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A 65-year-old patient arrives at the Emergency Department with stroke symptoms that began 45 minutes ago. You are called STAT!Acute stroke management has changed dramatically in recent years. Tremendous advances have been made in acute treatments, diagnostic neuroimaging, and organized systems of care, and are enabling better outcomes for patients. Stroke has evolved from a largely untreatable condition in the acute phase to a true medical emergency that is potentially treatable-and sometimes curable. The Code Stroke emergency response refers to a coordinated team-based approach to stroke patient care that requires rapid and accurate assessment, diagnosis, and treatment in an effort to save the brain and minimize permanent damage.The Code Stroke Handbook contains the "essentials" of acute stroke to help clinicians provide best practice patient care. Designed to assist frontline physicians, nurses, paramedics, and medical learners at different levels of training, this book highlights clinical pearls and pitfalls, guideline recommendations, and other high-yield information not readily available in standard textbooks. It is filled with practical tips to prepare you for the next stroke emergency and reduce the anxiety you may feel when the Code Stroke pager rings.
Dr. Micieli completed his undergraduate degree and Business Master's degree at the University of Toronto. He completed his medical school training at the University of Ottawa, and is currently a senior adult neurology resident at the University of Toronto. His research focuses on decision analytic models to evaluate the cost-effectiveness of health technologies, specifically in atrial fibrillation and intracranial hemorrhage. He is an aspiring stroke neurologist, and will be completing his stroke fellowship at the prestigious Calgary Stroke Program.
1. History Taking 2. Stroke Mimics 3. NIH Stroke Scale and Neurological Examination 4. Stroke Syndromes 5. Stroke Imaging: Noncontrast Head CT 6. Stroke Imaging: CT Angiography 7. Stroke Imaging: CT Perfusion 8. Acute Ischemic Stroke Treatment: Alteplase 9. Acute Ischemic Stroke Treatment: Endovascular Therapy 10. Basilar Artery Occlusion 11. Acute Stroke Treatment: Acute Blood Pressure Management and Anticoagulation Reversal 12. Acute Ischemic Stroke Treatment: Acute Antiplatelet Therapy
