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Emergency Stroke Care: Advances And Controversies, Volume II (Stroke CME)
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Emergency Stroke Care: Advances And Controversies, Volume II (Stroke CME) - $179.00

Includes 8 Stroke CME Credits!

This resource is designed to meet the needs of emergency clinicians in stroke teams, with an evidence-based analysis of the current literature in acute stroke care on the following topics: Aneurysmal Subarachnoid Hemorrhage, Cerebral Venous Thrombosis, Ischemic Stroke of the Posterior Circulation, and Intracranial Hemorrhage. It also reviews current and emerging practices in Stroke Systems of Care and Shared Decision-Making.

Included In This Book:

  1. 68 pages of evidence-based content, covering 6 critical topics
  2. AMA PRA Category 1 CreditsTM that are stroke-specific
  3. Summarized information to help you keep up with current guidelines and best practices
  4. Treatment recommendations to help you determine the critical actions required when caring for stroke patients
  5. And much more!

The 6 topics covered in this volume address some of the most pressing concerns for emergency clinicians:

  1. Stroke Systems of Care
  2. Aneurysmal Subarachnoid Hemorrhage
  3. Cerebral Venous Thrombosis
  4. Ischemic Stroke of the Posterior Circulation
  5. Intracranial Hemorrhage
  6. Shared Decision-Making in Acute Stroke Care

To view a sample of Emergency Stroke Care, click here.

Are there multiple clinicians at your institution who need stroke CME? We offer excellent group rates on our resources. Simply click here to learn more

  EB Medicine's Stroke
CME Book
AHC Media's Stroke
CME Book
Includes 8 AMA PRA Category
1 Credits
TM that meet the stroke CME requirement
Includes exclusive original content
focused on stroke emergencies
X
Written only by expert
practicing emergency physicians
X
Includes the most practical,
relevant recommendations for
clinical practice in emergency medicine
X
Print & online access included X
Backed by industry-leading customer service X
Price $179 $299

Publication Information

Price: $179

Publication Date: March 1, 2017

CME Expiration Date: March 1, 2020

CME: This enduring material includes 8 AMA PRA Category 1 CreditsTM. (Stroke CME)

Editors

Cappi Lay, MD, FACEP

Assistant Professor, Director of Emergency Critical Care, Departments of Emergency Medicine and Neurocritical Care, Icahn School of Medicine at Mount Sinai, New York, NY

Andy Jagoda, MD, FACEP

Professor and System Chair of Emergency Medicine, Mount Sinai Health System, New York, NY 

Contributing Authors

Michael Anana, MD

Assistant Residency Program Director, Assistant Professor, Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ

Clara Boyd, MD, MA, MS

Vascular Neurology Fellow, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY

Pavis Laengvejkal, MD

Neurocritical Care Fellow, Department of Neurosurgery, Mount Sinai Hospital, New York, NY

Cappi Lay, MD, FACEP

Assistant Professor, Director of Emergency Critical Care, Departments of Emergency Medicine and Neurocritical Care, Icahn School of Medicine at Mount Sinai, New York, NY

Kevin Munjal, MD, MPH, MSCR

Assistant Professor, Emergency Medicine, Assistant Professor, Health Evidence and Policy; Associate Medical Director of Prehospital Care, Icahn School of Medicine at Mount Sinai, New York, NY

Jeffrey Nusbaum, MD

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

Marc A. Probst, MD, MS

Assistant Professor, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

Michael Redlener, MD

Assistant Professor, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai; Medical Director for EMS and Disaster Preparedness, Mount Sinai St. Luke’s and Mount Sinai West, New York, NY

Kaitlin Reilly, MD

Neurocritical Care Fellow, Mount Sinai Hospital, New York, NY

Avi Ruderman, MD

Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ

Table of Contents

Chapter 1: Stroke Systems Of Care

  1. Introduction
  2. Selected Abbreviations
  3. Prehospital Identification Of Stroke
    1. Emergency Medical Services Dispatch
    2. Prehospital Stroke Scales And Emergency Medical Services Evaluation For Stroke
  4. Prearrival Notification And Transport Of Suspected Stroke Patients
    1. Hospital Stroke Designations And Ambulance Destination Decisions
    2. Direct Versus Secondary Transport Of Stroke Patients
  5. MR CLEAN And The Endovascular Revolution
  6. Rethinking Stroke Scales
    1. The Los Angeles Motor Scale
    2. The Rapid Arterial Occlusion Evaluation Scale
  7. Prehospital Telemedicine
    1. Mobile Stroke Units
  8. Emergency Department Stroke Care And Innovations In System Design
  9. The Importance Of CT Angiography
  10. Quality Improvement Methodology For Stroke Care
  11. References (45)
  12. CME Questions (4)
  13. Tables & Figures
    1. Medical Priority Dispatch System: Card 28 Stroke Protocol Algorithm
    2. Comparison Of Characteristics Of Typical Acute Inpatient Stroke Care Facilities
    3. The Los Angeles Motor Scale (LAMS)
    4. The Rapid Arterial Occlusion Evaluation (RACE) Scale
    5. Twelve Measures To Reduce Treatment Delays
    6. Number Of Patients And Median Door-To-Needle Times, 1998-2011
    7. Target: Stroke Key Best-Practice Strategies

Chapter 2: Aneurysmal Subarachnoid Hemorrhage

  1. Introduction
  2. Clinical Presentation
  3. Diagnostic Studies
    1. Computed Tomography
      1. Computed Tomographic Angiography
    2. Angiography
  4. Initial Management Of Subarachnoid Hemorrhage
    1. Clinical Scoring Systems
    2. Evaluating And Managing Hydrocephalus
    3. Rebleeding
    4. Blood Pressure Management
    5. Antifibrinolytics
    6. Transfer
    7. Seizures
    8. Complications Of Subarachnoid Hemorrhage
      1. Vasospasm
      2. Neurogenic Cardiac And Pulmonary Disturbances
    9. Surgical Management And Endovascular Therapy
  5. Outcome
  6. References (49)
  7. CME Questions (4)
  8. Tables & Figures
    1. Subarachnoid Hemorrhage On Computed Tomography
    2. Factors Indicative Of Adequate Computed Tomographic Testing In Subarachnoid Hemorrhage
    3. Cerebral Angiogram Demonstrating Aneurysm
    4. Clinical Grading Systems
    5. Modified Fisher Scale
    6. Head Computed Tomography Scan Demonstrating Hydrocephalus
    7. Time Distribution For Development Of Vasospasm And Rebleeding
    8. Left Superior Cerebellar Aneurysm Before And After Coiling
    9. International Study Of Aneurysm Treatment Outcome Scores
    10. Mortality After Subarachnoid Hemorrhage

Chapter 3: Cerebral Venous Sinus Thrombosis

  1. Introduction
  2. Venous Anatomy Of The Brain
    1. The Sinuses
    2. The Deep Venous System
  3. Epidemiology And Etiology
    1. Epidemiology
    2. Etiology
  4. Clinical Presentation
  5. Differential Diagnosis
  6. Diagnostic Studies
    1. Laboratory Studies
    2. Computed Tomography
    3. Magnetic Resonance Imaging
  7. Acute Management And Treatment
    1. Anticoagulation
    2. Fibrinolytic Therapy
    3. Aspirin
    4. Novel Oral Anticoagulants
    5. Surgical Interventions
  8. Summary
  9. References (33)
  10. CME Questions (4)
  11. Tables & Figures
    1. Cerebral Venous Anatomy
    2. Clinical Findings In Cerebral Venous Thrombosis
    3. Dense Clot Sign
    4. Empty Delta Sign
    5. Magnetic Resonance Venogram Image Of Thrombosis

Chapter 4: Ischemic Stroke Of The Posterior Circulation

  1. Introduction
  2. Neuroanatomy
  3. Morbidity And Mortality
  4. Pathophysiology Of The Most Common Stroke Mechanisms
    1. Large-Vessel Atherosclerosis
    2. Cardioembolism
    3. Small-Vessel/Penetrating Artery Disease
    4. Vertebral Artery Dissection
  5. History And Physical Examination
    1. Acute Vertigo
      1. Head-Impulse Testing
      2. Nystagmus
    2. Quantitative Vestibulo-Oculography Testing
    3. Basilar Artery Occlusion
  6. Imaging In The Acute Setting
    1. ASPECTS Score And pc-ASPECTS
    2. Brain Magnetic Resonance Imaging
  7. Acute Treatment
    1. Intravenous Recombinant Tissue-Type Plasminogen Activator
    2. Mechanical Thrombectomy
  8. Summary
  9. References (60)
  10. CME Questions (4)
  11. Tables & Figures
    1. Anatomy Of Cerebral Circulation: The Circle Of Willis
    2. Link To Video Of Head-Impulse Testing

Chapter 5: Intracranial Hemorrhage

  1. Introduction
  2. Selected Abbreviations
  3. Etiology And Differential Diagnosis
    1. Primary Intracranial Hemorrhage
    2. Secondary Intracranial Hemorrhage
  4. Diagnosis
  5. Imaging
  6. Initial Management
    1. Emergent Reversal Of Coagulopathy
      1. Reversal Of Vitamin K Antagonists
      2. Reversal Of Novel Oral Anticoagulants
      3. Reversal Of Antiplatelet Therapy
    2. Blood Pressure Management
    3. Management Of The Clinically Deteriorating Intracranial Hemorrhage Patient
  7. Neurosurgical Management
    1. Infratentorial Hematomas
    2. Supratentorial Hematomas
  8. Key Points
  9. References (28)
  10. CME Questions (4)
  11. Tables & Figures
    1. Causes Of Secondary Intracranial Hemorrhage
    2. Intracranial Hemorrhage On Computed Tomography Scan
    3. The Spot Sign On Computed Tomography Scans

Chapter 6: Shared Decision-Making In Acute Stroke Care

  1. Introduction
  2. Shared Decision-Making In The Emergency Department
    1. Is Shared Decision-Making The Same As Informed Consent?
  3. Criteria For Shared Decision-Making
    1. Clinical Equipoise
    2. Decision-Making Ability
    3. Time
    4. Patient Preferences: What Do Patients Want?
    5. The Physician Perspective
  4. Tools For Shared Decision-Making In Acute Ischemic Stroke
    1. The RESOLVE Tool
    2. The COMPASS Tool
  5. Challenges To Shared Decision-Making In Acute Ischemic Stroke
    1. Medico-Legal Concerns
  6. Summary
  7. References (33)
  8. CME Questions (4)
  9. Tables & Figures
    1. When Is Shared Decision-Making Appropriate In The Emergency Department?
    2. AAEM Graphical Illustration Of Benefits And Risks Of IV tPA For Stroke (2007)
    3. The Patient-Facing RESOLVE Decision Aid For IV tPA In Acute Ischemic Stroke
    4. The Clinician-Facing RESOLVE Decision Aid For IV tPA In Acute Ischemic Stroke
    5. Gamma Version Of The COMPASS Tool
    6. Risk Factors For Symptomatic Intracranial Hem-orrhage Per SITS-MOST
    7. Risk Of Symptomatic Intracranial Hemorrhage Per SITS-MOST

Product Reviews
Efrem McAdoo, MD - 07/06/2017
Great course!

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Last Modified: 09/22/2017
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