You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? How do I do the right things in the right order? This book will help you answer these critical questions. It provides practical advice on the care of stroke patients in a range of acute settings. The content is arranged in chronological order, covering the things to consider in assessing and treating the patient in the emergency department, the stroke unit and then on transfer to a rehabilitation facility. All types of stroke are covered. This new edition provides updated information from recently completed clinical trials and added information on endovascular therapy, hemicraniectomy for severe stroke, DVT prophylaxis and stroke prevention. A comprehensive set of appendices contain useful reference information including dosing algorithms, conversion factors and stroke scales.
Ken Uchino is a vascular neurologist at the Cerebrovascular Center, Cleveland Clinic Foundation, Ohio, USA. Jennifer Pary is a vascular neurologist at the Center for Neurosciences, Orthopedics and Spine, Dakota Dunes, South Dakota, USA. James C. Grotta is Professor and Chairman at the Department of Neurology, University of Texas Medical School, Houston.
Preface; Abbreviations; 1. Stroke in the emergency department; 2. What to do first; 3. Ischemic stroke; 4. TPA protocol; 5. Neurological deterioration in acute ischemic stroke; 6. Ischemic stroke prevention: why we do the things we do; 7. Transient ischemic attack; 8. Intracerebral hemorrhage; 9. Subarachnoid hemorrhage; 10. Organization of stroke care; 11. Rehabilitation; Index.