Acute Stroke Management in the Emergency Setting

Dr Alvin Ntembe

The document outlines the epidemiology and classification of stroke, distinguishing ischemic (87%) from hemorrhagic (13%) events and describing their subtypes. It details emergency assessment tools such as the ABCDE primary survey and neurological scales like NIHSS and GCS. Management recommendations include blood pressure targets, mechanical thrombectomy for ischemic stroke, and osmotherapy (mannitol, hypertonic saline) for hemorrhagic stroke. It also covers supportive care, complication prevention, and seizure control with specific antiepileptic drug dosing and side‑effect profiles. References to major guidelines and trials (e.g., INTERACT2, AHA/ASA) are provided for further reading.