Cerebrovascular disease is the most common cause of adult disability in the United States, affecting 740,000 people annually. The 2005 estimated direct and indirect costs of caring for these individuals is $56.8 billion. Stroke care is a rapidly evolving field in which expeditious and careful inpatient care significantly affects outcome. Hospitalists are frequently the primary provider of care for these inpatients. Therefore, it is incumbent on the hospitalist to develop the knowledge and skills needed to identify and manage strokes, coordinate specialty and primary care resources, and guide patients safely and cost-effectively through the acute hospitalization and back into the outpatient setting
This activity has been designed to meet the educational needs of hospitalists involved in the management of patients who have experienced stroke and TIA.
Upon completion of this activity, the participant will be able to:
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Describe the ischemic and hemorrhagic causes of stroke |
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Discuss the relationship between the anatomic location of stroke and clinical presentation |
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Describe appropriate imaging and laboratory evaluation to guide therapy and determine etiology in patients with and without traditional risk factors |
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List risk factors for ischemic and hemhorragic stroke |
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State indications and contraindications for thrombolytic therapy |
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State indications for early surgical and endovascular interventions |
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Identify goals for hospital discharge including indicators of clinical stability |
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David Likosky, M.D.
Practicing Hospitalist/Neurohospitalist,
Evergreen Hospital
Kirkland, Washington
Clinical Instructor,
University of Washington |
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Postgraduate Institute of Medicine (PIM) and the Society of Hospital Medicine. PIM is accredited by the ACCME to provide continuing medical education for physicians.
PIM designates this educational activity for a maximum of 1.0 category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
Postgraduate Institute for Medicine (PIM) 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 PIM for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.The following faculty reported a real or apparent conflict of interest:
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| David Likosky |
Nothing to disclose |
The following planners and managers reported a real or apparent conflict of interest:
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| Jane Mihelic |
Nothing to disclose |
There are no fees for participating and receiving CME credit for this activity. During the period July 2005 through July 31, 2006, participants must 1) read the learning objectives and faculty disclosures; 2) study the educational activity; 3) complete the posttest by recording the best answer to each question in the answer key on the evaluation form; and 4) complete the evaluation form.A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed posttest. Your statement of credit will be automatically generated and presented on the screen after completion of the posttest and evaluation form.
This activity is supported in part through an educational grant from Boehringer-Ingelheim Pharmaceuticals, Inc.
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This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Postgraduate Institute for Medicine (PIM), the Society of Hospital Medicine and Boehringer Ingelheim Pharmaceuticals, Inc. do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of PIM, the Society of Hospital Medicine, and Boehringer Ingelheim Pharmaceuticals, Inc. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
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.
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Stroke and TIA: Truths, Half-Truths, and Outright Lies
Presented by David Likosky, M.D. |
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Estimated time to complete activity: 1 hour
Date of Release: July 2005
Media: Internet
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