In patients with symptoms of acute stroke, early recognition and interventions have been identified as critical factors in stroke outcomes. Evidence-based care can identify, manage, and prevent stroke-related complications. Nurses and physicians must understand stroke management to prevent disability and death. This course aims to present the most up-to-date practices for managing patients with acute stroke.
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 1.0000 Advanced CEH by Relias LLC, an organization accredited by Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE).
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Current Evidence in the Pre-Hospital Setting
Stroke and Current Evidence
Pre-Hospital Stroke Protocols
Pre-Hospital Diagnostic Scales
Transport Decisions and Scales to Detect a Large Vessel Occlusion
Summary
Section 3: Stroke Teams and Telemedicine
Stroke Teams
Time is Crucial
Telemedicine
Mobile Stroke Units
Summary
Section 4: Stroke Diagnostics
NIHSS
Glasgow Coma Scale (GCS)
Modified Rankin Scale (mRs)
Imaging
Other Diagnostic Testing
Review
Summary
Section 5: Treatment for Acute Stroke
Goal of Acute Stroke Treatment
Systemic Thrombolysis
Inclusion Criteria for Fibrinolytic Therapy
Endovascular Therapy (EVT)
Mechanical Thrombectomy
Post-EVT Management
General Stroke Management
Summary
Section 6: Treatment of Hemorrhagic Strokes
Treatment Guidelines
Reducing Intracranial Pressure
Supplemental Oxygen
Management of Seizures
Summary
Course Contributor
Resources
References
Zeliha has extensive experience in critical care nursing in acute care hospitals, including cardiac intensive care (CICU) and medical intensive care units (MICU). She has served in various roles, including educator, preceptor, charge nurse, and advanced critical care life support (ACLS) instructor. She has extensive experience as a code nurse for a 900-bed hospital. Zeliha has been a lung transplant coordinator for around five years and was responsible for pre-transplant care, waitlist management, and post-lung transplant care. Zeliha has worked on cutting-edge transplant organ procurement initiatives such as Ex-Vivo Lung Perfusion (EVLP) and has managed patients in a hospital that performs around 100 transplants annually. Additionally, Zeliha has served as quality chair council for the heart and vascular services and has worked on several quality initiatives for the service line, such as infection control, cardiac education, nursing resiliency, and nursing onboarding. She has served on various leadership councils in the CICU. She earned a Bachelor of Science in Nursing from Saint John University in Rochester, New York. She has a Master of Science in Nursing and a Master’s in Clinical Nurse Leadership (CNL) from Queens University in Charlotte, North Carolina. She is also certified as a Critical Care Nurse (CCRN).
Disclosure: Zeliha Ozen, MSN, RN, CCRN, CNL has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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