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.
Stroke and treatment options
THE STROKE CODE
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
Montse Gorchs Molist, Frances Xavier Jiménez Fabregas and Natalia Perez de la Ossa
There is a lot of practical information here that is useful for a wide range of audiences - lay people, allied health professionals, medical students, general practitioners and even neurologists-in-training. An adequate coverage of the basics of stroke pathophysiology, diagnosis and management was provided before dwelling on the aforementioned RACE scale. Covering the "context" of the practice in the form of a primer to the Catalonian regional stroke system is also a nice touch.