The Stroke Center Handbook: Organizing Care for Better Outcomes, Second Edition, 2nd Edition (Paperback) book cover

The Stroke Center Handbook

Organizing Care for Better Outcomes, Second Edition, 2nd Edition

By Marilyn M. Rymer, Debbie Summers, Pooja Khatri

CRC Press

240 pages | 77 B/W Illus.

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pub: 2014-03-12
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Since publication of the first edition of this book, new treatments have become available in acute intervention for stroke and new evidence has been uncovered regarding prevention and neurorehabilitation. Designed for the entire team at any stroke center, including physicians, nurses, therapists, and administrators, The Stroke Center Handbook: Organizing Care for Better Outcomes, Second Edition delivers a timely update of the latest developments in this critical area.

Exploring best practice management protocols, the content covers initial presentation, rapid response and emergency interventions, clinical and administrative procedures, and neuro-critical care. Highlights of the second edition include:

  • The significant contribution of telemedicine to stroke treatment
  • Improved organization of EMS systems to route patients directly to stroke centers
  • New devices available for intra-arterial thrombectomy
  • The impact of CT and MR perfusion and angiography on case selection for advanced therapy
  • New pharmaceutical therapies for the prevention of stroke in patients with atrial fibrillation
  • Advances in stroke rehabilitation techniques

The authors of the book are pioneers in developing stroke centers and regional networks that have provided diagnosis and treatment to thousands of patients. Their expertise enables practitioners to establish and efficiently manage a facility and to participate more effectively as part of a multidisciplinary care team—providing stroke victims with the best possible outcome.


Table of Contents

Setting the goal for the stroke center

Phase I: Acute stroke treatment

Phase II: Medical/surgical management

Phase III: Rehabilitation

Phase IV: Postdischarge monitoring

Stroke centers: Levels of care

Major components of a primary stroke center as recommended in 2000

Major components of a comprehensive stroke center (2005)

Components of an acute stroke-ready hospital

Setting annual goals

Stroke center organization





Questions to consider

Appendix to Chapter 2: Stroke Watch Action Team (SWAT)

Regional stroke networks

Determine the type of stroke center you will be

Links in the chain of successful stroke intervention (focusing on ischemic stroke)

Imaging for diagnosis and selection of therapy

Imaging for acute ischemic stroke

Imaging for secondary stroke prevention

Imaging of hemorrhagic stroke

Transient ischemic attack: TIA

Incidence and diagnosis

Evolution of definition

Clinical evaluation

Acute stroke interventions

Ischemic stroke

Intracerebral hemorrhage

Subarachnoid hemorrhage

Neurocritical care management of acute stroke

Acute ischemic stroke

Intracerebral hemorrhage

Subarachnoid hemorrhage

Neurocritical care and comprehensive stroke center certification by Joint Commission

Dedicated space for a neuro ICU

Specialty training for nurses

Physician staff

Critical care physician certification

Neurocritical care and comprehensive stroke center certification by DNV

Issues in acute management

ICU care

Glucose control

Temperature control

Oxygen saturation

Airway management

Cardiac telemetry

Head of the bed

Acute monitoring post-IV thrombolysis

Acute medical management

Prevention of complications


Nutritional compromise


Deep vein thrombosis and pulmonary embolism

Musculoskeletal complications


Skin breakdown


Discharge planning

Secondary prevention of stroke

Ischemic stroke (or transient ischemic attack)

Modifiable cardiovascular risk factors


Intracerebral hemorrhage

Stroke rehabilitation

Acute inpatient rehabilitation

Stroke rehabilitation outcomes

New approaches to motor and functional training

Appendix A: Emergency tools for stroke team nurses

Appendix B: Management of subarachnoid hemorrhage

Appendix C: Management of intracerebral hemorrhage

Appendix D: Management of ischemic stroke

Appendix E: Additional tools for stroke team nurses


Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / General
MEDICAL / Critical Care
MEDICAL / Neurology
MEDICAL / Nursing / General