In patients with symptoms of stroke, early recognition and intervention have been identified as critical factors in stroke outcomes. This includes an initial assessment, a thorough neurological exam, and stabilization of hemodynamic changes. In addition, distinguishing ischemic from hemorrhagic strokes requires time-sensitive assessment parameters, interventions, and diagnostic procedures. Timely diagnoses allow the healthcare team to administer the appropriate treatment options accurately and effectively.
Tennessee Department of Health: Emergency Medical Services (CEBroker Provider # 50-290)
Kentucky Board of Emergency Medical Services (CEBroker Provider #50-290)
This CE activity is accredited for 1.00 Advanced CEH by Relias LLC, an organization accredited by Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE).
Florida Board of Emergency Medical Technicians and Paramedics (CEBroker Provider # 50-290)
Section 1: Introduction
About This Course
Section 2: Stroke
What is a Stroke?
Transient Ischemic Attack (TIA)
Arteriovenous malformation (AVM)
Stroke Signs and Symptoms
Section 3: Stroke Care and Screening Tools
The Cincinnati Pre-Hospital Stroke Scale (CPSS)
Los Angeles Pre-Hospital Stroke Scale (LAPSS)
ROSIER: Recognition of Stroke in the Emergency Room
Section 4: The First 20 Minutes
Time is Crucial
General Supportive and Emergency Treatment
Glasgow Coma Scale (GCS)
Symptom Onset and Neurological Assessment
The National Institute of Health Stroke Scale (NIHSS)
Laboratory and Diagnostic Studies
Section 5: Acute Ischemic Stroke Treatment and Management
Treatment for Decisions for AIS
Endovascular Therapy (EVT)
Mechanical Thrombectomy (MT)
General AIS Stroke Management Up to 24 hours
Section 6: Hemorrhagic Stroke and Management
Primary Goals for Management Decisions
Treatment for Hemorrhagic Stroke
Complications Following Acute ICH
Section 7: Conclusion
Zeliha has extensive experience in critical care nursing in acute care hospitals, including cardiac intensive care and medical intensive care units. She has served in various roles, such as lung transplant coordinator, educator, preceptor, charge nurse, and code nurse. Additionally, Zeliha has worked on several quality initiatives for the ICU, such as infection control, cardiac education, and nursing onboarding. She earned a bachelor of science in nursing from Saint John University in Rochester, NY. She has a master of science in nursing and a master’s in clinical nurse leadership (CNL) from Queens University in Charlotte, NC. She is also a certified critical care nurse (CCRN).
Disclosure: Zeliha Ozen, MSN, RN, CCRN, CNL has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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