27th February 2024

A 55 year old man is brought to A&E with a history of sudden-onset slurred speech and right-sided weakness which started 3 hours ago.

A 80 year old man is brought to A&E with a history of sudden-onset slurred speech and right-sided weakness which started 6.5 hours ago. He has a past medical history of angina, hypertension and gout. On examination he appears confused with a GCS of 12/15.

An urgent CT scan is obtained:

Select the single, most appropriate initial management.