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)
Florida Board of Emergency Medical Technicians and Paramedics (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).
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 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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