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Management of ischemic stroke: Part 1. Emergency room management
Author(s) -
LuEmerson Christine,
Likosky David,
Amin Alpesh,
Tirschwell David
Publication year - 2010
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.518
Subject(s) - medicine , accreditation , stroke (engine) , certification , hospital medicine , acute stroke , acute care , emergency medicine , intensive care medicine , health care , medline , medical emergency , population , emergency department , family medicine , nursing , mechanical engineering , environmental health , economic growth , political science , law , economics , medical education , engineering
Abstract BACKGROUND: Acute ischemic stroke is commonly encountered by the hospitalist. There have been dramatic changes in our ability to care for these patients acutely. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) primary stroke center certification has become progressively more important to institutions nationally and includes many aspects of initial evaluation and treatment. PURPOSE: Acute treatment involves the rapid assimilation of patient characteristics, laboratory results, and imaging results. There are a growing number of potential acute therapies with a range of risk, benefit, necessary time windows, and specific eligibility criteria. DATA SOURCES: Primary trials, current guidelines. CONCLUSIONS: The hospitalist is well‐positioned to play a major role in the treatment of stroke patients as well as the systems work that aids in the management of this population. Journal of Hospital Medicine 2010;5:33–40. © 2010 Society of Hospital Medicine.