Stroke Training and Awareness Resources (STARs)


Topic Loops

Recurring topics in this subject are listed below as topic loops. These are short tutorials explaining key concepts. When working through the cases links to these topic loops will appear at the bottom of the page.


Adherence

Introduction There have been a number of terms used to describe how well patients take their medicines. You may be...

Alcohol

Introduction Dept of Health guidelines for safe drinking are 2-3 units a day max for men and women with at...

Anticoagulation

Introduction to anticoagulation Anticoagulation may be indicated after an ischaemic stroke if the patient has atrial fibrillation prosthetic heart valves...

Antiplatelet therapy

Introduction Antiplatelet medications, either singly or in combinations, are frequently used to reduce the risk of a further stroke after...

Arterial dissection

Introduction If the inner lining (intima) of an artery tears, spontaneously or due to trauma), blood can travel into the...

Atrial fibrillation

Introduction Atrial fibrillation (AF) is common and becomes more common with increasing age It is often caused by heart disease...

Atrial myxoma

Introduction A very rare tumour usually in the left atrium Usually benign but can be malignant Pieces of the tumour,...

Bacterial endocarditis

Introduction Infection on heart valves which have a poor blood supply and so often cannot get rid of infection Depending...

Behaviour change

Introduction Choosing a healthy lifestyle promotes an individual’s chances of good health An individual’s lifestyle behaviour is influenced by values...

Blood pressure reduction

Introduction to blood pressure lowering medication Medication to lower blood pressure should be considered for secondary prevention after either ischaemic...

Brief interventions

Introduction Brief interventions may be used to give individuals an opportunity to consider their lifestyle behaviours and the effect these...

Carotid intervention

Introduction Carotid endarterectomy is an operation to remove an atheromatous narrowing of the internal carotid artery. This removes the source...

Central Post Stroke Pain (CPSP)

Since Dejerine and Roussy’s description of central pain (CP) after thalamic stroke in 1906, thalamic pain has been the best-known...

Cholesterol reduction

Introduction Increased cholesterol is associated with increased risk of future vascular events Statins should be considered after ischaemic stroke to...

Clinical audit

What is Clinical Audit? Clinical audit is the process used by health professionals to assess, evaluate and improve the care...

Clinical standards

What are the Clinical Standards for Stroke Care in Scotland? Scottish Stroke Care Standards NHS Quality Improvement Scotland (NHS QIS)...

Diabetes management following stroke

Introduction to diabetes To diagnose diabetes accurately one needs to understand the glucose levels that are associated with impaired glucose...

Diet

Diet and secondary prevention of stroke Scotland’s diet is a major cause of poor health in the country. The Scottish...

Evidence

Evidence in its broadest sense includes everything that is used to determine or demonstrate the answers to our clinical questions....

Evidence based guidelines

What are Evidence based guidelines? Evidence-based guidelines are collections of statements which recommend how patients with certain conditions should be...

Giant cell arteritis

Introduction A disease which occurs in people over 50 yrs and more often much older – it is exceptionally rare...

Headache after stroke

Overall prevalence 25 – 60% Ischaemic stroke 25 – 30% Haemorrhagic stroke 34 – 60% Headache after stroke or TIA...

Health and weight

Introduction Obesity is a major public health concern in Scotland and levels continue to rise. Obesity is estimated to be...

Illicit drugs

Illicit drugs and stroke Recent research in Scotland (2006 ISD) reports one in three Scots have taken illicit drugs at...

Improving patient care

Introduction to Quality Improvement Using the outputs of audit coupled with the evidence from research, guidelines and standards the stroke...

Mood screening

When should you screen for mood disturbance? SIGN 118 (2010) and RCP Guidelines (2016) recommend that all stroke patients should...

Patent foramen ovale

Introduction A patent foramen ovale (PFO) is present in all babies prior to birth (to allow blood to by-pass the...

Physical activity

Headlines ...

Research

Research can give us the answers to our questions about how to deliver high quality stroke care There are different...

Smoking

Evidence of stroke risk Epidemiological studies show that cigarette smoking is a major independent risk factor to stroke. (Goldstien et...

Understanding risk

Risk of stroke after TIA / minor stroke The red men represent people having strokes. 10 people will have a...