Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care, and providers at all levels. is Guideline
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
ABCs, airway, breathing, circulation; aPTT, activated partial thromboplastin time; BP,
blood pressure; CNS, central nervous system; COR, Classification of Recommendation;
CT, computed tomography; ECG, electrocardiogram; ECT, ecarin clotting time;
ED, emergency department; EMS, emergency medical services; FDA, Food and Drug
Administration; INR, international normalized ratio; IV, intravenous; MRI, magnetic
resonance imaging ; NIHSS, National Institutes of Health Stroke Scale; NPO, nothing by
mouth; PT, partial thromboplastin time; rtPA, recombinant tissue plasminogen activator;
TIA, transient ischemic attack; TT, thrombin time
Source
Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P,
McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ,
Wintermark M, Yonas H. Guidelines for the Early Management of Patients With Acute
Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart
Association/American Stroke Association. Stroke. 2013;44: 870-947. PMID: 23370205
Powers WJ, Derdeyn CP, Biller J, Coffey CS, Hoh BL, Jauch EC, Johnston KC, Johnston
SC, Khalessi AA, Kidwell CS, Meschia JF, Ovbiagele B, Yavagal DR; American Heart
Association Stroke Council. 2015 American Heart Association/American Stroke
Association Focused Update of the 2013 Guidelines for the Early Management of
Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline
for Healthcare Professionals From the American Heart Association/American Stroke
Association. Stroke. 2015 Oct;46(10):3020-35.
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