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Mastering Stroke Codes

TITLE: Mastering Stroke Codes PROTOCOL: https://drive.google.com/file/d/1K9_r... 00:00 - Intro 01:43 - Activating a stroke code 02:02 - Gathering important data 02:52 - Initial stabilization 04:59 - Rapid neurological evaluation 06:48 - Addressing intracranial pressure crisis 08:01 - Basic imaging 09:31 - Review: The 7 "esses" of the stroke code 10:15 - Early management of intracranial hemorrhage 11:24 - Management of acute ischemic stroke 11:58 - Large vessel occlusion with disabling deficits 24:08 - Review 25:38 - Large vessel occlusion, non-disabling deficits 27:53 - Absent large vessel occlusion, disabling deficits 30:36 - Brief review 30:52 - Absent large vessel occlusion, non-disabling deficits 32:45 - PRACTICE 32:53 - Case 1 34:43 - Case 2 37:07 - Case 3 42:40 - Case 4 This video is intended for residents and fellows to understand the stroke code process and management of patients with acute ischemic stroke, with a specific focus on selecting patients for acute stroke interventions. Created, produced, and narrated by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Content experts: Bhavika Kakadia MD, Raymond Mirasol MD, Deviyani Mehta MD, Kiwon Lee MD Division of Stroke and Neurocritical Care Department of Neurology Rutgers Robert Wood Johnson Medical School Adam Ganzman, MSN, RN, APN-BC Kimberly Hollender, MSN, RN, APN-BC Joint Commission Certified Comprehensive Stroke Center AHA Get With the Guidelines Stroke Gold Plus with Target: Stroke Honor Roll Elite Robert Wood Johnson University Hospital RWJBarnabus Health References: 1. Huo X, ANGEL-ASPECT investigators, et al. N Engl J Med 2023; 388:1272-1283 2. Chen HS, SELECT2 investigators, et al. N Engl J Med 2023; 388:1259-1271 3. Albers GW, DEFUSE 3 investigators, et al. NEJM 2018; 378:708-718 4. Olthuis SGH, MR CLEAN-LATE investigators, et al. Lancet 2023; 401(10385):1371-80 5. Khatri P, PRISMS investigators, et al. JAMA 2018;320(2):156-166 6. Chen HS, ARAMIS investigators, et al. JAMA 2023;329(24):2135-2144 7. Kappelhof M, IRIS collaborator, et al. Presented at ISC 2023. 8. Nomani AZ, et al. Neurology 2021, 97:e2079-87. 9. Sarraj A, et al. Stroke 2021, 52(1):57-69 10. Menon BK, et al. J NeuroIntervent Surg 2019;11:1065–1069. 11. Goyal M, HERMES collaborators, et al. Lancet 2016; 387: 1723–31 12. Ma H, EXTEND Investigator, et al. NEJM 2019;380(19):1795-1803 13. Hacke W, ECASS Investigators, et al. N Engl J Med 2008; 359:1317-1329 14. Thomalla G, WAKE-UP Investigators, et al. N Engl J Med 2018; 379:611-622 15. Nouh A, et al. Stroke. 2022;53:e165–e175. 16. Berge E, et al. European Stroke Journal 2021, Vol. 6(1) I–LXII 17. Powers WJ, et al. Stroke. 2019;50:e344–e418. Images adapted from: - Kandel ER, et al. Principles of Neural Science 5th Edition. McGraw Hill, 2012 - Blumenfeld H. Neuroanatomy Through Clinical Cases, 2nd ed. Sinauer, 2010. - Adobe Creative Cloud Music: - Hot & Cold · Haxhigeaszy Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School, Robert Wood Johnson University Hospital, RWJBarnabus Health, or Rutgers University as a whole.