Clinical Resources & Tools - Central East Stroke Network

Clinical Resources

Journey to Recovery After Stroke Resource

Assessment & Screening

Large Vessel Occlusion (LVO Screening)

Los Angeles Motor Scale (LAMS)

Training for EMS Providers – The Ontario Paramedic Prompt Card for Acute Stroke Protocol now includes the addition of the Los Angeles Motor Scale (LAMS) to assist in identifying a large vessel occlusion (LVO). These changes took effect January 11th, 2021. The Cerebrovascular Accident Standard and Acute Stroke Bypass Protocol were updated in March 2023.

ACT FAST Resources

Emergency Departments within CESN are implementing ACT-FAST as a screening tool for LVO. A toolkit has been developed to support training in ACT-FAST.

Stroke Triage Education ACT FAST – CorHealth website

For additional resources visit the 4-24hr Toolkit page

Suggested Screening and Assessment Tools from Canadian Stroke Best Practice Recommendations

Atrial Fibrillation

Videos and patient pamphlet developed by Unity Health to support education on atrial fibrillation. CLICK HERE to access.

Communication

Dysphagia & Nutrition

Canadian Nutrition Screening Tool (CNST) – Validated and tested for reliability by a variety of health care professionals
Subjective Global Assessment (SGA) – This two page form provides the necessary details to assist you in understanding how to complete SGA.
Implementing SGA – Canadian Nutrition Society & the Canadian Malnutrition Task Force

Exercise

Guidelines

Aerobic Exercise after Stroke Guidelines Clinicians Guide consolidates what is known about aerobic exercise for people after stroke or TIA into recommendations for all phases of recovery – Aerobics 2019 Update Aerobic Exercise Recommendations to Optimize Best practice In Care after Stroke
Canadian Stroke Community-based Exercise Recommendations – this resource provides recommendations for program and exercise providers to implement safe and appropriate exercise programs for people with stroke in community settings
Stroke Recovery in Motion Planner – is an evidence-informed, step-by-step toolkit designed to help anyone interested in developing and providing community-based physical activity programs for people with stroke.

Community Exercise Programs for Stroke

FAME – Fitness and Mobility Exercise Program
TIME – Together in Movement and Exercise
Many Cardiovascular Rehabilitation programs include persons with mild non-disabling stroke and TIA . Contact local programs for eligibility, referral processes and program status. Click Here for list of programs

Exercise Videos

Fatigue Post-Stroke

YouTube recording of Best Practice Spotlight Event “Post Stroke Fatigue: frustrated and invisible” – hosted by Southwestern and Central East Stroke Network on 31August2022
Resource flyer for post-stroke fatigue developed by Southwestern and Central East Stroke Network

The recovery experiences of others with stroke can be powerful, encouraging and therapeutic to individuals with stroke, their caregivers, families and friends. The following resources can support stroke care providers to foster a culture of hopeful recovery following stroke.