APP Orientation Course Bundle #1 - Pathology/Disease: Ischemic Stroke

SUGGESTED COMPETENCIES:

To show competency in this topic area, learners should be able to demonstrate the following to their hospital preceptor or program director:

1. Manage two patients presenting with AIS syndromes, providing rapid evaluation and determination of eligibility for acute stroke interventions, including pharmacologic treatments and endovascular approaches
2. Manage two patients presenting with AIS, providing a detailed neurological exam with a focus on localization of stroke symptoms and common clinical presentations of large vessel occlusions
3. Manage one patient presenting with AIS who received IV alteplase and developed hemorrhagic transformation within 24hrs, with a focus on appropriate reversal of IV alteplase
4. Manage one patient presenting with AIS who develops malignant cerebral edema, with a focus on medical management with hypertonic/hyperosmolar therapies and decompressive hemicraniectomy

INCLUDED TOPICS:

• ENLS Acute Ischemic Stroke: Protocol
• ENLS Acute Ischemic Stroke: Manuscript
• ON CALL topic on Acute Ischemic Stroke
• Pocket Guide to Neurocritical Care - Chapter 10: Ischemic Stroke

OPTIONAL RESOURCES:

• NCS Guideline: Evidence-based Guidelines for the Management of Large Hemispheric Infarction
• PONS Presentation: Alteplase for Acute Ischemic Stroke: Updates & Issues
• PONS Presentation: Indications and Considerations for the Use of Antiplatelet Agents in Neurocritical Care
• PONS Presentation:  Alteplase for Acute Ischemic Stroke
• NCS Guideline: Evidence-based Guidelines for the Management of Large Hemispheric Infarction