Advance Stroke Life Support is an 8 hour course. This course addresses the prehospital, emergency department, and stroke unit management of patients with acute stroke. Using interactive discussions, hands-on workshops, multimedia (computerized video clips) and standardized patients (instructors that act out and simulate different stroke symptoms), the course includes a discussion of the differential diagnosis of stroke, rapid recognition of five major stroke symptoms, training in the use of the Miami Emergency Neurologic Deficit (M.E.N.D.) exam (based on the National Institutes of Health Stroke Scale and incorporating the Cincinnati Prehospital Stroke Scale), education regarding the use of thrombolytic therapy in acute ischemic stroke patients, and a detailed discussion of the acute care of stroke patients in the hospital, including prevention of medical complications, rehabilitation in the acute setting, the diagnostic evaluation, secondary stroke prevention strategies, and discharge planning for the patient and family. This course is appropriate for both new and experienced providers, particularly nurses and physicians who work in the emergency departments, stroke unit, and stroke-unit equivalents.


  • Describe why early treatment of patients with acute ischemic stroke may result in a marked reduction in risk of disability.
  • Identify the five main stroke syndromes and relate them to pathophysiology and clinical signs.
  • Perform and describe the benefits of a focused neurologic evaluation to identify stroke, its location, severity, and t-PA considerations.
  • Describe prehospital and emergency department stroke protocols with emphasis on rapid transport and triage and management of airway, glucose, and hypertension.
  • List the differential diagnosis of acute stroke.
  • Explain the logistics of an emergency acute stroke response team.
  • Outline how and when to administer t-PA to acute ischemic stroke patients.
  • Name and characterize the six aspects of acute stroke care for hospitalized patients

Attendance of the entire program as well as scoring at least 80% on the written examination and successfully passing a simulated patient scenario as a Team Leader is required for course completion and certification.

Books: None required at this time

Cost: $180 per participant.