• Emerg. Med. Clin. North Am. · Aug 2019

    Review

    Cutting Edge Acute Ischemic Stroke Management.

    • Alfredo E Urdaneta and Paulomi Bhalla.
    • Department of Emergency Medicine, Stanford University, 900 Welch Road, Suite 350, Palo Alto, CA 94305, USA. Electronic address: alfredou@stanford.edu.
    • Emerg. Med. Clin. North Am. 2019 Aug 1; 37 (3): 365-379.

    AbstractAcute ischemic stroke (AIS) is a medical emergency that requires prompt recognition and streamlined work-up to ensure that time-dependent therapies are initiated to achieve the best outcomes. This article discusses frequently missed AIS in the emergency department, the role of various imagining modalities in the work-up of AIS, updates on the use of intravenous thrombolytics and endovascular therapy for AIS, pearls on supportive care management of AIS, and prehospital and hospital process improvements to shorten door-to-needle time.Copyright © 2019 Elsevier Inc. All rights reserved.

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