Outline:

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Current Evidence in the Prehospital Setting

Stroke and Current Evidence

Prehospital Stroke Protocols

Prehospital Diagnostic Scales

Transport Decisions and Scales to Detect a Large Vessel Occlusion

Review

Summary

Section 3: Stroke Teams and Telemedicine

Stroke Teams

Telemedicine

Mobile Stroke Units

Review

Summary

Section 4: Stroke Diagnostics

Scales

Imaging

Other Diagnostic Testing

Review

Summary

Section 5: Treatment for Acute Stroke

Goal of Acute Stroke Treatment

Systemic Thrombolysis

The 3- to 4.5-Hour Window for rtPA

General Inclusion and Exclusion Criteria for rtPA

Mechanical Thrombectomy

Review

Summary

Section 6: Other Management Issues

Reducing Intracranial Pressure

Supplemental Oxygen

Management of Seizures

Review

Summary

Section 7: Conclusion

Summary

Course Contributors

Resources

References

Dr. Daniel Migliaccio is currently a Clinical Assistant Professor of Emergency Medicine at the University of North Carolina at Chapel Hill. He completed his residency in Emergency Medicine at Stanford University. During Residency,  Dr. Migliaccio was able to obtain an Honors Certificate in Medical Education from the Clinical Teaching Scholars Honors Program. He was also fortunate enough to be able to focus on his ultrasound skills, leading to an award for Outstanding Achievement in Ultrasound. Dr. Migliaccio is passionate about medical education, point of care ultrasound, and optimizing patient care using current literature. He is currently Vice President of the Young Physician Section of AAEM and is enthusiastic about promoting Emergency Medicine and patient care nationally. Disclosure: Daniel Migliaccio, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Rebecca Smallwood, MBA, RN, has over 25 years of experience across a spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery center, higher education, and commercial organizations. Her roles have included: medical/surgical, ED, and OR staff nurse and charge nurse positions; director of health services / school nurse for PK-12th grades; public health epidemiology and bioterrorism preparedness professional; Infection control practitioner; quality management specialist; organizational development specialist; and educator. Prior to joining Relias Learning as a SME and Content Writer, she provided clinical and healthcare learning and development consultation to Swank Healthcare and was the Director of Education Services for Health.edu, a division of Texas Tech University Health Sciences Center. She has authored over 100 live and web-based educational presentations and articles on clinical, patient safety, regulatory, leadership, patient experience, and performance improvement topics. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas in 1989 and an MBA in Healthcare Administration from Wayland Baptist University in 2010. Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.