OVERVIEW

Pediatric Stroke: Diagnosis and Management in the Emergency Department (Stroke CME and Pharmacology CME) is organized by EB Medicine.

Publication Date: Nov 02, 2019
CME Expiration Date: Dec 01, 2022

Accreditation:
• 4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
• Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 0.25 Pharmacology CME credits.

Description:
Stroke is a leading cause of morbidity and mortality in children. The etiologies, risk factors, and presentation of stroke differ from those of adults, and the diagnosis of stroke is often delayed in children. The management of pediatric stroke can be challenging because there are few data to support the efficacy of interventions. This issue reviews the most common causes of pediatric stroke, provides guidance for distinguishing stroke from stroke mimics, discusses the indications for diagnostic studies, and offers evidence-based recommendations for treatment in the emergency department. You will learn:
• Common causes of pediatric arterial ischemic stroke (eg, arteriopathies, cardiac etiologies, prothrombotic states, and systemic disorders) and hemorrhagic stroke (eg, arteriovenous malformations, cavernous malformations, aneurysms, and tumors)
• How to differentiate between stroke and common stoke mimics, such as migraine
• Risk factors and physical examination findings that can help narrow the differential diagnosis, including key features of the presentation of pediatric stroke that are different than those of adults with stroke
• Which laboratory studies and imaging modalities should be used to evaluate for stroke or stroke mimics, and which should be ordered after stroke is confirmed
• Evidence-based recommendations for management of arterial ischemic stroke and hemorrhagic stroke in pediatric patients in the emergency department