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Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale

Montse Gorchs Molist, Natalia Perez de la Ossa, and Frances Xavier Jiménez Fabregas

Acute stroke is a time-dependent medical emergency. In acute ischemic stroke, the first objective is to restore brain flow using sistemic thrombolytic treatment and, in patients with large vessel occlusion, by endovascular treatment. In hemorrhagic stroke there are also specific treatments that can improve the clinical outcome.

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Acute stroke is a time-dependent medical emergency. In acute ischemic stroke, the first objective is to restore brain flow using sistemic thrombolytic treatment and, in patients with large vessel occlusion, by endovascular treatment. In hemorrhagic stroke there are also specific treatments that can improve the clinical outcome.

The sooner the initiation of all these therapies the higher the clinical benefit. Thus, the organization of Stroke Code systems coordinated between emergency medical systems and hospitals is crucial to achieve early medical attention and treament.

Neurological scales facilitate stroke recognition at both hospital and pre-hospital levels and provide valuable information of stroke severity. The RACE scale is a prehospital scale validated as a tool to identify patients with suspected large vessel occlusion who are potential candidates for endovascular treatment.

This course aims to update general knowledge in acute stroke and currently available treatments, to review the protocol

of the Stroke Code and, finally, to train in the use of the RACE scale.

The target profile of this course is aimed to all health professionals working in the field of emergencies.

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What's inside

Syllabus

Introduction
Stroke and treatment options
THE STROKE CODE
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THE RACE SCALE
The RACE scale is a prehospital simple and rapid neurological scale to detect acute stroke patients with a high probability of having a large vessel occlusion, candidates to be treated with endovascular techniques in a comprehensive stroke center

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Core audience is health professionals working in the field of emergencies

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Reviews summary

Positive prehospital stroke care instruction

Learners say this is a highly recommended course for anyone interested in learning how to provide prehospital care for acute stroke patients and select patients for endovascular treatment. Excellent instruction and a clear presenter make this a well-received course. Helpful and practical information is provided on stroke pathophysiology, diagnosis, and management. The RACE scale is explained and integrated throughout the instruction. Learners will especially appreciate the practical, visual component for diagnosing stroke patients.
RACE scale is explained and integrated well.
"An useful course! I can use the RACE scale after this coure."
"mastering the RACE test"
Information is helpful and practical.
"a lot of practical information here that is useful for a wide range of audiences"
"practical, visual component was the excellent thing to diagnose the different issues with stroke patients"
Instruction is excellent and clear.
"presenter very clear and efficient and did not waste time"
"I found it very interesting and important"
"The class material and the teachers are very good"
Course is highly recommended.
"excellent course"
"Very well done!"
"very helpful"
"great job thank you"
"I really enjoyed this course"

Activities

Coming soon We're preparing activities for Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale. These are activities you can do either before, during, or after a course.

Career center

Learners who complete Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale will develop knowledge and skills that may be useful to these careers:
Stroke Coordinator
A Stroke Coordinator is a healthcare professional who coordinates the care of stroke patients. Stroke Coordinators work in a variety of settings, including hospitals, rehabilitation centers, and long-term care facilities. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Stroke Coordinator as it provides an understanding of the assessment and management of stroke patients.
Neurohospitalist
A Neurohospitalist is a physician who specializes in the care of hospitalized patients with neurological conditions, including stroke. Neurohospitalists work in a variety of settings, including hospitals, rehabilitation centers, and long-term care facilities. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Neurohospitalist as it provides an understanding of the assessment and management of stroke patients.
Stroke Nurse
A Stroke Nurse is a registered nurse who has specialized training in the care of stroke patients. Stroke Nurses work in a variety of settings, including hospitals, rehabilitation centers, and long-term care facilities. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Stroke Nurse as it provides an understanding of the assessment and management of stroke patients.
Emergency Medical Technician
An Emergency Medical Technician assesses, treats, and transports patients who are acutely ill or injured. They work in a variety of settings, including ambulances, fire departments, and hospitals. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be helpful in preparing for a career as an Emergency Medical Technician as it provides an understanding of the assessment and management of stroke patients.
Neurosurgeon
A Neurosurgeon is a surgeon who specializes in the diagnosis and treatment of diseases of the brain and spine. Neurosurgeons perform a variety of procedures, including brain surgery, spinal surgery, and vascular surgery. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Neurosurgeon as it provides an understanding of the assessment and management of stroke patients.
Paramedic
A Paramedic is a healthcare professional who provides advanced medical care to patients in emergency situations. Paramedics have the training and equipment to assess, treat, and transport patients with a variety of illnesses and injuries, including stroke. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Paramedic as it provides an understanding of the assessment and management of stroke patients.
Interventional Neuroradiologist
An Interventional Neuroradiologist is a physician who uses imaging techniques to diagnose and treat diseases of the brain and spine. Interventional Neuroradiologists perform a variety of procedures, including angiograms, embolectomies, and stenting. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as an Interventional Neuroradiologist as it provides an understanding of the assessment and management of stroke patients.
Vascular Neurologist
A Vascular Neurologist is a neurologist who specializes in the diagnosis and treatment of cerebrovascular diseases, including stroke. Vascular Neurologists typically have additional training in vascular surgery or interventional neuroradiology. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Vascular Neurologist as it provides an understanding of the assessment and management of stroke patients.
Neurologist
A Neurologist examines, diagnoses, and treats diseases of the nervous system, including stroke. They may also conduct research into the causes and treatment of these diseases. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Neurologist, as it provides an understanding of the assessment and management of stroke patients.
Clinical Research Coordinator
A Clinical Research Coordinator is a healthcare professional who assists with the design, implementation, and conduct of clinical research studies. Clinical Research Coordinators work in a variety of settings, including hospitals, universities, and research institutes. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Clinical Research Coordinator as it provides an understanding of the assessment and management of stroke patients and the principles of clinical research.
Public Health Nurse
A Public Health Nurse is a nurse who works to improve the health of the community. Public Health Nurses work in a variety of settings, including schools, community health centers, and government agencies. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Public Health Nurse as it provides an understanding of stroke and its risk factors.
Occupational Therapist
An Occupational Therapist is a healthcare professional who helps people regain or improve their ability to perform everyday activities. Occupational Therapists work in a variety of settings, including hospitals, rehabilitation centers, and schools. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as an Occupational Therapist as it provides an understanding of the physical and cognitive challenges faced by stroke patients.
Speech-Language Pathologist
A Speech-Language Pathologist is a healthcare professional who evaluates and treats speech, language, and swallowing disorders. Speech-Language Pathologists work in a variety of settings, including hospitals, schools, and private practice. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Speech-Language Pathologist as it provides an understanding of the communication challenges faced by stroke patients.
Health Educator
A Health Educator is a healthcare professional who promotes health and wellness. Health Educators work in a variety of settings, including schools, community health centers, and businesses. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Health Educator as it provides an understanding of stroke and its risk factors.
Social Worker
A Social Worker is a healthcare professional who helps people cope with the social, emotional, and financial challenges of illness. Social Workers work in a variety of settings, including hospitals, clinics, and schools. The course in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale may be useful in preparing for a career as a Social Worker as it provides an understanding of the challenges faced by stroke patients and their families.

Reading list

We've selected six books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale.
This comprehensive textbook covers all aspects of stroke, from pathophysiology and diagnosis to management.
This concise and affordable title offers a rapid overview of important clinical topics in neurology, including stroke. This great pocket reference for quick lookups.
An affordable handbook that presents a practical approach to stroke management. It is written for practicing clinicians.
Provides a practical guide to the management of patients with stroke. It is designed for healthcare practitioners at all levels.

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