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

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

ISBN 9781482214789
Published March 12, 2014 by CRC Press
240 Pages 77 B/W Illustrations

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Book Description

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

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