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

Table of Contents

Title Page

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

Introduction
John R. Marler, M.D.

Executive Summary

• 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

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

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

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

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

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

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

Recommendations

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

Final Keynote Address

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

Appendices

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

Return to Index

Last Edited: July 01, 1999

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

Reviewed July 1, 2001