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Proceedings of a National Symposium on
Rapid Identification and Treatment of Acute Stroke
December 12-13, 1996

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Table of Contents

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Title Page

Preface
Zach W. Hall, Ph.D.
Director, National Institute of Neurological Disorders and Stroke

Introduction
John R. Marler, M.D.

Executive Summary

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• Keynote Addresses
• Prehospital Emergency Medical Care Systems Panel
• Emergency Department Panel
• Acute Hospital Care Panel
• Health Care Systems Panel
• Public Education Panel
• Recommendations
• Final Keynote Address
• Appendices
• Response from the Child Neurology Society Concerning Recognition and Treatment of Stroke in Children

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Keynote Adddresses

• Magnitude of the Problem of Stroke and the Significance
  of Acute Intervention
  Patrick D. Lyden, M.D.
• The Importance of Time
  James C. Grotta, M.D.
• Acute Medical Care in the United States
  William G. Barsan, M.D.

Return to Index

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Prehospital Emergency Medical Care Systems Panel

• Overview: The Initial Links in the Chain of Recovery for
  Brain Attack: Access, Prehospital Care, Notification, and Transport
  Paul E. Pepe, M.D., M.P.H., F.A.C.E.P., F.C.C.M., F.A.C.P.
• Dispatch Life Support and the Acute Stroke Patient:
  Making the Right Call
  Brian S. Zachariah, M.D., F.A.C.E.P., James Dunford, M.D., and Carl C. Van Cott
• Prehospital Identification and Treatment
  Michael R. Sayre, M.D., Robert A. Swor, D.O., and Linda K. Honeycutt, EMT-P
• Special Considerations in Access to Care and Transport
  Douglas J. Floccare, M.D., M.P.H., F.A.C.E.P.,
  Robert R. Bass, M.D., Daniel Hankins, M.D., F.A.C.E.P., and Thomas M. Stein, M.D.

Return to Index

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Emergency Department Panel

• Overview: Emergency Department Management of Stroke
  William G. Barsan, M.D.
• Response System for Patients Presenting with Acute Stroke
  Brooks F. Bock, M.D., F.A.C.E.P.
• Educational Needs of Physicians and Nurses in the Emergency Department
  Joseph E. Clinton, M.D.
• Guidelines for Medical Care and Treatment of Blood Pressure
  in Patients with Acute Stroke
  Joseph P. Broderick, M.D.
• Classification System for Stroke Patients
  John A. Marx, M.D.
• Emergency Department Approach to Outcome Analysis
  Michael R. Frankel, M.D.

Return to Index

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Acute Hospital Care Panel

• Overview: Hospital Care of Acute Stroke
  Anthony J. Furlan, M.D.
• Critical Pathways
  Dennis Landis, M.D.
• Acute Hospital Care: Resource Utilization
  James C. Grotta, M.D.
• Acute Stroke Management: Hospital Stroke Expertise
  Walter J. Koroshetz, M.D.

Return to Index

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Health Care Systems Panel

• Overview: A Must for Integrated Disease Management: A Focus on Acute Stroke Care
  Thomas C. Royer, M.D.
• Developing Leadership and Systems Analysis
  Christopher Lewandowski, M.D.
• How to Create and Sustain the Continuum of Acute Stroke Care
  Steven R. Levine, M.D.
• Determining the Acceptable Outcomes of Acute Stroke Care
  Edward Feldmann, M.D.
• Will the Identification and Treatment of Acute Stroke Add Value?
  Thomas C. Royer, M.D.

Return to Index

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Public Education Panel

• Overview: The Importance of Patient and Public Education in Acute Ischemic Stroke
  Judith A. Spilker, R.N., B.S.N.
• Lessons from Current and Previous Public Education Campaigns
  Harold W. (Pete) Todd
• Lessons for Success in Public Education Campaigns
  Edward W. Maibach, Ph.D., M.P.H.
• Seeking Health Care Following Stroke: Public Education
  Carol A. Barch, M.N., C.R.N.P., C.N.R.N.
• How Do We Get From Here to There? The Message, the Audience,and the Medium
  Norman A. Levy, M.S.

Return to Index

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Recommendations

• Prehospital Emergency Medical Care Systems
• Emergency Department
• Acute Hospital Care
• Health Care Systems
• Public Education

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Final Keynote Address

• Principles of Effective Management of Acute Stroke
  K. M. A. Welch, M.D.

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Appendices

• Steering Committee Members
• Task Force Members
• Partners
• Speakers
• Acknowledgments

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Return to Index

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Last Edited: July 01, 1999

National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892

"Proceedings of a National Symposium on Rapid Identification and Treatment of Acute Stroke", NINDS. August 1997.

NIH Publication No.97-4239

Last updated June 19, 2008