This issue provides evidence-based recommendations for the recognition, diagnosis, and management of intracranial hemorrhage following intravenous thrombolysis for acute ischemic stroke, including diagnostic workup, reversal agents, blood pressure management, and escalation of care. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 08/01/2029.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the occurrence of stroke in young adults, along with evidence-based guidance on the assessment and management of this patient population to reduce the extent of disability. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits. CME expires on 12/20/2028.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews ED management of cerebral venous sinus thrombosis, an uncommon cause of stroke. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits. CME expires on 10/01/2028.

Download every 2024 Clinical Pathway published in Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Evidence-Based Urgent Care, in a single, convenient PDF. FREE to complete bundle subscribers. (No CME for this activity).

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of stroke in the setting of drug intoxication and substance use disorder. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits, 2 Substance Use credits, and 1 Controlled Substances credit. CME expires on 09/15/2027.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the use of ultrasound in acute stroke, with a focus on applications of interest to emergency clinicians. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits. CME expires on 05/15/2027.

The diagnostic approach to dizziness has changed from a focus on symptom quality to a timing-and triggers approach. This approach can be used in urgent care to quickly differentiate benign dizziness from deadly causes. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 1 Stroke CME credit. CME expires on 02/01/2027.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the risk factors and management recommendations for stroke in pregnant and postpartum patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits and 1 Pharmacology credits. CME expires on 12/15/2026.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED evaluation and management of patients with acute intracerebral hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke and .5 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 07/20/2026.

Spontaneous intracerebral hemorrhage is a neurological emergency,made more complicated when patients are anticoagulated. Reversal of anticoagulation must be initiated simultaneously with diagnosis, treatment, and disposition. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits and 2 Pharmacology CME credits. CME expires on 12/01/2018.

This review evaluates the literature and current evidence, including controversies and recent American Heart Association guidelines, to support a best-practice approach to the diagnosis and treatment of patients with spontaneous subarachnoid hemorrhage.

Since the 2008 issue of Emergency Medicine Practice on TIA was published, there have been numerous studies focusing on improving risk stratification and early management strategies in TIA. This update will provide the best available evidence on diagnosing and managing TIAs.

This issue outlines and reviews the literature on 4 evolving strategies reflecting developing advancements in the care of acute ischemic stroke and their potential to impact patients in the emergency department setting: (1) the expanding window for intravenous rt-PA, (2) the use of multimodal computed tomographic scanning in emergent diagnostic imaging, (3) endovascular therapies for stroke, and (4) stroke systems of care.