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Despite the increase in the global burden of stroke, progress is being made. In 2008, years after being the third leading cause of death in the United States, the stroke fell to fourth place. In part, this may reflect the results of the AHA / ASA commitment more than a decade ago to reduce stroke, coronary heart disease and 25% Beginning of 2009). The cause of multi-factor success included improved prevention and improved care during the early hours of acute stroke. To continue these encouraging trends, health and general care professionals must remain vigilant and committed to improving overall stroke care. This paper discusses opportunities for optimal stroke care in the acute stage of stroke.

The intended audience of these updated guidelines is health care professionals involved in identifying, evaluating, transferring, and managing emergencies for patients with acute stroke. This includes pre-hospital care providers, emergency department doctors and nurses, stroke team members, inpatient nurses, hospital doctors, general practitioners, hospital officials, and health care personnel. These guidelines include acute diagnosis, stabilization, acute medical and surgical treatments for acute stroke, in addition to early inpatient management, secondary prevention and management of complications. Over the past several years, many new guidelines, policy statements and recommendations have been developed on EMS strategies within stroke care systems, acute stroke imaging, stroke management in infants, children, nursing, multidisciplinary care for acute stroke, prevention Primary Stroke, Stroke Care Systems, and Management of Ischemic Transient Attack (TIA) related to acute stroke have been published by AHA / ASA. To minimize repetition, the reader will be referred to these publications where appropriate. 2-10

The Stroke Board in AHA / ASA assigned the assembled authors, who represent the fields of Cardiology, Emergency Medicine, Neurosurgery, Nursing, Radiology, Rehabilitation, Critical Neuroscience, Vascular Neurons, Vascular Neuroscience, to review and update management guidelines Acute stroke. 11.13 At the time of writing these guidelines, the Panel applied evidence rules and formulated the strength of recommendations used by other AHA / ASA panels (Tables 1 and 2). The data was collected through a systematic review of the literature. Due to the wide range of guidance, individual members of the team were appointed as primary and secondary authors of the individual sections, and the Committee evaluated the full guidance. If the Committee concludes that the data support or do not support the use of a particular intervention, appropriate recommendations have been made. In some cases, supporting evidence based on clinical trial research was not available for a particular intervention, but the Commission made a specific recommendation based on pathophysiological thinking and expert practice. In cases where strong experimental, physiological and experimental data were not available, no specific recommendation was made. Recommendations that have been changed or added since the publication of the previous guideline with explicit statements indicating the revised or new situation.