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CEL Online - STAR 6th Regional Stroke Management Symposium

Date of Release
March 30, 2017

Period of Validity
March 30, 2017 - March 30, 2020

Educational Need

This activity is designed to increase providers' knowledge surrounding the management of acute stroke patients and to enhance the care provided to these patients.

At the conclusion of this activity, participants should be able to:

  • Discuss key challenges in the prehospital care and management of acute stroke in both the ambulance and ED
  • Identify and describe key risk factors in the treatment of stroke and protocols specific to NYS designated Stroke Centers
  • Describe the indications and contradictions for dual antiplatelet therapy for secondary stroke prevention
  • Describe the newest surgical treatments available for cerebrovascular stroke patients
  • Describe the role and importance of Neuro-intensive Care in stroke recovery

Bibliographic Sources to Allow for Further Study:

  • NINDS trials of IV tpa in acute ischemic stroke, NEJM Dec 1995
  • Studnek, Jonathan R., et al. "Assessing the validity of the Cincinnati Prehospital Stroke Scale and the Medic Prehospital Assessment for Code Stroke in an Urban Emergency Medical Services Agency." Prehospital Emergency Care 17.3 (2013): 348-353.
  • de la Ossa, Natalia Pérez, et al. "Design and Validation of a Prehospital Stroke Scale to Predict Large Arterial Occlusion." Stroke 45.1 (2014): 87-91.
  • Easton, J.J., et al., Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals form the American Heart Association/American Stroke Association Stroke Council. Stroke, 2009 40(6): p. 2276-93
  • Sacco, R.L. and T. Rundek, The Value of Urgent Specialized Care for TIA and Minor Stroke. N Engl J Med, 374(16): p. 1577-9
  • 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 AHA/ASA 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;46(10):3020-35. PMID: 26123479
  • Higashida R, Alberts MJ, Alexander ON, Crocco T J, Demaerschalk BM, Derdeyn CP, Goldstein LB, Jauch EC, Mayer SA, Meltzer NM, Peterson ED, Rosenwasser RH, Saver JL, Schwamm L, Summers D, Wechsler L, Wood JP; American Heart Association Advocacy Coordinating Committee. Interactions within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association. Stroke. 2013 Oct;44(1 0):2961-84. Aug 29. PMID: 23988638.
  • 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; American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Clinical Cardiology. 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 Mar;44(3):870-947. PMID: 23370205.
  • Jauch EC et al.Guidelines for the early management of patients with acute ischemic stroke.Stroke.2013; 44:80-947.
  • Daemerschalk BM et al.Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke.Stroke.2016; 47:581-641.
  • Connolly E, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage. Stoke. 2012. 43: 1711-37
  • Manoel, A et al. The critical care management of poor grade subarachnoid hemorrhage. Critical Care 2016. 20:21
  • Chollet et al. Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): a randomised placebo-controlled trial. Lancet Neurol 2011; 10(2):123-130.
  • Hacke et al. Thrombolysis with Alteplase 3 to 4.5 Hours after Acute Ischemic Stroke. N Engl J Med 2008; 359:1317-1329.
 

Accreditation
The University of Rochester School of Medicine & Dentistry is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

Certification
The University of Rochester School of Medicine and Dentistry designates this enduring material for a maximum of 6.00 AMA PRA Category Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Planning Committee and Author/Speaker Declarations
The ACCME Standards of Commercial Support require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. All of the planning committee members and speakers (listed here) have declared that they have no financial interests or relationships to disclose:

Curtis Benesch, MD, MPH
Taran Bhalla, MD, PhD
Jeremy Cushman, MD, MS
Edward Jauch, MD, MS
Adam Kelly, MD
Todd Holmquist, MD
Amrendra Miranpuri, MD
Webster H. Pilcher, M.D., Ph.D.*
Deborah Roberts, MD, PhD
Bogachan Sahin, MD, PhD
Christopher Zammit, MD

* Also on Planning Committee

The following authors/speakers have disclosed financial interests/arrangements or affiliations with organizations that could be perceived as real or apparent conflict of interest in the context of the subject of their presentation(s).  Only the current arrangements/interests are included:

Tarun Bhalla, MD, PhD: Proctor for Penumbra
Edward Jauch, MD, MS: Grant Support for Stroke Net, Chair SC Dept. of Health Stroke Advisory Council
Todd Holmquist, MD: Paid Consultant Re: Medical Expert Opinion

An educational grant from Stryker was received for the STAR 6th Annual Regional Stroke Management Symposium.

Contact Information
For questions regarding certification or credit reports:
University of Rochester Medical Center
Center for Experiential Learning
Phone: (585) 275-7666
E-Mail: cmeoffice@urmc.rochester.edu

Registration Fees:

Physician
$50.00

Non-Physician
$40.00

Criteria for Successful Completion of this Activity Include:

  • Register for the course
  • Review Parts 1-4
  • Completion of  the self-assessment / program evaluation*

*The self-assessment / program evaluation must be completed in one sitting.

Certificates

  • Will be available for download immediately following completion of the program evaluation.
  • Participants must download and save or print certificates before exiting the course.
  • Please remember to send a copy of your certificate to your credentialing office and to keep a copy for your records.

Register for this Course

Part 1

Part 2

Part 3

Part 4

After viewing the Course Materials:

  • Click on the Self-Assessment – Program Evaluation link and sign in.
  • Registration Complete - You have already paid and registered for this event. To continue with your Online Activity, please click the "Continue" button below.
  • Thank you – Click Here to Begin the Activity and a new window opens to the activity home page.
  • Use the tab at the top to go back to the Thank You page and the Continue to the Post Test button appears.
  • Complete the Post Test and Evaluation.

Self-Assessment/Program Evaluation