Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

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Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

Edited by Maxim Mokin, Edward C. Jauch, Italo Linfante, Adnan Siddiqui, and Elad Levy

Abstract

Diagnosis and treatment of acute stroke has advanced considerably in the past 2 decades. Most notably, in cases of ischemic stroke, intravenous alteplase has become the standard of medical treatment despite its multiple contraindications and limited time window. More recently, trials have proven that endovascular thrombectomy is superior to medical therapy alone, advancing the standard of care for patients who present with acute ischemic stroke from a large vessel occlusion and salvageable brain tissue. The treatment of hemorrhagic stroke now involves the use of novel pharmacological agents and advanced minimally invasive technology. Important changes have also occurred at the levels of hospital organization and treatment decision-making. Such changes in organization and designation of hospitals with distinct levels of stroke care and the variety of stroke protocols now requires team work of emergency medical services (EMS), Emergency Department, stroke neurologists, neurosurgeons, and neurointerventionalists. This book provides an overview of the modern medical and surgical options for the treatment of patients with acute ischemic and hemorrhagic strokes. The pivotal role of EMS in prehospital evaluation and triage of a stroke patient and the levels of stroke systems of care are discussed. In addition, the current guidelines on the management of acute stroke, with the focus on early care of acute stroke patients at the Emergency Department and the first 24 hours of hospital admission, are reviewed. Each chapter contains a discussion of common clinical scenarios including initial management steps, practical points, and common pitfalls.

Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: May 2018

Print ISBN-13:: 9780190856519

Published online:: Jun 2018

DOI:: 10.1093/med/9780190856519.001.0001

Authors

Maxim Mokin, editor Assistant Professor of Neurology and Neurosurgery, University of South Florida

Edward C. Jauch, editor Professor and Director of Emergency Medicine and Director of Emergency Stroke Services, Medical University of South Carolina

Italo Linfante, editor Associate Professor of Neurology, Neurosurgery, and Radiology, Herbert Wertheim College of Medicine, Florida International University

Adnan Siddiqui, editor Vice-chairman and Professor of Neurosurgery and the Director of the Toshiba Stroke and Vascular Research Center, State University of New York at Buffalo

Elad Levy, editor Chair and Professor of Neurosurgery and Professor of Radiology, State University of New York at Buffalo

Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

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Front Matter
1 Basic Clinical Syndromes and DefinitionsAparna Pendurthi and Maxim Mokin
2 Stroke Systems of CareCasey Frey, Laura Bishop, Stacey Q. Wolfe, and Kyle M. Fargen
3 Prehospital Triage of Stroke: Clinical EvaluationVera Sharashidze, Clara Barreira, Diogo Hauseen, and Raul G. Nogueira
4 Prehospital Assessment of Stroke: Mobile Stroke UnitsAndrew Blake Buletko, Jason Mathew, Tapan Thacker, Lila Sheikhi, Andrew Russman, and M. Shazam Hussain
5 Evaluation of Stroke in the Emergency DepartmentRobert Sawyer and Edward C. Jauch
6 Imaging of Acute StrokeMaxim Mokin
7 Telemedicine for Evaluation of Stroke PatientsKaustubh Limaye and Lawrence R. Wechsler
8 Intravenous Thrombolysis in Acute Ischemic StrokeWaldo R. Guerrero, Edgar A. Samaniego, and Santiago Ortega-Gutierrez
9 Endovascular Treatment of StrokeMandy J. Binning and Daniel R. Felbaum
10 Care of Stroke Patients Post Intravenous Alteplase and Endovascular ThrombectomyVioliza Inoa and Lucas Elijovich
11 In-Hospital StrokeNoella J. Cypress West and Maxim Mokin
12 Medical Management of Ischemic StrokeMaxim Mokin and Juan Ramos-Canseco
13 Medical Management of Hemorrhagic StrokeShashank Shekhar, Shreyas Gangadhara, and Rebecca Sugg
14 Surgical Treatment of Hemorrhagic StrokeVladimir Ljubimov, Travis Dailey, and Siviero Agazzi
15 Cerebral Venous ThrombosisJuan Ramos-Canseco and Maxim Mokin
End Matter
- Index

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date: 07 August 2020

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Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

Edited by Maxim Mokin, Edward C. Jauch, Italo Linfante, Adnan Siddiqui, and Elad Levy

Abstract

Bibliographic Information

Authors

Contents

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Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

Edited by Maxim Mokin, Edward C. Jauch, Italo Linfante, Adnan Siddiqui, and Elad Levy

Abstract

Bibliographic Information

Authors

Contents