General Emergent Management of
Patients with Stroke, Including Blood
Pressure Management
,Objectives
• Review initial evaluation of the patient
with an AIS
– history, physical exam, diagnostics,
imaging
• Discuss acute supportive care
– stroke vital signs: ABCC’s, hypertension,
glucose, temperature, seizure
management
• Understand that emergent management
requires simultaneous evaluation and
intervention
,Goals of Acute Supportive
Care
Assure optimal perfusion and oxygenation
• Protect the C-spine
• Secure the airway
• Support oxygenation and ventilation
• Assure appropriate circulation
, The History
• Age - approximately 65 yr
• Sudden onset focal neurologic deficit
• Specific vascular territory
• Seizure at onset of Sx: 5%
• Headache at onset: 10-30%
• Fall or trauma at onset
Patients with Stroke, Including Blood
Pressure Management
,Objectives
• Review initial evaluation of the patient
with an AIS
– history, physical exam, diagnostics,
imaging
• Discuss acute supportive care
– stroke vital signs: ABCC’s, hypertension,
glucose, temperature, seizure
management
• Understand that emergent management
requires simultaneous evaluation and
intervention
,Goals of Acute Supportive
Care
Assure optimal perfusion and oxygenation
• Protect the C-spine
• Secure the airway
• Support oxygenation and ventilation
• Assure appropriate circulation
, The History
• Age - approximately 65 yr
• Sudden onset focal neurologic deficit
• Specific vascular territory
• Seizure at onset of Sx: 5%
• Headache at onset: 10-30%
• Fall or trauma at onset
