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From the Editor (provided as webpage)

ICU Monitoring
David Greer, MD

ICU monitoring for patients with acute stroke is often necessary, either secondary to the neurological compromise caused by the event due to the sheer size of the injury or due to the systematic complications. This article discusses the methods of monitoring, the potential systematic complications, the use of anticoagulation, blood pressure management, and methods of treating cerebral edema.

Telemedicine in Treating Acute Stroke
Chris Fanale, MD

Telemedicine is felt to be a potential solution to overcome the time issues of ready and quick access to a neurologist in the setting of Acute Ischemic stroke. The “telestroke” concept was coined by Levine and Gorman in 1999. An ideal telemedicine system for stroke would allow for seamless 2-way audio and video communication between the on-site emergency room physician and a stroke-neurologist at a remote location when a potential thrombolytic candidate arrives in the emergency room. There should also be the ability for the remote physician to examine and collect history from the patient and accompanying family members. Lastly, this system should also be simple to use and allow maximal freedom of the remote stroke neurologist.

Endovascular Management of Acute Stroke
Daniel Huddle, DO

In general, there are 2 types of stroke; ischemic stroke refers to a blockage of blood flow within the affected vessel; hemorrhagic stroke results from a leak or rupture of the blood vessel. Acute ischemic stroke results from blockage or reduced blood flow to the brain. Patients will typically have acute neurologic changes as a result of this altered flow. Although the clinical presentation may be similar, their treatment is significantly different.

Systematic Quality Improvement in Stroke Care
Christy Casper, NP

Although Colorado is one of the healthiest states in the country stroke continues to be a burden medically, sociologically and financially to our community. In 2003 the Joint Commission on Accreditation of Healthcare Organization (JCAHO) announced a program for Certificate of Distinction for Primary Stroke Centers. The program was based upon recommendations published by the Brain Attack Coalition and the American Stroke Association and identifies the critical elements necessary for long-term success in improving patient outcome after stroke.

CNI NeuroHealth Center
Roz Davis, MS / SLP and Carol Greenwald, MD

The Colorado Neurological Institute believes that recovery can continue for many years after a stroke, but we are also aware that the risk of a stroke is higher in people who have already suffered one. For this reason, the CNI NeuroHealth Center puts great emphasis on secondary prevention. We provide public education on stroke risk factors, risk factor modification, stroke symptoms, and the need to seek immediate medical attention, should symptoms occur.

Go to the CNI Stroke website

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