Cedric McKoy – Advances in Stroke Care

Outline

Stroke Prevention UpdatesStroke Prevention Updates

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

Challenges of the Neuro ExamChallenges of the Neuro Exam

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

Identifying Stroke Mimics and ChameleonsIdentifying Stroke Mimics and Chameleons

• Interpreting Imaging & Other DiagnosticsInterpreting Imaging & Other Diagnostics
• Metabolic ProblemsMetabolic Problems
• Central Nervous System ProblemsCentral Nervous System Problems
• Psychiatric DisordersPsychiatric Disorders
• Migraine HeadachesMigraine Headaches

Acute Stroke CareAcute Stroke Care

• The Stroke TimelineThe Stroke Timeline
• Critical History QuestionsCritical History Questions
• Hyper-Acute Care StandardsHyper-Acute Care Standards
• Time Targets for TriageTime Targets for Triage
• Key DiagnosticsKey Diagnostics
• Acute Blood Pressure ManagementAcute Blood Pressure Management

Ischemic StrokesIschemic Strokes

• Thrombotic StrokesThrombotic Strokes
• Major Symptoms by RegionMajor Symptoms by Region
• Hypercoagulable Work-upHypercoagulable Work-up
• Embolic StrokesEmbolic Strokes
• Symptoms by Arterial InvolvementSymptoms by Arterial Involvement

Current Management StrategiesCurrent Management Strategies

• Joint Commission Core MeasuresJoint Commission Core Measures
• Fluid ManagementFluid Management
• Seizure ManagementSeizure Management
• Intra-Arterial t-PAIntra-Arterial t-PA
• StentingStenting
• Therapeutic HypothermiaTherapeutic Hypothermia
• Compressive CraniectomyCompressive Craniectomy
• Mechanical Clot RetrievalMechanical Clot Retrieval
• MERCI RetrieverMERCI Retriever
• Treatments on the HorizonTreatments on the Horizon
• AANN Guidelines & Expected OutcomesAANN Guidelines & Expected Outcomes

Hemorrhagic StrokesHemorrhagic Strokes

• Latest Clinical Treatment AdvancesLatest Clinical Treatment Advances
• Managing Increased Intracranial PressureManaging Increased Intracranial Pressure
• Aneurysmal Subarachnoid HemorrhageAneurysmal Subarachnoid Hemorrhage
• Grading ScalesGrading Scales

Limiting Complications of StrokeLimiting Complications of Stroke

• Controversial TherapiesControversial Therapies
• Nursing ResponsibilitiesNursing Responsibilities
• New Technology Improving OutcomesNew Technology Improving Outcomes

Stroke Medication from A to ZStroke Medication from A to Z

• AnticoagulantsAnticoagulants
• AntihypertensivesAntihypertensives
• Glycemic ControlGlycemic Control
• NeurostimulantsNeurostimulants
• ThrombolyticsThrombolytics
• Clinical Trials on the HorizonClinical Trials on the Horizon

Expanding the Role of the Primary Stroke CenterExpanding the Role of the Primary Stroke Center

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