Canadian Stroke Best Practice Guidance During the COVID-19 Pandemic

Early Impact of the COVID-19 Pandemic on Acute Stroke Treatment Delays

“…With the outbreak of coronavirus disease 2019 (COVID-19), usual stroke care logistics have been disrupted worldwide. 1 Guidelines currently recommend screening suspected stroke patients for COVID-19 and employing appropriate precautions to prevent contamination of healthcare workers and other patients, 2,3 while some groups have proposed protected acute stroke evaluation algorithms. 4 Our institution's modified code stroke protocol includes use of personal protective equipment during all acute stroke evaluations and systematic COVID-19 screening for all code stroke patients with a nasopharyngeal swab and polymerase chain reaction (PCR).…”

Practical Guidance for Outpatient Spasticity Management During the Coronavirus (COVID-19) Pandemic: Canadian Spasticity COVID-19 Task Force

“…• Assess with telemedicine and plan for in-person assessment once asymptomatic (defined as 10 days from symptom onset AND no fever without fever-reducing medication AND symptom resolution with the exception of post-viral cough). 4,10 THE CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES…”

“…2 The COVID-19 pandemic has affected health-care systems worldwide including physical medicine and rehabilitation (PMR) and neurology practices in Canada. [3][4][5] Inpatient hospital care for the management of patients with COVID-19 has been prioritized, while elective surgeries and outpatient clinics have been limited or canceled as part of resource allocation management and mitigation of risks during the pandemic. Subsequently, the delivery of outpatient spasticity care in the PMR and neurology setting has been directly impacted.…”

Peculiarities and recommendations of acute stroke treatment during the COVID-19 pandemic

“…Pa pil do mø ty ri mø (trom bo e las tog ra fi jos, D-di me rø kie kio nu sta ty mo) prieð in tra ve ni nae trom bo li zae to kiems li go niams reikð më ir rei kalin gu mas kol kas në ra aið kûs [2]. Nors al ter na ty vaus trombo li ti ko te nek tep la zës su ðvirkð ti mas yra trum pes nis ir reika lau ja ma þes nio kon tak to su pa cien tu, vie to je al tep la zës jos nau do ti ne re ko men duo ja ma, ka dan gi te nek tep la zës efek ty vu mas ir do za vi mas kol kas në ra pa tvir tin ti [25].…”