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Gordon Minaker, Primary Care Paramedic and Medical Student with the UBC Medical Program
Kaela Richardson, Respiratory Therapist and Medical Student with the UBC Medical Program
Kevin Lambert, Critical Care Paramedic, Lead Instructor of Critical Care Paramedic Education at BC Emergency Health Services
November 14, 2019
In this episode, we describe the basic pathophysiology of stroke and its mechanisms of injury, detailing the two major types of stroke. Examples of common clinical presentations and use of the FAST-VAN assessment is discussed, and how to identify stroke mimics. Lastly, we discuss the concept of the “hot stroke,” and timelines for different types of treatment.
Definition: Hyperacute stroke symptoms with onset less than 6 hours ago.
Ischemic stroke treatments in hospital include:
Stroke Guidelines - BCEHS Handbook
FAST-VAN Stroke Guideline - BCEHS Handbook
FAST-VAN Stroke Bypass Protocol for Vancouver Island South - BCEHS Handbook
BC Stroke Care Centre Tiers - BCEHS Handbook
Hosseininezhad M, Sohrabnejad R. Stroke mimics in patients with clinical signs of stroke. Caspian J Intern Med. 2017;8(3):213–216. doi:10.22088/cjim.8.3.213
Oliveira MD. Initial assessment and management of acute stroke. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed on November 1, 2019.)
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