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#PGTip – Stroke: Think fast, act faster 🧠⚡
Everyone should know
1️⃣ Recognize early
BE-FAST → Balance loss, Eyes sudden vision changes, Face droop, Arm weakness, Speech slurring, Time = act now.
If sudden dizziness + nystagmus + gait instability → HINTS exam beats MRI in early posterior strokes.
2️⃣ Call it in before arrival
Inform ER + neuro team → prep CT, lab, & tenecteplase (0.25 mg/kg, max 25 mg IV bolus).
Saves 10–20 min before you reach.
3️⃣ Optimize pre-hospital time
Prefer nearest stroke-ready center, not the fanciest hospital across town.
Bypass triage delays if stroke confirmed.
4️⃣ Imaging sequence
Non-contrast CT → rule out bleed.
CTA if large vessel occlusion suspected (for thrombectomy).
5️⃣ Time goals ⏱
Door-to-CT: ≤20 min
Door-to-needle: ≤45–60 min
Onset-to-needle: ≤4.5 hrs (tPA window; TNK similar).
Mechanical thrombectomy: ≤6 hrs standard, up to 24 hrs in select cases (DAWN/DEFUSE 3).
6️⃣ Don’t forget glucose
Hypoglycemia mimics stroke → check CBG before thrombolysis.
7️⃣ Blood pressure targets
Ischemic stroke (no thrombolysis): BP ≤220/120.
If thrombolysis planned: BP <185/110 pre-bolus, <180/105 post.
8️⃣ Antiplatelets
No aspirin/clopidogrel until 24 hrs post-thrombolysis & repeat imaging excludes bleed.
9️⃣ Stroke mimics
Seizure/postictal, migraine aura, hypoglycemia, functional.
Avoid rushing thrombolysis without ruling them out.
🔟 Golden mindset
Stroke care is a team sport → call, coordinate, and cut every unnecessary seco
A DOMINANT DISPLAY! 💪🏻🔥
Yuvraj Sandhu maintains his streak from start to end to be crowned as the Champion🏆
#PGTI #champion #yuvrajsandhu #progolfers #TataSteelPGTI #IndiaSwingsForGlory #Golf #PlayersChampionship2025
Are you joining me for some gospel music today? 1:30 PM PT
If you want to join my VIP Inner circle on Zoom, comment VIP & I will send the link for you to join my community.
What is your top song request? #paulgreene #paulgreenemusic #pgtip
Today’s featured movie is Buttons. This star-studded Christmas movie was released to theaters back in 2018.
Want my 4 exclusive behind-the-scenes stories about this film? Comment in this post or dm me & I will send it your way #paulgreene #pgtip #christmasinjuly
Going live today at 1:30 pm pt
Will I see you backstage?
Comment VIP & I'll send you the link to join
#paulgreene #pgtip #freedomalchemist
Dm VIP for the link
All levels Guardian and above will get you in.
4:30 pm PT- Live Podcast recording begins.
5pm PT-The Greene Bros Cafe returns
One lucky member will win the painting!
#paulgreene #pgtip #greenebroscafe
Prices are Going up Dec 1.. Book a call now and lets create 2024 as your best year of all time... #freedomalchemist #paulgreene #kateaustin #pgtip
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Book your call between November 23 - November 30 to get $1000 off!
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Prices are Going up Dec 1.. Discover more & dig deeper. Create 2024 as your best year of all time... Reboot, Renew, Release,Grow,Age backwards,Laugh again,
Hope to see y'all there! https://t.co/oa90px5Zj0
#freedomalchemist #paulgreene #kateaustin #pgtip
https://t.co/QLWMpgSrum
Prices are Going up Dec 1.. Book a call now and lets create 2024 as your best year of all time... Reboot, Renew, Release,Grow,Age backwards,Laugh again,
Hope to see y'all there! https://t.co/oa90px5Zj0
#freedomalchemist #paulgreene #kateaustin #pgtip
https://t.co/QLWMpgSrum
🌟 Let's rewind the clock and revisit a special memory with my wonderful mom in LA! 🕰️🌴 Join us on this journey down memory lane! 💖✨ #FlashbackFun #paulgreene #pgtip #ThrowbackTales #TimelessTales #PaulAndFranFun #MotherAndSon #LAAdventures 🚀🌟
हाई कोर्ट से सिंगल बेंच के आए निर्णय को कुछ ही दिनों के अंदर डिवीज़न बेंच में चुनौती दी जाएगी। युवा भी क्या करें, प्रदेश में सिस्टम ही ऐसा बन गया है कि कोर्ट जाए बिना कोई भी मामला हल नहीं होता। #PGTIP
@SukhuSukhvinder @RohitThakurJNK @CMOFFICEHP
#Rojgar do #Berojgari dur kro #School me Ache Teacher do #Corruption dur kro #PGTIP ki Bharti nikalo...or bhi bhut sare mude hae ....#Hindu, #Hindutva se aage bhi Socho..😇
पहाड़ की खूबसूरती पहाड़ की बात भी हैं , जो आप को पहाड़ की तरह रखनी भी चाइए थी मान्यवर मुख्य्मंत्री आप शायद भूल रहे जनता ने आप को जनमत हिन्दू हराने नही बल्कि पहाड़ के मुद्दों और आप के द्वारा की गई घोषणाओं पर दिया हैं , इतने बड़े मंच से इस तरह का वक्तव्य देना अच्छा नही हैं
Ab bhaiyo #PGTIP ke liye bhi tweet hone chaeye kyuki ak acha teacher hi desh ka bhavisya hae hm sab log jo higher degree wale computer professional hae unhe bhi sarkar se jaldi PGT IP ki bharti ko court case se bahr nikalne ke liye bolna chaeye Or Berojgaro ko time se rojgar mile
#PGtip 📷 - @paulgoldstein59 - CROCK OF ….@KichecheCamps @OOCMara
Polariser inverted (always for rainbows) and bingo.
ISO500 100mm F2.8 200th Circular polariser
#giraffe #rainbow #wildaboutkicheche @MagicalKenya
𝐖𝐡𝐚𝐭 𝐡𝐚𝐩𝐩𝐞𝐧𝐬 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐞𝐦𝐩𝐨𝐰𝐞𝐫 𝐲𝐨𝐮𝐫 𝐩𝐞𝐨𝐩𝐥𝐞 𝐭𝐨 𝐰𝐨𝐫𝐤 𝐭𝐨𝐠𝐞𝐭𝐡𝐞𝐫?
#gettingthingsdone #education #elearning #automotiveindustry #teachersandschoolemployees #strategy #educationreform #consultants #education #humanresources #pgtip
@AdventuresPg well my final rest day has arrived.
@WildbadTouring what do you think, with my attained shade of #RV
@News_Mallorca #HappyMonday
@PGtips home soon for a quality brew of my fav #pgtip #whatalife @davidwalliams Can you fit me in yet? #TipsChronicles #monkeycameo
Let me know what you think below. 👇🏻✍️ #Pgtip’s #tipoftheday #quotes #love #goodmorning https://t.co/UXhONUoRNl
Thank you @Tony_Robinson & @DannyJohnJules for one of the best earworms of all time 🥞🥞🥞 https://t.co/4SiyeU9Xnh
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