eMedicine Specialties > Neurology > Neuro-vascular Diseases

Stroke Team Creation and Primary Stroke Center Certification: Multimedia

Author: Karen Ellmers, RN, MS, CCNS, Adjunct Faculty, Oregon Health & Science University School of Nursing; Clinical Nurse Specialist, Emergency Department, Trauma, Neurology, Orthopedic, Poison Division, Oregon Health & Science University Hospital
Coauthor(s): Helmi L Lutsep, MD, Professor, Department of Neurology, Oregon Health & Science University; Associate Director, Oregon Stroke Center; Wayne M Clark, MD, Director of Oregon Stroke Center, Professor, Department of Neurology, Oregon Health & Science University
Contributor Information and Disclosures

Updated: Apr 2, 2009

Multimedia

Interdisciplinary practice standard for the emerg...Media file 1: Interdisciplinary practice standard for the emergency department (includes ischemic stroke, transient ischemic attack, intracerebral hemorrhage, and subarachnoid hemorrhage).
Interdisciplinary practice standard for the emerg...

Interdisciplinary practice standard for the emergency department (includes ischemic stroke, transient ischemic attack, intracerebral hemorrhage, and subarachnoid hemorrhage).

Interdisciplinary practice standard for the intra...Media file 2: Interdisciplinary practice standard for the intravenous administration of tPA in acute ischemic stroke.
Interdisciplinary practice standard for the intra...

Interdisciplinary practice standard for the intravenous administration of tPA in acute ischemic stroke.

tPA dosing chart.Media file 3: tPA dosing chart.
tPA dosing chart.

tPA dosing chart.

tPA administration instructions.Media file 4: tPA administration instructions.
tPA administration instructions.

tPA administration instructions.

Interdisciplinary practice standard for the inpat...Media file 5: Interdisciplinary practice standard for the inpatient management of ischemic stroke and transient ischemic attack (TIA).
Interdisciplinary practice standard for the inpat...

Interdisciplinary practice standard for the inpatient management of ischemic stroke and transient ischemic attack (TIA).

Interdisciplinary practice standard for the inpat...Media file 6: Interdisciplinary practice standard for the inpatient management of intracerebral hemorrhage.
Interdisciplinary practice standard for the inpat...

Interdisciplinary practice standard for the inpatient management of intracerebral hemorrhage.

Interdisciplinary practice standard for the inpat...Media file 7: Interdisciplinary practice standard for the inpatient management of subarachnoid hemorrhage.
Interdisciplinary practice standard for the inpat...

Interdisciplinary practice standard for the inpatient management of subarachnoid hemorrhage.

Admission order set for stroke/rule out stroke/tr...Media file 8: Admission order set for stroke/rule out stroke/transient ischemic attack.
Admission order set for stroke/rule out stroke/tr...

Admission order set for stroke/rule out stroke/transient ischemic attack.

Post-tPA order set.Media file 9: Post-tPA order set.
Post-tPA order set.

Post-tPA order set.

Aneurysmal subarachnoid hemorrhage order set.Media file 10: Aneurysmal subarachnoid hemorrhage order set.
Aneurysmal subarachnoid hemorrhage order set.

Aneurysmal subarachnoid hemorrhage order set.

Craniotomy for aneurysm: ICU postoperative ordersMedia file 11: Craniotomy for aneurysm: ICU postoperative orders
Craniotomy for aneurysm: ICU postoperative orders

Craniotomy for aneurysm: ICU postoperative orders

Ruptured aneurysm: Postembolization orders.Media file 12: Ruptured aneurysm: Postembolization orders.
Ruptured aneurysm: Postembolization orders.

Ruptured aneurysm: Postembolization orders.

Transfer protocol.Media file 13: Transfer protocol.
Transfer protocol.

Transfer protocol.

More on Stroke Team Creation and Primary Stroke Center Certification

References

References

  1. NINDS Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med. Dec 14 1995;333(24):1581-7. [Medline].

  2. Alberts MJ, Hademenos G, Latchaw RE, Jagoda A, Marler JR, Mayberg MR. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA. Jun 21 2000;283(23):3102-9. [Medline][Full Text].

  3. The Joint Commission. The Joint Commission Primary Stroke Center Certification. www.jointcommission.org. Available at http://www.jointcommission.org/CertificationPrograms/PrimaryStrokeCenters/. Accessed December 5, 2008.

  4. Kothari RU, Pancioli A, Liu T, Brott T, Broderick J. Cincinnati Prehospital Stroke Scale: reproducibility and validity. Ann Emerg Med. Apr 1999;33(4):373-8. [Medline][Full Text].

  5. Acker JE 3rd, Pancioli AM, Crocco TJ, Eckstein MK, Jauch EC, Larrabee H. Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council. Stroke. Nov 2007;38(11):3097-115. [Medline][Full Text].

  6. Adams HP Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke. May 2007;38(5):1655-711. [Medline][Full Text].

  7. [Best Evidence] Alberts MJ, Latchaw RE, Selman WR, Shephard T, Hadley MN, Brass LM. Recommendations for comprehensive stroke centers: a consensus statement from the Brain Attack Coalition. Stroke. Jul 2005;36(7):1597-616. [Medline][Full Text].

  8. LaBresh KA, Reeves MJ, Frankel MR, Albright D, Schwamm LH. Hospital treatment of patients with ischemic stroke or transient ischemic attack using the "Get With The Guidelines" program. Arch Intern Med. Feb 25 2008;168(4):411-7. [Medline][Full Text].

  9. Clark W. Acute stroke team. J Stroke Cerebrovasc Dis. 1999;8:111-13.

  10. Clark W, Kearns K, Lutsep H. Developing a local stroke treatment and clinical trial network. In: The Stroke Interventionalist. Vol 1. 1997:3-6.

  11. Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke. May 2008;39(5):1647-52. [Medline][Full Text].

  12. Barch CA, Kongable G, Rapp K. Common problems and proven solutions to acute stroke management. In: The Stroke Interventionalist. Vol 1. 1998:5-10.

  13. Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Stroke. Feb 2006;37(2):577-617. [Medline][Full Text].

Further Reading

Keywords

stroke team, tissue plasminogen activator, tPA, stroke, acute stroke, stroke code team, stroke treatment, stroke warning signs, treatment of acute stroke, stroke management, emergency medical services, EMS, emergency department, CT scanning

Contributor Information and Disclosures

Author

Karen Ellmers, RN, MS, CCNS, Adjunct Faculty, Oregon Health & Science University School of Nursing; Clinical Nurse Specialist, Emergency Department, Trauma, Neurology, Orthopedic, Poison Division, Oregon Health & Science University Hospital
Karen Ellmers, RN, MS, CCNS is a member of the following medical societies: American Association of Critical Care Nurses, National Association of Clinical Nurse Specialists, and Sigma Theta Tau International
Disclosure: Nothing to disclose.

Coauthor(s)

Helmi L Lutsep, MD, Professor, Department of Neurology, Oregon Health & Science University; Associate Director, Oregon Stroke Center
Helmi L Lutsep, MD is a member of the following medical societies: American Academy of Neurology and American Stroke Association
Disclosure: Co-Axia Consulting fee Review panel membership; Talecris Consulting fee Review panel membership; AGA Medical Consulting fee Review panel membership; Boehringer Ingelheim Honoraria Speaking and teaching; Concentric Medical Consulting fee Review panel membership; Abbott Consulting fee Consulting; Sanofi  Consulting

Wayne M Clark, MD, Director of Oregon Stroke Center, Professor, Department of Neurology, Oregon Health & Science University
Wayne M Clark, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Neurology, American Medical Association, American Neurological Association, American Society of Neuroimaging, National Stroke Association, and Oregon Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Richard M Zweifler, MD, Chief of Neurology, Sentara Healthcare, Norfolk, VA; Professor of Neurology, Eastern Virginia Medical School, Norfolk, VA
Richard M Zweifler, MD is a member of the following medical societies: American Academy of Neurology, American Heart Association, American Medical Association, American Stroke Association, Royal Society of Medicine, and Stroke Council of the American Heart Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Howard S Kirshner, MD, Professor of Neurology, Psychiatry and Hearing and Speech Sciences, Vice Chairman, Department of Neurology, Vanderbilt University School of Medicine; Director, Vanderbilt Stroke Center; Program Director, Stroke Service, Vanderbilt Stallworth Rehabilitation Hospital; Consulting Staff, Department of Neurology, Nashville Veterans Affairs Medical Center
Howard S Kirshner, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Neurology, American Heart Association, American Medical Association, American Neurological Association, American Society of Neurorehabilitation, National Stroke Association, Phi Beta Kappa, and Tennessee Medical Association
Disclosure: Boehringer Ingelheim Honoraria Speaking and teaching; BMS/Sanofi Honoraria Speaking and teaching; Novartis Honoraria Speaking and teaching

CME Editor

Matthew J Baker, MD, Consulting Staff, Collier Neurologic Specialists, Naples Community Hospital
Matthew J Baker, MD is a member of the following medical societies: American Academy of Neurology
Disclosure: Nothing to disclose.

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