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Evaluation of Stroke in the Emergency Department 

Evaluation of Stroke in the Emergency Department
Chapter:
Evaluation of Stroke in the Emergency Department
Author(s):

Robert Sawyer

and Edward C. Jauch

DOI:
10.1093/med/9780190856519.003.0005
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date: 18 November 2019

Acute stroke remains a challenge due to the myriad of presentations and the narrow therapeutic windows for reperfusion therapies. This chapter reviews the Emergency Department (ED) initial evaluation and treatment of stroke, recognition of potential stroke patients, and ED-based systems of care to optimize stroke care for the various forms of stroke encountered in the ED. The chapter also covers therapy options, including intravenous alteplase, endovascular thrombectomy, and supportive therapy. Quality assurance and feedback is addressed through Get with the Guidelines-Stroke. Common scenarios and pitfalls that are frequently encountered when evaluating patients with acute stroke in the ED are discussed.

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