SWORBHP Ask MAC

Answer:  The prompt card states “CTAS 1 (not 2 as the question states) and/or uncorrected airway, breathing or circulatory problem”.

The Prehospital CTAS Paramedic Guide ver 2.0 lists stroke less than 3.5 hours from onset in the CTAS Level 2 group. Given that the Prompt Card 3.0.1 now uses less than 4.5 hours from time of onset of stroke symptoms, the CTAS guide is out of date and will need to be changed in its next version.

If the patient has “Chest pain with cardiac features – severe end-organ hypoperfusion” – page 18 – (which would mean mottling and hypotension) then these features makes them CTAS Level 1 and they should be taken to the closest Emergency Department. Otherwise the patient should remain in the stroke protocol and be transported as CTAS Level 2 to the closest Stroke Centre.