Emergency Care of Patients with Acute Ischemic Stroke

Adeel S Zubair; Kevin N Sheth

doi:10.1016/j.ncl.2021.02.001

Emergency Care of Patients with Acute Ischemic Stroke

Neurol Clin. 2021 May;39(2):391-404. doi: 10.1016/j.ncl.2021.02.001.

Authors

Adeel S Zubair¹, Kevin N Sheth²

Affiliations

¹ Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
² Department of Neurology, Yale School of Medicine, New Haven, CT, USA; Division of Neurocritical Care and Emergency Neurology, Yale School of Medicine, Yale New Haven Hospital, New Haven, CT, USA. Electronic address: [email protected].

PMID: 33896525
DOI: 10.1016/j.ncl.2021.02.001

Abstract

Stroke is a leading cause of morbidity and mortality and a major cause of long-term disability. Management of acute ischemic stroke in the first hours is critical to patient outcomes. This review provides an overview of acute ischemic stroke management, with a focus on the golden hour. Additional topics discussed include prehospital considerations and initial evaluation of the patient with history, examination, and imaging as well as treatment options, including thrombolysis and endovascular therapy.

Keywords: Acute stroke; Golden hour; Ischemic stroke; Thrombectomy; Thrombolysis.

Publication types

Review

MeSH terms

Emergency Medical Services / methods*
Endovascular Procedures / methods
Humans
Ischemic Stroke / diagnosis*
Ischemic Stroke / therapy*
Thrombectomy / methods
Thrombolytic Therapy / methods
Time-to-Treatment