John has suddenly lost his balance, he is struggling to speak and one side of his face has drooped. His wife is alarmed and immediately calls the ambulance.
Paramedics arrive and complete a primary survey of the patient. As a stroke is suspected, they complete an initial stroke assessment and take the patient to an A&E at a trust with a specialist stroke unit. Details are recorded on their tablet. This information is automatically sent to the hospital they are taking the patient to.
Paramedic notes are uploaded to the hospital system. An EHR is created for the patient or the patient is matched to an existing record. Triage nurses are able to view paramedic notes on the EHR before the patient arrives to A&E, and alerts the stroke team of a suspected stroke patient.
John is assessed in A&E by the stroke team and immediatley sent to the Radiology department for a CT scan to confirm he has had a stroke. Radiographers are able to view Johns notes on the EHR. The results of the scan are uploaded to the EHR and John is sent back to A&E.
Clinicians in A&E view John's results on the EHR and are able to confirm that he has had a stroke. NICE best practice guidelines on stroke is available on the EHR. Since John meets the criteria, thrombolysis is administered. Details of the treatment is uploaded to the EHR by the clinician.
John is admitted into a specialist stroke ward. Clinicians on the ward are able to view his EHR record on tablets and computers and view his entire treatment history up until his admission. His condition is monitored and he receives treatment until he has recovered and is well enough to go home.