Ischemic Stroke – Acute: Difference between revisions
From Guide to YKHC Medical Practices
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* [[Stroke (CVA)|Stroke RMT Guide]] | * [[Stroke (CVA)|Stroke RMT Guide]] | ||
* [http://www.sorcan.ca/iscore/ iScore] | * [http://www.sorcan.ca/iscore/ iScore] | ||
* Siket Matt, Marcolini Evadne, Ganti Latha. [https://www.emrap.org/corependium/chapter/recEAr4nPXQE4eOBH/Transient-Ischemic-Attack-and-Acute-Ischemic-Stroke Transient Ischemic Attack and Acute Ischemic Stroke.] In: Mattu A and Swadron S, ed. CorePendium. Burbank, CA: CorePendium, LLC. https://www.emrap.org/corependium/chapter/recEAr4nPXQE4eOBH/Transient-Ischemic-Attack-and-Acute-Ischemic-Stroke. | |||
* [[media:Alaska Stroke Systems of Care 7.29.17.pdf|Alaska Stroke Systems of Care]] (PowerPoint Presentation) | * [[media:Alaska Stroke Systems of Care 7.29.17.pdf|Alaska Stroke Systems of Care]] (PowerPoint Presentation) | ||
Revision as of 19:30, 20 September 2022
Generally speaking, all acute CVA patients should be transferred from ER to ANMC for full stroke workup and better access to consistent PT/OT/SLP.
Patients who decline transfer, particularly those without hemorrhage who have returned to neurologic baseline, could be monitored for 1-2 days at YKHC to monitor for worsening, screen for arrhythmia on telemetry, and work with our physical therapy colleagues. These patients should then be referred to ANMC neurology for MRI, echo, and carotid imaging (if not done in Bethel).
Resources/References
- Acute Ischemic Stroke YKHC Clinical Guideline
- Stroke RMT Guide
- iScore
- Siket Matt, Marcolini Evadne, Ganti Latha. Transient Ischemic Attack and Acute Ischemic Stroke. In: Mattu A and Swadron S, ed. CorePendium. Burbank, CA: CorePendium, LLC. https://www.emrap.org/corependium/chapter/recEAr4nPXQE4eOBH/Transient-Ischemic-Attack-and-Acute-Ischemic-Stroke.
- Alaska Stroke Systems of Care (PowerPoint Presentation)
