Repatriation after a stroke abroad
This page deals exclusively with repatriation after a stroke abroad. The information supports the preparation of an individual transport file and does not replace an assessment by the treating physician.
Neurological stability first
After a stroke, consciousness, swallowing, speech, strength, blood pressure management and the risk of further deterioration are decisive. A recent assessment by the treating team is needed before transport is chosen.
Record the time of the event, examinations performed, treatment provided and current neurological condition. In the event of new deficits, severe headache, reduced consciousness or breathing problems, do not depart; reassessment must take place locally.
Swallowing difficulties and nutrition
Swallowing safety affects eating, drinking and the administration of medication during the journey. Use only the plan provided by speech therapy or the treating clinician; family members or the accompanying person should not offer ordinary drinks when thickened fluids or tube feeding has been prescribed.
Required nutrition, administration supplies and oral care are planned for the entire route. Possible delays are factored into the supplies.
Positioning, transfers and communication
One-sided weakness, neglect or balance problems may require additional staff and positioning. Each transfer is described in advance, including the aid and support for the affected side.
In the event of language or speech difficulties, it is agreed how the patient will indicate yes, no, pain or discomfort. A familiar communication aid travels with the patient.
Level of medical support
A stable patient may sometimes travel with a specialised escort; anyone requiring intensive monitoring, oxygen or frequent interventions needs a higher level of care. The chosen arrangement must be able to manage potential problems during the journey in practice.
The route and mode of transport are reassessed if the neurological condition changes or the journey becomes longer than planned.
Handover to stroke care or rehabilitation
The Belgian receiving party receives imaging, a medical summary, medication list, swallowing advice, mobility level and latest observations. The receiving bed or home-care plan is confirmed before departure.
On arrival, the escort reports all changes and medication administered. This allows neurological follow-up to continue without interruption.