Cedric McKoy – Advances in Stroke Care

Outline

Stroke Prevention Updates

• Guidelines for Modifiable Risk Factors
• Hypertension Recommendations
• Cardiac Connections
• Obesity Epidemic
• Are We Making Progress?

Challenges of the Neuro Exam

• Determining Mental Status
• Cranial Nerve Assessment Key Findings
• Differentiating the Cause When Seconds Count
• NIHSS Guidelines
• Stroke Rapid Response Teams

Identifying Stroke Mimics and Chameleons

• Interpreting Imaging & Other Diagnostics
• Metabolic Problems
• Central Nervous System Problems
• Psychiatric Disorders
• Migraine Headaches

Acute Stroke Care

• The Stroke Timeline
• Critical History Questions
• Hyper-Acute Care Standards
• Time Targets for Triage
• Key Diagnostics
• Acute Blood Pressure Management

Ischemic Strokes

• Thrombotic Strokes
• Major Symptoms by Region
• Hypercoagulable Work-up
• Embolic Strokes
• Symptoms by Arterial Involvement

Current Management Strategies

• Joint Commission Core Measures
• Fluid Management
• Seizure Management
• Intra-Arterial t-PA
• Stenting
• Therapeutic Hypothermia
• Compressive Craniectomy
• Mechanical Clot Retrieval
• MERCI Retriever
• Treatments on the Horizon
• AANN Guidelines & Expected Outcomes

Hemorrhagic Strokes

• Latest Clinical Treatment Advances
• Managing Increased Intracranial Pressure
• Aneurysmal Subarachnoid Hemorrhage
• Grading Scales

Limiting Complications of Stroke

• Controversial Therapies
• Nursing Responsibilities
• New Technology Improving Outcomes

Stroke Medication from A to Z

• Anticoagulants
• Antihypertensives
• Glycemic Control
• Neurostimulants
• Thrombolytics
• Clinical Trials on the Horizon

Expanding the Role of the Primary Stroke Center

• The Transition to Comprehensive Stroke Centers
• Best Demonstrated Practices
• Updates & Improvements More than a Decade Later