Recommendations

Overview, Methods and Knowledge Exchange

Acute Stroke Management

1. Stroke Awareness, Recognition and Response

2. Triage and Initial Diagnostic Evaluation of Transient Ischemic Attack and Non-Disabling Stroke

3. Emergency Medical Services Management of Acute Stroke Patients

4. Emergency Department Evaluation and Management of Patients with Transient Ischemic Attack and Acute Stroke

5. Acute Ischemic Stroke Treatment

6. Acute Antithrombotic Therapy

7. Early Management of Patients Considered for Hemicraniectomy

8. Acute Stroke Unit Care

9. Inpatient Prevention and Management of Complications following Stroke

10. Advanced Care Planning

11. Palliative and End of Life Care

Secondary Prevention of Stroke

Prevention of Stroke Definitions

Core Elements of Delivery of Stroke Prevention Services

1.Triage and Initial Diagnostic Evaluation of Transient Ischemic Attack and Non-Disabling Stroke

2. Lifestyle and Risk Factor Management

3. Blood Pressure and Stroke Prevention

4. Lipid Management

5. Diabetes Management in stroke

6. Antiplatelet Therapy for Ischemic Stroke and Transient Ischemic Attack

7. Anticoagulant Therapy for Atrial Fibrillation

8. Perioperative Management of Anticoagulant and Antiplatelet Therapy

9. Management of Extracranial Carotid Artery Disease and Intracranial Atherosclerosis

10. Other Cardiac Issues in Individuals with Stroke

11. Cancer-Associated Ischemic Stroke

Rehabilitation and Recovery following Stroke

1. Initial Stroke Rehabilitation Assessment

2. Stroke Rehabilitation Unit Care

3. Delivery of Inpatient Stroke Rehabilitation

4. Outpatient and In-Home Stroke Rehabilitation (including Early Supported Discharge)

5.1 Management of the Upper Extremity following Stroke

5.2 Range of Motion and Spasticity in the Shoulder, Arm and Hand

5.3 Management of Shoulder Pain & Complex Regional Pain Syndrome (CRPS) following Stroke

6.1 Balance and Mobility

6.2 Lower Limb Spasticity Following Stroke

6.3 Falls Prevention and Management

7. Assessment and Management of Dysphagia and Malnutrition Following Stroke

8. Rehabilitation of Visual Perceptual Deficits

9. Management of Central Pain

10. Rehabilitation to Improve Language and Communication

11. Virtual Stroke Rehabilitation

Transitions and Community Participation Following Stroke

1. Supporting People with Stroke, Their Families and Caregivers

2. Education for People with Stroke, Their Families and Caregivers

3. Interprofessional Care Planning and Communication

4. Community Participation Following Stroke

5. Transition to Long-Term Care Following a Stroke

6. Post-Stroke Depression

7. Post-Stroke Fatigue

Management of Spontaneous Intracerebral Hemorrhage

1. Emergency Management of Intracerebral Hemorrhage

2. Inpatient Care Following Intracerebral Hemorrhage

3. Secondary Stroke Prevention in an Individual with Intracerebral Hemorrhage

NEW Cerebral Venous Thrombosis

1. Diagnosis and Initial Clinical Assessment of Symptomatic Cerebral Venous Thrombosis

2. Acute Treatment of Symptomatic Cerebral Venous Thrombosis

3. Post-Acute Management of Cerebral Venous Thrombosis and Person-centered Care

4. Special Considerations in the Longterm Management of Individuals with Cerebral Venous Thrombosis

5. Considerations related to Cerebral Venous Thrombosis in Special Circumstances

NEW Vascular Cognitive Impairment

1. Screening, Assessment and Diagnosis

2. Management of Vascular Cognitive Impairment

3. Cognitive Rehabilitation

4. Support for Individuals with VCI, Their Families and Caregivers

5. Palliative and End-of-Life Care

Virtual Technology

Telestroke Definitions

Acute Stroke Management During Pregnancy

1. Initial Emergency Management

2. Diagnostic Imaging

3. Acute Ischemic Stroke Treatment: Intravenous Thrombolysis and Endovascular Treatment

4. Management of Acute Hemorrhagic Stroke during Pregnancy (subarachnoid hemorrhage, intracerebral hemorrhage)

5. Anesthetic Management in the setting of Acute Stroke during Pregnancy

6. Early Post-Stroke Management in a Pregnant Woman

7. Post-Stroke Antenatal Obstetric Considerations for Women with a Stroke in Pregnancy

8. Intrapartum Considerations

9. Post-Partum Management

Prevention of Recurrent Stroke in Pregnancy

1. General management considerations prior to, during, and after pregnancy in a woman with stroke

2. Specific Management Considerations for Secondary Stroke Prevention during Pregnancy

3. Management Considerations for Specific Ischemic Stroke Etiologies in Pregnancy

Pediatric Stroke

Acetylsalicylic Acid (ASA) for Prevention of Vascular Events

1. Acetylsalicylic Acid (ASA) for Prevention of Vascular Events