For Aziz, under Option A…
An ambulance takes Aziz to Bronglais Hospital, and he is taken directly to the CT scanner, rather than to the Emergency Department. If a stroke is confirmed, treatment would be started while in the scanning department. Aziz would then be moved to the Emergency Department before he is transferred.
If Aziz hasn’t had a stroke, he will transfer back to Emergency Department for further tests.
If Aziz had a more serious stroke (with a large blood vessel occlusion, which is a type of stroke where blood flow to a main artery in the brain is interrupted) he would be taken by ambulance from Bronglais directly to the thrombectomy centre at Bristol or Cardiff. Thrombectomy can be used to treat these types of stroke. This care is provided regionally for Wales and south and western regions of England in Bristol and Cardiff.
Once the Bristol or Cardiff thrombectomy team assess Aziz is fit to be discharged from their care he will be transferred to the Stroke Unit at Prince Philip, Withybush or directly home dependent on his recovery post thrombectomy.
If thrombectomy is not the right treatment for Aziz then he will be transferred to the Stroke Unit at Prince Philip or Withybush Hospital 12/7 units (12 hours a day, seven days a week) for acute stroke treatment.
Aziz may be able to be discharged home with support from the Early Supported Discharge and Community Integrated Stroke Team.