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

El ictus es una emergencia médica tiempo dependiente. En el ictus isquémico agudo, el primer objetivo es conseguir restablecer el flujo cerebral mediante tratamiento trombolítico con rTPA endovenoso o, en caso de oclusión de gran vaso cerebral, mediante tratamiento endovascular. En el ictus hemorrágico existen también tratamientos específicos que pueden mejorar su pronóstico.

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El ictus es una emergencia médica tiempo dependiente. En el ictus isquémico agudo, el primer objetivo es conseguir restablecer el flujo cerebral mediante tratamiento trombolítico con rTPA endovenoso o, en caso de oclusión de gran vaso cerebral, mediante tratamiento endovascular. En el ictus hemorrágico existen también tratamientos específicos que pueden mejorar su pronóstico.

El beneficio de todas las terapias disponibles en el ictus agudo es mayor cuanto antes se inicie el tratamiento, siendo esencial la organización de sistemas de Código Ictus coordinados entre los sistemas de emergencias médicas y los centros hospitalarios para conseguir una rápida atención y el inicio precoz del tratamiento.

Las escalas de valoración neurológica facilitan el reconocimiento del ictus tanto a nivel hospitalario como prehospitalario y ofrecen una información muy valiosa sobre la gravedad del ictus. La escala RACE es una escala prehospitalaria validada como herramienta para identificar los pacientes con sospecha de oclusión arterial de gran vaso candidatos a tratamiento endovascular.

Este curso pretende actualizar los conocimientos generales en el ictus agudo y los tratamientos disponibles actualmente, revisar los beneficios y el protocolo del Código Ictus y, finalmente, entrenar en el uso de la escala RACE.

El perfil diana de este curso va dirigido a todos los Profesionales Sanitarios que trabajan en el ámbito de las urgencias y emergencias y atención primaria.

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What's inside

Syllabus

INTRODUCCIÓN
ICTUS Y OPCIONES TERAPÉUTICAS
EL CÓDIGO ICTUS
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Traffic lights

Read about what's good
what should give you pause
and possible dealbreakers
Explores stroke, which is key in the medical field
Provides information about the therapeutic options for stroke, which can be useful in real-world healthcare scenarios
Reviews treatment protocols and guidelines for stroke, which healthcare professionals can directly apply to their practice
Emphasizes training for the RACE scale, enabling learners to acquire skills for identifying large blood vessel occlusion in stroke
Offers up-to-date knowledge in stroke treatment, keeping learners informed about advancements in the field

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Reviews summary

Curso sobre ictus, escala race y código ictus

Según los estudiantes, este curso de la Universitat de Barcelona es muy útil y práctico para profesionales sanitarios que trabajan en urgencias y atención primaria. Ofrece una excelente actualización sobre la atención prehospitalaria del ictus agudo y el protocolo Código Ictus. Los contenidos sobre la escala RACE son particularmente claros y bien explicados, permitiendo su aplicación directa en la práctica clínica. La mayoría de los revisores destacan su relevancia y la calidad del material presentado, considerándolo esencial para el manejo del paciente con ictus.
Proporciona información al día sobre el ictus.
"El curso ofrece una actualización rigurosa sobre las terapias actuales para el ictus isquémico."
"Agradecí la información actualizada sobre la selección de pacientes para tratamiento endovascular."
"Se nota que el contenido está basado en las guías y protocolos más recientes."
Ideal para personal de urgencias y primaria.
"Curso muy recomendado para médicos y enfermeras que trabajan en servicios de urgencias."
"Perfecto para personal de atención primaria que recibe avisos de posible ictus."
"Un material de actualización esencial para cualquier profesional que atienda emergencias neurológicas."
Excelente explicación de la escala RACE y el Código Ictus.
"La explicación detallada de la escala RACE es fantástica, muy fácil de entender y recordar."
"Comprendí a fondo el protocolo de Código Ictus y su importancia gracias a este curso."
"Los contenidos sobre el manejo del ictus y las opciones terapéuticas están muy bien presentados."
Muy útil para la práctica diaria en urgencias.
"Este curso me ha sido muy útil para aplicar la escala RACE directamente en mi trabajo en el servicio de urgencias."
"La información es clara y aplicable inmediatamente a mi práctica clínica con pacientes con ictus."
"Me ha proporcionado herramientas muy prácticas para el manejo prehospitalario del ictus agudo."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Atención prehospitalaria del ictus agudo y selección de pacientes para tratamiento endovascular con la escala RACE with these activities:
Revise previous knowledge in neuroscience
Reviewing previous knowledge in neuroscience will help you refresh your memory and strengthen your understanding of the brain and nervous system, which are fundamental topics in this course.
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  • Go over your notes and textbooks from previous neuroscience courses.
  • Take practice quizzes or mock exams to test your understanding.
  • Watch videos or documentaries about neuroscience topics.
Revise cerebrovascular emergencies
Knowing the symptoms of cerebrovascular emergencies will help you to identify them quickly in patients.
Browse courses on Stroke
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  • Review the signs and symptoms of stroke
  • Practice using the FAST test to identify stroke symptoms
  • Identify the different types of stroke
Review Neurological Anatomy and Physiology
Assists the learner to recall and strengthen prior knowledge of the brain and nervous system, which is essential for understanding stroke pathophysiology and treatment.
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  • Review textbooks or online resources on neurological anatomy and physiology.
  • Focus on structures relevant to stroke, such as the cerebral arteries and brain regions supplied by them.
  • Draw or label diagrams to reinforce understanding of anatomical relationships.
11 other activities
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Role-Playing Exercises
Provides an interactive and engaging way to practice communication and decision-making skills in stroke management.
Show steps
  • Form groups of 3-4 learners.
  • Assign roles such as patient, healthcare professional, and family member.
  • Create scenarios involving common stroke presentations and management dilemmas.
  • Practice role-playing the scenarios, focusing on effective communication, patient education, and treatment decisions.
Practice recognizing stroke symptoms using the FAST test
Practicing recognizing stroke symptoms using the FAST test will help you quickly identify and respond to potential strokes in real-world situations.
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  • Review the FAST test criteria (Face, Arm, Speech, Time).
  • Take online quizzes or simulations that test your ability to recognize stroke symptoms.
  • Practice performing the FAST test on yourself or others.
Practice using the RACE scale
The RACE scale is a tool used to quickly assess stroke symptoms and determine if a patient is eligible for endovascular therapy.
Browse courses on RACE Scale
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  • Familiarize yourself with the RACE scale criteria
  • Practice using the RACE scale on mock patients
Create a Stroke Management Algorithm
Promotes critical thinking and problem-solving skills by simulating the decision-making process involved in stroke management.
Show steps
  • Identify key steps involved in stroke assessment and management.
  • Develop a flowchart or diagram representing the decision-making process.
  • Include criteria for thrombolytic therapy, endovascular treatment, and other interventions.
  • Share the algorithm with peers or colleagues for feedback.
Follow tutorials on administering intravenous thrombolysis (tPA)
Following tutorials on administering intravenous thrombolysis (tPA) will provide you with practical guidance on how to administer this critical treatment for ischemic stroke.
Show steps
  • Search for reputable online resources or videos that demonstrate tPA administration.
  • Watch the tutorials carefully and take notes on key steps and procedures.
  • If possible, practice administering tPA under the supervision of a qualified healthcare professional.
Attend a Stroke Management Workshop
Offers an immersive and hands-on learning experience conducted by stroke experts, providing practical skills and up-to-date knowledge.
Show steps
  • Identify and register for a relevant stroke management workshop.
  • Attend the workshop and actively participate in the sessions.
  • Engage with講師s and peers to gain insights and share experiences.
  • Apply the knowledge and skills gained in clinical practice or research.
Engage in discussions with other healthcare professionals about stroke management
Engaging in discussions with other healthcare professionals about stroke management will allow you to share knowledge, learn from different perspectives, and improve your overall understanding of stroke care.
Show steps
  • Join online forums or discussion groups dedicated to stroke management.
  • Attend conferences or webinars that focus on stroke care.
  • Collaborate with colleagues on case studies or research projects related to stroke.
Case Study Presentation
Enhances analytical and communication skills by requiring learners to synthesize information and present a structured case analysis.
Show steps
  • Select a real-world case study related to acute stroke management.
  • Analyze the case details, focusing on patient presentation, diagnostic findings, and treatment decisions.
  • Develop a presentation including a discussion of the case, differential diagnoses, and management plan.
  • Present the case study to peers or colleagues for feedback and discussion.
Develop a patient education handout on stroke prevention
Creating a patient education handout on stroke prevention will help you synthesize your knowledge and translate it into practical materials that can empower patients to take an active role in their health.
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  • Gather reliable information from medical journals or reputable websites.
  • Organize the information into a clear and concise handout.
  • Use visuals, such as charts or diagrams, to make the information more accessible.
Participate in a case study competition on stroke diagnosis and management
Participating in a case study competition will challenge you to apply your knowledge in a real-world context and enhance your problem-solving and decision-making skills.
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Show steps
  • Identify case study competitions related to stroke.
  • Thoroughly research the topic of the case study.
  • Collaborate with a team to develop a comprehensive diagnosis and management plan.
Mentor junior healthcare professionals or students interested in stroke care
Mentoring others will not only reinforce your own knowledge but also contribute to the development of future healthcare professionals in the field of stroke care.
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  • Identify opportunities to mentor junior colleagues or students.
  • Share your expertise and provide guidance on stroke-related topics.
  • Encourage your mentees to ask questions and seek your support.

Career center

Learners who complete Atención prehospitalaria del ictus agudo y selección de pacientes para tratamiento endovascular con la escala RACE will develop knowledge and skills that may be useful to these careers:
Stroke Nurse Practitioner
Stroke Nurse Practitioners are advanced practice nurses who specialize in the care of stroke patients. This course provides Stroke Nurse Practitioners with the knowledge and skills to diagnose and treat stroke, as well as to provide ongoing care to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Neurologist
Neurologists diagnose and treat disorders of the nervous system, including stroke. This course provides Neurologists with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide ongoing care to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Stroke Researcher
Stroke Researchers conduct research to better understand the causes, prevention, and treatment of stroke. This course provides Stroke Researchers with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and participate in research studies on stroke. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Emergency Room Physician
Emergency Room Physicians provide care to patients in emergency situations, including those who have suffered a stroke. This course provides Emergency Room Physicians with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide ongoing care to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Stroke Coordinator
Stroke Coordinators are responsible for coordinating the care of stroke patients in a hospital setting. This course provides Stroke Coordinators with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide ongoing care to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Paramedic
Paramedics provide advanced medical care to patients in emergency situations, including those who have suffered a stroke. This course provides Paramedics with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and transport patients to the hospital. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Physical Therapist
Physical Therapists help patients regain or improve their physical function after an illness or injury. This course provides Physical Therapists with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide rehabilitation to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Occupational Therapist
Occupational Therapists help patients regain or improve their functional abilities after an illness or injury. This course provides Occupational Therapists with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide rehabilitation to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Emergency Medical Responder
Emergency Medical Responders provide immediate medical care to patients, including those who may have suffered a stroke. This course provides Emergency Medical Responders with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and transport patients to the hospital. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Speech-Language Pathologist
Speech-Language Pathologists help patients improve their communication and swallowing skills after an illness or injury. This course provides Speech-Language Pathologists with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide rehabilitation to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Patient Navigator
Patient Navigators help patients navigate the healthcare system and access the care they need. This course provides Patient Navigators with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and assist patients in accessing appropriate medical care. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Community Health Worker
Community Health Workers provide health education and support to individuals and families in their communities. This course provides Community Health Workers with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and refer patients to appropriate medical care. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Registered Nurse
Registered Nurses provide care to patients in a variety of settings, including hospitals, clinics, and nursing homes. This course provides Registered Nurses with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide ongoing care to stroke patients. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Health Educator
Health Educators develop and implement health promotion programs in a variety of settings. This course provides Health Educators with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide education to individuals and families about stroke prevention and management. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.
Medical Social Worker
Medical Social Workers provide social and emotional support to patients and their families during times of illness and crisis. This course provides Medical Social Workers with the knowledge and skills to recognize the signs and symptoms of stroke, administer first aid, and provide support to stroke patients and their families. The course also covers the use of the RACE scale, a tool for assessing the severity of stroke symptoms and determining whether a patient is a candidate for endovascular treatment.

Reading list

We've selected nine 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 Atención prehospitalaria del ictus agudo y selección de pacientes para tratamiento endovascular con la escala RACE.
Este libro de texto completo cubre todos los aspectos de las enfermedades cerebrovasculares, incluyendo el ictus, y proporciona información detallada sobre el diagnóstico y tratamiento.
Esta monografia completa de Elsevier ofrece una cobertura integral de la medicina interna, útil como referencia para médicos y estudiantes de medicina.
This handbook provides a concise overview of the Code Stroke initiative, including its goals, implementation, and evaluation. It valuable resource for healthcare professionals involved in the development and implementation of Code Stroke programs.
Esta guia de Lippincott Williams & Wilkins ofrece una guia rápida para interpretar electrocardiogramas y arritmias, útil para profesionales de la salud que necesitan una referencia rápida.
Esta guia de Elsevier ofrece una introducción sencilla a la interpretación de electrocardiogramas, útil para estudiantes de medicina y profesionales de la salud que buscan una revisión.
This booklet provides basic information about stroke, its symptoms, diagnosis, and treatment. It valuable resource for families and friends of stroke patients who are looking for more information about the disease.
Esta guia de McGraw-Hill Education ofrece una revisión completa para el examen de licencia médica de los Estados Unidos (USMLE), útil para estudiantes de medicina.

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