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Updated: Jul 20, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Stroke: Hospital Nursing Management Within the First 24 Hours
Susan E Wilson1, Susan Ashcraft2
1Department of Neurology, University of North Carolina at Chapel Hill, CB# 7025, 170 Manning Drive, Chapel Hill, NC 27599-7025, USA.
Stroke affects nearly everyone, with 85% being ischemic. This article details critical nursing care for ischemic and hemorrhagic stroke patients within the first 24 hours.
Area of Science:
- Neurology
- Nursing Care
Background:
- Stroke is a leading cause of death and disability in the US.
- Ischemic strokes account for 85% of cases, while 15% are hemorrhagic (intracranial or subarachnoid).
- Effective stroke care requires multidisciplinary nursing involvement across the continuum.
Purpose of the Study:
- To outline essential nursing interventions for stroke patients.
- To focus on the critical first 24 hours of care for both ischemic and hemorrhagic stroke.
Main Methods:
- Literature review of current stroke care protocols.
- Synthesis of nursing responsibilities in stroke management.
Main Results:
- Nurses are vital in stroke identification, assessment, and management.
- Specific care pathways exist for ischemic vs. hemorrhagic stroke.
Conclusions:
- Prompt and accurate nursing assessment is crucial for optimal stroke outcomes.
- Comprehensive nursing care in the initial 24 hours significantly impacts patient recovery.
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