Acute Ischaemic Stroke with Competing Emergencies

You are the on-call anaesthetist on site at a tertiary referral hospital. In the evening you are made aware of a patient with an acute ischaemic stroke secondary to right middle cerebral artery occlusion. They are expected to arrive in the angiography suite in approximately ten minutes for endovascular clot retrieval. Operating theatre staff inform you that they have just received notification of an impending category 1 lower uterine segment caesarean section (LSCS), and a trauma patient currently in the CT scanner. You have an advanced trainee and a basic trainee registrar on site. Limited information is available regarding the stroke patient: He is an 80-year-old man who lives alone and was found by support services slumped in a chair at home. He was last known to be well approximately six hours earlier. His fasting status is unknown. Medical History Type 2 diabetes mellitus Hypertension Dyslipidaemia Paroxysmal atrial fibrillation At this stage, his medications are unknown. He has no known allergies.