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.
1. Cover image - p. page_i 2. Title page - p. page_i 3. Table of Contents - p. page_i 4. Copyright - p. page_iv 5. Preface - p. page_ix 6. Acknowledgments - p. page_xi 7. Chapter 1: History taking - p. page_xi 8. Chapter 2: Stroke mimics - p. page_13 9. Chapter 3: NIH stroke scale and neurological examination - p. page_33 10. Chapter 4: Stroke syndromes - p. page_56 11. Chapter 5: Stroke imaging: Noncontrast head CT - p. page_105 12. Chapter 6: Stroke imaging: CT angiography - p. page_132 13. Chapter 7: Stroke imaging: CT perfusion - p. page_150 14. Chapter 8: Acute ischemic stroke treatment: Alteplase - p. page_163 15. Chapter 9: Acute ischemic stroke treatment: Endovascular therapy - p. page_181 16. Chapter 10: Basilar artery occlusion - p. page_191 17. Chapter 11: Acute stroke treatment: Acute blood pressure management and anticoagulation reversal - p. page_199 18. Chapter 12: Acute ischemic stroke treatment: Acute antiplatelet therapy - p. page_206 19. Index - p. page_213
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.
1. Cover image - p. page_i 2. Title page - p. page_i 3. Table of Contents - p. page_i 4. Copyright - p. page_iv 5. Preface - p. page_ix 6. Acknowledgments - p. page_xi 7. Chapter 1: History taking - p. page_xi 8. Chapter 2: Stroke mimics - p. page_13 9. Chapter 3: NIH stroke scale and neurological examination - p. page_33 10. Chapter 4: Stroke syndromes - p. page_56 11. Chapter 5: Stroke imaging: Noncontrast head CT - p. page_105 12. Chapter 6: Stroke imaging: CT angiography - p. page_132 13. Chapter 7: Stroke imaging: CT perfusion - p. page_150 14. Chapter 8: Acute ischemic stroke treatment: Alteplase - p. page_163 15. Chapter 9: Acute ischemic stroke treatment: Endovascular therapy - p. page_181 16. Chapter 10: Basilar artery occlusion - p. page_191 17. Chapter 11: Acute stroke treatment: Acute blood pressure management and anticoagulation reversal - p. page_199 18. Chapter 12: Acute ischemic stroke treatment: Acute antiplatelet therapy - p. page_206 19. Index - p. page_213