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 extensive experience across a wide spectrum of healthcare settings including: rural and urban acute care hospitals, public health, ambulatory surgery, higher education, and commercial healthcare learning organizations. Her roles have included: medical/surgical, ED, and OR staff and charge nurse; Director of School Health Services/school nurse; Public Health Epidemiology and Bioterrorism Preparedness Specialist; Infection control practitioner; Quality Management Specialist; Organizational Development Specialist; and Educator. Prior to joining Relias as a SME writer, she provided 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. Rebecca earned a diploma in nursing from Methodist Hospital School of Nursing in Lubbock, Texas and an MBA from Wayland Baptist University.  Disclosure: Rebecca Smallwood, MBA, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.