   • NIH Stroke Scale evaluation
   • Immediate CT/MRI activation

2. tPA Consideration

   • Inclusion/exclusion criteria check
   • Blood pressure parameters
   • Laboratory values review

STATUS EPILEPTICUS

1. Initial Management

   • Airway protection
   • First-line medication administration
   • Vital sign monitoring

2. Escalation Protocol

   • Second-line interventions
   • ICU transfer criteria
   • EEG monitoring initiation

3. Emergency Equipment Requirements

CRASH CART CONTENTS

• Emergency medications
• Airway management equipment
• Monitoring devices
• Documentation materials

4. Staff Responsibilities

PHYSICIAN DUTIES

• Emergency assessment
• Treatment decisions
• Transfer arrangements

NURSING RESPONSIBILITIES

• Initial triage
• Medication administration
• Vital signs monitoring
• Documentation

5. Documentation Requirements

ESSENTIAL ELEMENTS

• Time stamps for all interventions
• Medication administration records
• Neurological assessments
• Transfer documentation

6. Emergency Contact Information

KEY CONTACTS

• On-call neurologist
• Emergency department
• Stroke team
• Transfer centers

7. Quality Assurance

REVIEW PROCESS

• Monthly case reviews
• Protocol compliance audit
• Outcome tracking
• Staff feedback integration