Acute Stroke: Initial Onset and the First 24 Hours
Hours: 1.00
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.
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
Tennessee Department of Health: Emergency Medical Services (CEBroker Provider # 50-290)
Kentucky Board Of Emergency Medical Services
Kentucky Board of Emergency Medical Services (CEBroker Provider #50-290)
Commission on Accreditation for Pre-Hospital Continuing Education
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).
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I understand that Relias LLC, as a requirement of CAPCE accreditation, will submit a record of my course completions to the CAPCE AMS. I further understand that my course completion records may be accessed by or shared with such regulators as state EMS offices, training officers, and NREMT on a password-protected need-to-know basis. In addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE.
Florida Board of Emergency Medical Technicians and Paramedics
Florida Board of Emergency Medical Technicians and Paramedics (CEBroker Provider # 50-290)
Describe the physiologic and symptomatic differences in ischemic and hemorrhagic stroke.
Discuss assessment tools, management strategies, and complications related to acute stroke.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Stroke
Glen
Background
Stroke Risk
What is a Stroke?
Ischemic Stroke
Transient Ischemic Attack (TIA)
Hemorrhagic Stroke
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
Cassandra
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)
Brain Imaging
Laboratory and Diagnostic Studies
Review
Section 5: Acute Ischemic Stroke Treatment and Management
Michael
Treatment for Decisions for AIS
Fibrinolytic Therapy
Endovascular Therapy (EVT)
Mechanical Thrombectomy (MT)
General AIS Stroke Management Up to 24 hours
Review
Section 6: Hemorrhagic Stroke and Management
Primary Goals for Management Decisions
Treatment for Hemorrhagic Stroke
Decompressive Procedures
Complications Following Acute ICH
Section 7: Conclusion
Course Summary
Course Contributor
References
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.
The target audience for this course is: Emergency Medical Personnel; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
