Late-window basilar occlusion escalation
Educational use only. Not clinically reviewed74-year-old man for calm posterior-circulation recognition, qualified escalation, surveillance, and active-risk handoff. About 8 simulated minutes.
What you will practise
- Connect the 10-hour clock, posterior-circulation syndrome, physiology, and whole-patient state.
- Review the fixed CT, CTA, selection facts, and open mimic boundary.
- Recognize the supplied basilar-occlusion thrombectomy-escalation boundary without predicting benefit for one patient.
- Activate qualified endovascular and airway-capable ownership without waiting for a treatment decision or response.
- At a strict later report, compare the fixed neurological, airway-risk, and whole-patient trajectory.
- After another elapsed interval, hand off clocks, imaging, deterioration risk, and unresolved care.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Prabhakaran S, Gonzalez NR, Zachrison KS, et al. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke. Stroke. 2026;57:e317-e473. doi:10.1161/STR.0000000000000513.
- Tao C, Nogueira RG, Zhu Y, et al. Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion. N Engl J Med. 2022;387:1361-1372. doi:10.1056/NEJMoa2206317.
- Jovin TG, Li C, Wu L, et al. Trial of Thrombectomy 6 to 24 Hours after Stroke Due to Basilar-Artery Occlusion. N Engl J Med. 2022;387:1373-1384. doi:10.1056/NEJMoa2207576.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.