Stroke Emergency Care

24/7 Acute Stroke Emergency Protocol & IV Thrombolysis

When an acute brain attack (stroke) strikes, over 1.9 million brain neurons die every minute of arterial blockage. Shiv Shahi Hospital runs a dedicated 24/7 Code Stroke program in Ambernath East. For eligible ischemic stroke patients presenting within the 4.5-hour golden window, intravenous tissue plasminogen activator (IV tPA) dissolves the arterial clot, restoring cerebral blood flow and reversing paralysis.

4.5-Hour Golden Window IV tPA: Clot-busting intravenous thrombolysis to dissolve cerebral thrombi and prevent permanent disability.

Emergency Diagnostic Brain CT: Rapid neuro-imaging to accurately distinguish between ischemic arterial infarction and hemorrhagic stroke.

Dedicated Stroke ICU Monitoring: Continuous blood pressure titration, glycemic regulation, and anti-cerebral edema management.

Early Neuro-Rehabilitation: Specialized bedside physical therapy, speech therapy, and swallowing rehab initiated within 48 hours.

Recognize B.E.F.A.S.T. Stroke Signs

B – Balance: Sudden unsteadiness, dizziness, or loss of motor coordination.
E – Eyes: Sudden vision loss, blurred vision, or double vision in either eye.
F – Face: One side of the face drooping or crooked smile.
A – Arm: Sudden weakness, paralysis, or numbness in one arm or leg.
S – Speech: Slurred, incomprehensible, or lost ability to speak.
T – Time: Rush directly to Shiv Shahi Hospital Casualty desk without delay.

Comprehensive Stroke Prevention

Carotid and vertebral Doppler ultrasound to check for critical carotid artery narrowing.
2D Echocardiography and 24-hr Holter monitoring to identify cardiac clot sources (Atrial Fibrillation).
Long-term secondary stroke prevention with antiplatelets, lipid management, and blood pressure control.

Frequently Asked Questions

What is the golden window for acute stroke thrombolysis?

The golden window represents the first 4.5 hours from the precise moment stroke symptoms begin. Administering IV tPA within this therapeutic window dissolves the obstructing blood clot and significantly restores lost neurological functions.

What happens if a stroke patient reaches the hospital after 4.5 hours?

Patients arriving outside the 4.5-hour thrombolysis window receive intensive neuroprotective medical care in our dedicated Neuro ICU, including antiplatelet therapy, blood pressure stabilization, anti-cerebral edema osmotherapy, and early physiotherapy.

Is emergency stroke thrombolysis covered under cashless schemes?

Yes. Emergency stroke admission and thrombolysis treatment are covered under Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY), CMRF, and major private health insurance TPAs at Shiv Shahi Hospital Ambernath.

Schedule Your OPD Consultation

Consult Senior Specialists at Shiv Shahi Hospital, Ambernath East. Daily OPD Hours: 10:00 AM to 9:00 PM.

Book WhatsApp Appointment Call 83080 88811

Brain Stroke Treatment & Thrombolysis in Ambernath