The Code Stroke Handbook: Approach to the Acute Stroke Patient

About Andrew MicieliDavid J. GladstoneHouman KhosravaniJulia HopyanRaed Joundi

Dr. Micieli completed his undergraduate degree and Business Masters degree at the University of Toronto. He completed his medical school training at the University of Ottawa and is currently a senior adult neurology resident at the University of Toronto. His research focuses on decision analytic models to evaluate the cost-effectiveness of health technologies specifically in atrial fibrillation and intracranial hemorrhage. He is an aspiring stroke neurologist and will be completing his stroke fellowship at the prestigious Calgary Stroke Program. Dr. Joundi received his MD from Queens University and DPhil from Oxford University on a Rhodes Scholarship. He was co-chief neurology resident at the University of Toronto and is pursuing a stroke fellowship at the University of Calgary. Dr. Khosravani is appointed as a Clinician in Quality & Innovation and Assistant Professor of Medicine in the Division of Neurology Department of Medicine University of Toronto. His interests are quality improvement at different levels of care relevant to hyper-acute stroke management and inpatient stroke services. At the level of hyperacute stroke care his focus is on improvement of door-to-needle times for thrombolysis. He is also working on understanding and improving factors that are relevant to a successful thrombectomy program in a comprehensive stroke center. He is medical director of the inpatient stroke unit and interested in development of stroke pathways the overlap between internal medicine and inpatient stroke neurology and development of a framework for excellence in comprehensive neurovascular care. Dr. Khosravani is a member of Thrombosis Canada and interested in the implementation of stroke-best practices in the area of antithrombotics and anticoagulation. Dr. Khosravani also has a strong interest in utilizing computation and computer science to facilitate safe and high quality acute stroke care. Dr. Hopyan is a stroke neurologist and Co-Director of the NeuroDoppler Laboratory at Sunnybrook Health Sciences Centre. She is also a clinician teacher with the University of Toronto and is actively engaged in undergraduate and postgraduate teaching as well as curriculum development in the field of stroke neurology. She runs a busy clinical practice and has interests in neurosonology and large vessel disease. Dr. Gladstone is a stroke neurologist and Associate Professor of Medicine at the University of Toronto. Since 2004 his practice has been based at Torontos Sunnybrook Health Science Centre a designated provincial Regional Stroke Centre where he specializes in stroke diagnosis emergency stroke treatment and stroke prevention. As a clinician Dr. Gladstone is regularly seen rushing into the hospital in the middle of the night to provide emergency consultations as part of the hospitals Code Stroke Team” and for the Ontario Telemedicine Networks provincial Telestroke program. As a researcher he leads clinical trials aimed at improving stroke management and outcomes. As a teacher Dr. Gladstone enjoys training medical students residents international fellows and other healthcare providers on best practices in stroke care.