Stroke for the Advanced Practice Clinician: A Clinically Focused Guide for Acute, Inpatient, and Outpatient Care

This book serves as a clinical guide for the growing number of Advanced Practice Clinicians (APC) who care for stroke patients. It covers the entire spectrum of stroke care: acute, inpatient, and outpatient, as well as fundamental topics like neuroanatomy and radiology. Each chapter succinctly reviews crucial topics designed to guide APCs of any experience level with clinical decision-making. To further enrich the text, we incorporated guidelines, relevant trial data written in plain language, decision-making algorithms, clinical pearls, and case vignettes. Since this is a book for APCs, each chapter is written in a clear, clinically focused manner by an experienced APC with a collaborating physician. We hope this is a helpful resource not only for APCs in neurology but also for those practicing in other specialties, primary care, and students learning about stroke care. 这本书为越来越多的照顾中风患者的高级实践临床医生 (APC) 提供了临床指南。它涵盖了中风护理的整个范围:急性、住院和门诊,以及神经解剖学和放射学等基本主题。每章都简洁地回顾了旨在指导任何经验水平的 APC 进行临床决策的关键主题。为了进一步丰富文本,我们纳入了指南、以通俗易懂的语言编写的相关试验数据、决策算法、临床珍珠和病例小插图。由于这是一本针对 APC 的书,因此每一章都由经验丰富的 APC 与合作医生以清晰、临床重点突出的方式撰写。我们希望这不仅对神经病学的 APC 有用,而且对在其他专业、初级保健和学习中风护理的学生也是一种有用的资源。 Foreword Preface Contents Contributors 1: Stroke Epidemiology Definition of Stroke Burden of Stroke Globally and in the United States The Stroke Belt in the United States Current and Future Trends in Stroke Epidemiology Disparities in Stroke Incidence, Treatment, and Outcomes Summary of Key Epidemiologic Studies References 2: Cerebrovascular Anatomy Introduction Motor Function Sensation Language and Speech Vision Coordination The Brainstem The Rule of 4 Blood Vessels Arteries Posterior Circulation Vasculature The Blood-Brain Barrier Cerebral Blood Flow and Autoregulation Venous System Further Reading 3: Stroke Syndromes Introduction Cortical Vs. Subcortical Strokes Anterior Circulation Syndromes Posterior Circulation Syndromes Further Reading 4: Neuroradiology Noncontrast CT ASPECTS Score Hemorrhagic Conversion CT Angiography (CTA) CT Perfusion Magnetic Resonance Imaging (MRI) 5: Stroke Codes Introduction Stroke Code Protocol Pre-arrival Code Activation at Triage or in