Clinical Conversations: Acute Stroke Treatments and Secondary Stroke Prevention | Part One

Prof Bruce Campbell

writer

Prof Bruce Campbell

Neurologist; Head, Neurology and Stroke, Royal Melbourne Hospital; Professor of Neurology, Department of Medicine, Royal Melbourne Hospital

 

Never before has it been so important to educate our patients about the importance of calling triple zero promptly if they have symptoms that could be a stroke as this will result in far better outcomes. The F.A.S.T. test should be displayed in all medical waiting rooms and hospitals. Professor Bruce Campbell explains the newest technology and medications used in acute stroke and secondary stroke prevention. This is part one of a two-part article.

This is part one of this series. Read Part 2 >>

Practice points

• The first message we promote are the most common signs of stroke. So F is for face droop, A is for arm, if the arm is weak, S is for speech, if it is slurred or incomprehensible, T is for time to call triple zero.
• Do not try to give a stroke patient anything orally, do not to give them aspirin as it could be a haemorrhage, do not treat hypertension.
• If you get a focal deficit that is sudden onset (the average duration is about ten minutes,), the patient needs exactly the same workup as a stroke.
• Look at the carotid arteries, look for atrial fibrillation, start anti-platelet therapy really quickly. Brain imaging is very worthwhile, such as a CT scan to exclude a bleed; an MRI should be normal in a TIA.
• Endovascular thrombectomy, physically removing the clot via an angiogram, is of major benefit for patients with a large artery occlusion, such as the middle cerebral carotid territory or the vertebral artery, within six hours of onset.
• The proportion of stroke patients who benefit from active management does drop off rapidly with time.

PASSWORD RESET

Forgot your password or password not working? Please enter your email address. You will receive an email with the link to set a new password.

Further your CPD learning

Based on this educational activity, complete these learning modules to gain additional CPD.

Icon 2

NEXT LIVE Webcast

:
Days
:
Hours
:
Minutes
Seconds
Prof Rod Baber

Prof Rod Baber

Menopausal Hormone Therapy - What Dose of Estrogen is Best?

Dr Adam Nelson

Dr Adam Nelson

Cardiovascular Benefits of GLP1s – New Evidence

Dr Kathleen McNamee, Prof Sonia Grover

Dr Kathleen McNamee, Prof Sonia Grover

Oral Contraceptive Pill in Teens

Prof Andrew Sindone

Prof Andrew Sindone

RSV and the Heart

Join us for the next free webcast for GPs and healthcare professionals

High quality lectures delivered by leading independent experts

Share this

Share this

Prof Bruce Campbell

writer

Prof Bruce Campbell

Neurologist; Head, Neurology and Stroke, Royal Melbourne Hospital; Professor of Neurology, Department of Medicine, Royal Melbourne Hospital

Test your knowledge

Recent articles

Latest GP poll

Do you believe the current authority prescription system should be:

Modified but kept in place

0%

Eliminated entirely without replacement

0%

Maintained as is

0%

Completely replaced with an alternative system

0%

Recent podcasts

Listen to expert interviews.
Click to open in a new tab

Find your area of interest

Once you confirm you’ve read this article you can complete a Patient Case Review to earn 0.5 hours CPD in the Reviewing Performance (RP) category.

Select ‘Confirm & learn‘ when you have read this article in its entirety and you will be taken to begin your Patient Case Review.

Menopause and MHT

Multiple sclerosis vs antibody disease

Using SGLT2 to reduce cardiovascular death in T2D

Peripheral arterial disease