St John's immediately dispatch ambulances to patients who are possible thrombolysis candidates with lights and sirens as per their protocol - make the status of the patient clear when requesting an ambulance and ensure they understand the urgency.
The ambulance crew will call ED enroute to the hospital to alert them. The emergency dept thrombolysis in acute ischaemic stroke protocol will be followed by ED which requires the ED Doctor to alert either the Stroke Team or on-call Medical Registrar (depending on whether the patient is in Tauranga or Whakatane and depending on the time of day), to the need for an immediate assessment.
This is therefore one of the only times when GPs do NOT have to call the Acute Admitting Team prior to the patients arrival. A referral letter as per the next box, would be useful however.
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