Cutting Edge Acute Ischemic Stroke Management

Alfredo E Urdaneta, Paulomi Bhalla
Emergency Medicine Clinics of North America 2019, 37 (3): 365-379
Acute 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.

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