2nd Edition

The Stroke Center Handbook Organizing Care for Better Outcomes, Second Edition

    240 Pages 77 B/W Illustrations
    by CRC Press

    240 Pages
    by CRC Press

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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.


    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