HealthONE Outreach CME: Acute Stroke Care Update

Presented by Chris Fanale, MD, Stroke Medical Director, Denver, CO

  • Release date: June 15, 2011
    Expiration date: June 14, 2012
    Estimated time to complete activity:
    1 hour
    Release date: June 15, 2011
  • Expiration date: June 14, 2012
  • Estimated time to complete activity: 1 hour   


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For all questions/concerns, contact the HealthONE Office of Continuing Medical Education at 303.584.6006 or Leslie Dietz


Policy on Privacy and Confidentiality


DISCLOSURES

    HealthONE CME assesses conflict of interest with its instructors, planners, managers, and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by HealthONE CME for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. HealthONE CME is committed to providing its learners with high-quality CME activities and related materials that promote improvements or quality in health care and not a specific proprietary business interest of a commercial entity. The faculty members have reported the following financial relationships or relationships to products or devices they or their spouses/life partners have with commercial interests related to the content of this CME activity.

  • Dr. Fanale discloses that he is a member of a speakers bureau for Genentech. 


The following members of the Denver CME Committee hereby state that they or their spouse/life partner do not have any financial relationships or relationships in any amount during the past 12 months to products, devices, or any commercial interests related to the content of this CE activity:

  • Scott J. Hershman, MD, CCMEP 
  • Judy Hatch 
  • Lindy Garvin
  • D.L. Hubbard, MD
  • Timothy Kennedy, MD 
  • M. Herzl Melmed, MD
  • Saurabh Mangalik, MD 
  • Wes Tyson, MD
  • Sue Gerber
  • Sophia Tribble  
  • Holly Bodine
  • Lynn Stockton
  • Lisa Moreland
  • Regina Brooks, CCMEP
  • Leslie Dietz   


The following members of the Planning Committee hereby state that they or their spouse/life partner do not have any financial relationships or relationships in any amount during the past 12 months to products, devices, or any commercial interests related to the content of this CE activity:

  • Christopher Fanale, MD
  • Scott J. Hershman, MD, CCMEP
  • Sharon Fresques 


The following HealthONE clinical content reviewers hereby state that they or their spouse/life partner do not have any financial relationships or relationships in any amount during the past 12 months to products, devices, or any commercial interests related to the content of this CE activity:

  • Scott J. Hershman, MD, CCMEP

LEARNING OBJECTIVES 

Following the presentation, each participant should be able to:

  1. Review updated guidelines for IV t-PA administration in stroke.
  2. Review the use of telemedicine in stroke.
  3. Discuss potential applications of intra-arterial therapy in acute stroke.

LEVEL OF EVIDENCE 

HealthONE CME has designated 3 Levels of Evidence for CME presentations:

  1. Evidence mainly from randomized or non-randomized, well designed controlled trials; well- designed cohort or case-controlled analytic studies.
  2. Evidence from multiple studies with or without the intervention being targeted, meta-analysis, opinions of respected authorities or expert panels, or information based on case reports.
  3. Uncontrolled experiments, descriptive studies, presenter’s clinical experience/opinion or research
  • The majority of this presentation will be based on Level  1, 2 and  3 Evidence. 


ACCREDITATION & CREDIT DESIGNATION STATEMENTS 

HealthONE CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

HealthONE CME designates this enduring activity for a maximum of 1 AMA PRA Category I Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

DISCLAIMER 

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. 

UNLABELED/UNAPPROVED USES NOTICE 

In accordance with the ACCME Essential Areas and Policies, as well as, the Standards for Commercial Support, the audience is advised that this continuing medical education  activity may contain references to unlabeled or unapproved uses of drugs or devices.Specific medicines discussed in this program may not yet be specifically approved and/or may not be specified to be used as indicated by the speakers. Before prescribing any medication, review the complete prescribing information, including indications, contraindications, warnings, precautions and adverse effects.

POST-TEST and PROGRAM EVALUATION 

In accordance with the ACCME Essential Areas and Policies, as well as, the Standards for Commercial Support, the audience is advised that this continuing medical education  activity may contain references to unlabeled or unapproved uses of drugs or devices.

Specific medicines discussed in this program may not yet be specifically approved and/or may not be specified to be used as indicated by the speakers. 

Before prescribing any medication, review the complete prescribing information, including indications, contraindications, warnings, precautions and adverse effects.


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What is a Stroke?

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Stroke symptoms differ depending on which area of the brain is affected. There are 3 different mechanisms for strokes. In a thrombotic stroke, a blood clot forms at a narrowed or damaged area in an artery to the brain. In an embolic stroke, a blood clot in another part of the body breaks loose, travels through the body, and becomes stuck in an artery to the brain. In a hemorrhagic stroke, an artery ruptures, and blood leaks out into the brain, which prevents blood from getting to the brain tissue in the surrounding area. Hemorrhagic strokes usually occur in those with high blood pressure.