Stroke Signs & Symptoms
The Heart and Stroke Foundation of Ontario conducts public awareness campaigns promoting the warning signs and symptoms of stroke using a variety of methods including television ads, print media and local events.
Emergency Medical Services
Paramedic Prompt Card for Acute Stroke Bypass Protocol
- Click here for this Paramedic Prompt Card
Pre-Hospital Los Angeles Motor Scale (LAMS) for Stroke Severity
Paramedics across Ontario are using the LAMS to help identify possible large vessel occlusion (LVO) stroke and potential eligibility for Endovascular Thrombectomy (EVT). The LAMS is being used as a secondary screen for those with stroke symptoms within 6 hours of onset.
- CorHealth Ontario LAMS Educational Video and Presentation for EMS providers:
- Southeastern Ontario brief LAMS resources:
Educational Workshop for Emergency Medical Services Care of Suspected Acute Stroke Patients
A Resource for Implementation of Canadian Best Practice Recommendations for Stroke: Emergency Medical Services Management of Suspected Stroke Patients. This resource is comprised of two components: Core content that can be integrated into educational materials and a comprehensive workshop package.
Thrombolytic Therapy and Endovascular Thrombectomy
Regional and District Acute Stroke Protocol
Acute Stroke Protocol: KHSC-Kingston General Hospital Site
- KGH ED Poster - Emergency Guide for Thrombolysis and/or Endovascular Thrombectomy (EVT)
- KGH In-Hospital Poster - Internal Activation of the Acute Stroke Protocol
- KHSC-KGH site ACT-FAST Poster - EVT screening tool for patients presenting with stroke symptoms between 6-24 hours
- Rationale Guidelines for the use of Thrombolysis, Endovascular Thrombectomy (EVT) or both in the treatment of acute ischemic stroke at KGH
- Stroke/TIA Consult-History and Physical Assessment (for Physicians)
- KGH ED Repatriation - Transfer & Discharge Guidelines for Stroke/TIA Patients NOT Requiring Admission at KGH
- Roles and Responsibilities for Thrombolytic Therapy and Endovascular Thrombectomy
- Presentation on Achieving Best Practice Target Times for Hyperacute Treatments - What we Learned
- Presentation on TNK instead of tPA: Experience at KHSC
Acute Stroke Protocol: KHSC-Hotel Dieu Hospital Site
- Hotel Dieu Hospital Acute Stroke Protocol
- Presentation with HDH UCC team on Acute Stroke Protocol and ACT-FAST
If you have any questions about the Regional Acute Stroke Protocol, please contact Shelley Huffman, Regional Director, shelley.huffman@kingstonhsc.ca or Kayla Purdon, Regional Stroke Best Practice Coordinator, kayla.purdon@kingstonhsc.ca
Regional Acute Stroke Protocol - Referring Centres
- Emergency Transfer Poster - Transfer Guide for Thrombolytic Therapy and/or EVT for patients with an acute ischemic stroke who may be eligible for treatment at KGH
- Regional Acute Stroke Protocol Repatriation Agreement for facilitating repatriation of patients with stroke between hospitals in Southeastern Ontario
Quinte Code Stroke Video
Reinactment of a "Code Stroke" using telestroke at Quinte Health Care.
- Quinte Code Stroke Video (Full Version)
- Quinte Code Stroke Video (Short Verion) - emphasis on Paramedic role
Emergency Stroke Care: How are we doing?
Annual Evaluation - Presentation made to the Southeastern Ontario Regional and District Acute Stroke Protocol Committee
Endovascular Thrombectomy (EVT)
KGH Endovascular Thrombectomy
- Communiqué - Overview of KHSC-KGH site Pilot and key best practices
- Quinte-KGH Stroke EVT Transfer Algorithm
- Quinte Belleville General Emergency Transfer Guide for EVT
- Brockville General Hospital Emergency Transfer Guide for EVT
- EVT Family Education Booklet
ACT-FAST - Large Vessel Occlusion Screen
The ACT-FAST is a large vessel occlusion screen for EVT being used to guide decision making for triaging patients arriving in the Emergency Department with stroke symptoms between 6-24 hours. The ACT-FAST algorithm has high specificity and reliability for recognizing large vessel occlusion in severe stroke (Zhao et al., 2018).
Endovascular Coiling Procedure
Endovascular coiling procedure for ruptured and non-ruptured intracranial aneuyrsms is performed in Interventional Radiology at Kingston Health Sciences Centre.