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Pearl · 04 of 05

Put the ASPECTS in the first line of the stroke CT report

Start every stroke CT report with haemorrhage, ASPECTS and hyperdense vessel — always state the score, even when it is 10.

In a stroke call, the neurologist reads the first line and acts. ASPECTS is often buried in the findings or left out when the scan looks normal.

Open the report with haemorrhage (yes or no), ASPECTS and any hyperdense vessel. If ASPECTS is 10, say so — a stated 10 is information, an omitted score is not.

  • Line one: haemorrhage, ASPECTS, hyperdense vessel sign.
  • State ASPECTS even when it is 10.
  • Note which regions are affected when it is below 10.

Why it matters

Treatment decisions are made from the first line of the report, often before the rest is read.

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