Physicians, Nurses, Other Allied Health professionals
- Discuss pre-hospital assessment, triage and decision making for patients with suspected acute stroke. Review the goals of Advance Stroke Life Support training.
- Review the indications and absolute vs relative contraindications for IV tPA therapy. Discuss controversial situations such as pregnancy, remote traumatic hemorrhage, stroke after a series of TIAs, elderly demented patients.
- Discuss the recent clinical trials of stent-retriever therapy for establishing reperfusion after acute ischemic stroke. Review the 2015 AHA/ ASA Guidelines for Endovascular Therapy for Acute Ischemic Stroke. Discuss the UH Systems Stroke Program guidelines for early evaluation and management of acute suspected stroke.
- Discuss and illustrate the treatment options for securing intracranial aneurysms. Review aspects of decision- making for individualizing patient treatment plans.
- Review the 2015 AHA/ ASA Guidelines for management of patients with non-traumatic ICH. Discuss the UH Systems Stroke Program guidelines for management of low-risk ICH.
- Review the AHA/ASA Guidelines on the management of asymptomatic carotid stenosis. Discuss the CREST-2 trial rationale and aims.
- Discuss the goals of rehabilitation therapy and anticipated outcomes after stroke. Review options for patient recovery in the early and late phases following stroke.
- Discuss the best approaches to educating our patients
- Review the new anticoagulants and their pharmacologic properties. Discuss the CHADS2VASC scoring and AHA/ ASA Guidelines for antithrombotic therapy with AF.
- Review the data supporting sleep apnea as a stroke risk factor. Discuss the diagnosis and management of sleep apnea complicating acute stroke.
Recorded slides and audio presentation. Power point slides with videos.
Cathy Sila MD, FAHA
Julie Fussner BSN, RN, CPHQ, SCRN
Danielle Sindelar MSN, RN, CMSRN
Erin Supan MSN. RN, CNS, CNRN
Ed Kuzma BSN, RN
Kelly Montgomery BSN, RN, SCRN
Ann Phillips BSN, RN
No planning committee member reported a financial relationship with a commercial interest relevant to this activity.
Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication.
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1) Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Edward C. Jauch, Jeffrey L. Saver, Harold P. Adams, Jr, Askiel Bruno, J.J. (Buddy) Connors, Bart M. Demaerschalk, Pooja Khatri, Paul W. McMullan, Jr, Adnan I. Qureshi, Kenneth Rosenfield, Phillip A. Scott, Debbie R. Summers, David Z. Wang, Max Wintermark and Howard Yonas Stroke. 2013;44:870-947; originally published online January 31, 2013
2) 2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment, Stroke; 46: June 2015
3) Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. J. Claude Hemphill III, MD, MAS, FAHA, Chair; Steven M. Greenberg, MD, PhD, Vice-Chair; Craig S. Anderson, MD, PhD; Kyra Becker, MD, FAHA; Bernard R. Bendok, MD, MS, FAHA; Mary Cushman, MD, MSc, FAHA; Gordon L. Fung, MD, MPH, PhD, FAHA; Joshua N. Goldstein, MD, PhD, FAHA; R. Loch Macdonald, MD, PhD, FRCS; Pamela H. Mitchell, RN, PhD, FAHA; Phillip A. Scott, MD, FAHA; Magdy H. Selim, MD, PhD; Daniel Woo, MD, MS; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Clinical Cardiology Stroke. 2015; 46:2032-2060 published online May 28, 2015
4) Guidelines for the management of Aneurysmal Subarrachnoid Hemorrhage: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. E. Sander Connolly, Jr., Alejandro A. Rabinstein, J. Ricardo Carhauapoma, Colin P. Derdeyn, Jacques Dion, Randall T. Higashida, Brian L. Hoh, Catherine J. Kirkness, Andrew M. Naidech, Christopher S. Ogilvy, Aman B. Patel, B. Gregory Thompson and Paul Vespa. Stroke. 2012; 43:1711-1737; published online May 3, 2012.