ASLS Online: Prehospital & In-Hospital Provider

ASLS® Online: Prehospital and In-Hospital Provider; Enduring Web course

Original Release Date: 02/28/2022

Last Review Date: February 2022

Termination Date: 02/27/2025

Description

The ASLS Online: Prehospital and In-Hospital Provider course aims to educate healthcare providers to optimize the identification, evaluation, and management of patients with stroke. It is appropriate for all healthcare providers involved in the management of acute stroke patients and meets the education requirements for Stroke Center Certification.

Learning Objectives

At the conclusion, participants should be able to:
1. Describe why early treatment of stroke may result in a marked reduction in risk of disability
2. Identify the 5 main stroke syndromes and relate them to pathophysiology and clinical signs
3. Perform a focused evaluation to identify stroke and its location and assess its severity
4. Define the initial management of patients with ischemic and hemorrhagic strokes
5. Describe the principle of prehospital stroke management that make up the current standards of care
6. Determine when to call a stroke alert and quickly transport the patient to the nearest appropriate facility
7. Communicate the patient’s symptoms, time of onset, and neurologic exam clearly and succinctly with hospital personnel
8. Define the priorities for the stroke patient during interfacility transport
9. Explain the importance of an organized approach to treating stroke patients for improved patient outcomes
10. Describe the management goals for acute ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage
11. Outline post–acute care management: supportive medical care, rehabilitation, and discharge planning for stroke patients
12. Discuss the etiologic evaluation and secondary stroke prevention for stroke patients

Accreditation Terms

Joint Accreditation: 02/28/2022 – 02/27/2025
CAPCE: 02/28/2022 – 02/27/2025
AARC: 06/28/2024 – 06/28/2025

Accreditation Statements

In support of improving patient care, this activity has been planned and implemented by the American Heart Association and the Gordon Center for Simulation and Innovation in Medical Education, University of Miami. The American Heart Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

AMA Credit Designation Statement - Physicians

The American Heart Association designates this activity for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

**AMA Credit must be claimed within 6 months of course completion. CE will no longer be available to claim for this activity after 6 months of course completion.

AAPA Credit Acceptance Statement – Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 4.5 hours of Category I credit for completing this program.

AANP Credit Acceptance Statement – Nurse Practitioners

American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME.

ANCC Credit Designation Statement - Nurses

The maximum number of hours awarded for this CE activity is 8.0 contact hours.

**ANCC Credit must be claimed within 6 months of course completion. CE will no longer be available to claim for this course after 6 months of course completion.

Continuing Education Accreditation – Emergency Medical Services

This continuing education activity is approved by the American Heart Association, an organization accredited by the Commission on Accreditation of Pre-Hospital Continuing Education (CAPCE), for 6.75 Advanced CEHs, activity number 22-AMHA-F3-0018.

**CAPCE credit must be claimed within 6 months of course completion. CE credit will no longer be available to claim for this course after 6 months of course completion.

By claiming CAPCE credit, the claimant acknowledges the following: I understand that the American Heart Association as a requirement of CAPCE accreditation will submit a record of my course completions to the CAPCE AMS. I further understand that my course completion records may be accessed by or shared with such regulators as state EMS offices, training officers, and NREMT on a password-protected, need-to-know basis. In
addition, I understand that I may review my record of CAPCE-accredited course completions by contacting CAPCE.

Continuing Education Credit Statement – Respiratory Therapists

This non-traditional program has been approved for 6.25 contact hour(s) Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd., Suite 100, Irving, TX
75063. Course # 190177000

Participation and Successful Completion

Successful completion of this CE activity includes the following:
1. Complete all portions of the online course
2. Complete the course evaluation
3. Print the Certificate/Statement of Credit

Disclosure Statement

All persons in a position to control educational content of a CE activity provided by the American Heart Association must disclose to the audience all financial relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. The presence or absence of all financial relationships will be disclosed to the audience in activity materials. All unlabeled/unapproved uses of drugs or devices discussed will also be disclosed to the audience. All relevant financial relationships have been mitigated prior to the commencement of the activity.

The following authors/faculty have declared NO financial interest(s) and/or affiliations (check for not conflicts):
Ivette Motola, MD, MPH, FACEP
Scott M. Silvers, MD, FACEP
John E. Sullivan, MD
Robert B. Tober, MD, FACEP
Evelyn V. Anzardo, MSN/Ed, RN, EMT-P
Michelle L. Hill, MS, AGCNS-BC, CNRN, SCRN
Dayna A. James, RN
Jeffrey A. Groom, PhD, CRNA
Angel A. Brotons, EMT-P
Steven P. Carter, NRP
Stephen Martell, EMT-P
Amaury Hernandez, EMT-P
Donald F. Guillette, RN, EMT-P
Erika T. Marulanda-Londono, MD
Patrick S. Reynolds, MD
Jaffar Khan, MD, FAAN
S. Barry Issenberg, MD, FACP
Ross J. Scalese, MD
Peter D. Panagos, MD, FAHA, FACEP
Charles Wira, MD
Karin Nystrom, APRN
Susan Ashcarft, DNP, APRN, ACNS-BC, CCRN-K, SCRN,FAHA
Gilberto Torres, LP, BS
Tracy Madsen, MD
Christine Holmstedt, DO, FAHA
Tamra Ranasinghe, MD
Sallie Johnson, PharmD, BCPS
Richard D. Rodriguez-Perez, MA
Lawrence Sanders, MD
Kristin Pham
Lana Gent, PhD
Melissa Mahgoub, PhD

The list represents the relationships that may be perceived as actual or reasonable conflicts of interest as reported on the Disclosure Questionnaire, which all AHA volunteers are required to complete and submit. The focus is on relevant financial relationships with commercial interests in the 24-month period preceding the time that the individual is being asked to assume a role controlling content:
Nicolás Riera López, MD - Angels Initiative (Teaching Fees)
Edward C. Jauch, MD, MS, FAHA, FACEP - Rapid.AI, Genentech, Astra Zeneca (Consultant); Medical Legal Reviewer
Carl Hinkson, MS, RRT-ACCS, NPS, FAARC - AARC (Elected Official); Prov-St.Joseph Health (Employee);
Monoghan Medical (Speaker)

Target Audiences

1. Paramedics and Emergency Medical Personnel
2. Residents
3. Fellows
4. Nursing students and nurses
5. Medical students
6. Physicians in training and practice
7. Physician assistants
8. Respiratory therapists

ADA Statement

The American Heart Association and American Stroke Association strive to make our websites accessible. The American Heart Association and American Stroke Association are committed to diversity, inclusion, and meeting the needs of all of our constituents, including those with disabilities. We are continually improving our digital assets to comply with the accessibility guidelines for levels A and AA in accordance with WCAG 2.0+.

The American Heart Association does not provide advice to Training Centers on ADA requirements or any other laws, rules or regulations. Training Centers must determine accommodations necessary to comply with applicable laws. AHA recommends consultation with legal counsel.

Core curriculum change requests for accessibility purposes must be scientifically based and approved in advance in writing by the AHA ECC Science & Product Development department; otherwise a student must be able to successfully perform all course requirements (skills and written tests as indicated) to receive a course completion card. Reasonable accommodations may be made, such as placing the manikin on a table at the height necessary for wheelchair-bound individuals. However the skills must be satisfactory completed during the testing sessions. Guidelines for accommodating students with special needs or disabilities may be found in the Program Administration Manual.