Chapter 1 – Trauma Operating Room
Abstract A large operating room (OR) situated near the emergency department, elevators, and ICU should be designated as the Trauma OR to facilitate the logistics of patient flow and minimize…
EMERGENCY MEDICINE
Chapter 12 – Intracerebral Hemorrhage
Abstract In this chapter, we consider spontaneous hemorrhage into the brain parenchyma and ventricles (intracerebral hemorrhage, ICH). Non-traumatic bleeding into the subarachnoid space (subarachnoid hemorrhage, SAH) is covered in Chapter…
Chapter 9 – Transient Ischemic Attack
Abstract Transient neurological symptoms often present a difficult diagnostic dilemma. It is often difficult to tell if the transient symptoms were due to ischemia or due to something else (see…
Chapter 10 – Less Common Causes of Stroke
Abstract Most strokes are caused by the mechanisms already described, i.e., cardioembolism, atherosclerosis, and small-vessel disease, but at least 20% are due to other mechanisms. This is even more likely…
Chapter 11 – Cerebral Venous Sinus Thrombosis
Abstract Cerebral venous sinus thrombosis (CVST) is the thrombosis of dural venous sinuses and/or cerebral veins. It accounts for 0.5% of all strokes. It occurs predominantly in the younger population…
Chapter 13 – Subarachnoid Hemorrhage
Abstract This chapter covers the diagnosis and management of spontaneous subarachnoid hemorrhage due to rupture of intracranial aneurysms. At the end of the chapter we also discuss unruptured intracranial aneurysms….
Chapter 14 – Organization of Stroke Care
Abstract As acute stroke therapies have developed, the context in which stroke care is provided has become more important. Creating and maintaining the organization of stroke care within a region…
Chapter 15 – Stroke Rehabilitation
Abstract Stroke rehabilitation begins during the acute hospitalization once the patient is medically and neurologically stable. Rehabilitation, with involvement of a multidisciplinary rehabilitation team early during the care of the…
Chapter 16 – Transition to Outpatient Stroke Care
Abstract It is never too early to begin to educate the patient and family about lifestyle changes and medical treatments to prevent another stroke. These need to be reinforced throughout…
Chapter 4 – Stroke Radiology
Abstract Non-contrast CT (NCCT) of the head remains the standard procedure for the initial evaluation of stroke. In the emergent initial evaluation of an acute stroke patient in the emergency…
