EmergMemo full-detail English clinical infographic — practical quick reference for emergency clinicians. Open the image for full-size reading.
Clinical correction — 26 October 2026: the infographic has been replaced with a corrected version. After IV thrombolysis, obtain follow-up CT/MRI at 24 hours and exclude haemorrhage before starting antiplatelet or anticoagulant therapy. Earlier treatment is reserved for exceptional compelling concomitant indications under stroke-team guidance. After thrombectomy, determine timing according to associated IV thrombolysis, stenting, procedural factors and bleeding risk. Source: AHA/ASA 2026 guideline.
Clinical overview
A time-critical emergency requiring immediate stroke-team activation, rapid imaging and assessment for intravenous thrombolysis and/or mechanical thrombectomy.
Important clinical update
AHA/ASA 2026: eligible patients may receive alteplase 0.9 mg/kg IV (maximum 90 mg), 10% as a bolus over 1 minute and the remainder over 60 minutes; alternatively tenecteplase 0.25 mg/kg IV bolus (maximum 25 mg). The previously generated image contained an incorrect alteplase dose and has been replaced. Treatment choice, time window and antithrombotic use require the full protocol.
Current reference: AHA/ASA 2026 Acute Ischemic Stroke Guideline.
Original educational infographic with AI-assisted graphic preparation and clinical source checking. For healthcare professionals; always consult full guidelines, the individual patient assessment and local protocols before clinical use.