The Ontario Stroke Network is pleased to announce two publications for the Heart and Stroke Foundation’s Canadian Stroke Best Recommendations: Hyperacute Stroke Care Module and Mood, Cognition and Fatigue Module.

Both modules were recently published in the International Journal of Stroke.

Hyperacute Stroke Care Module

These timely recommendations include the new set of recommendations for endovascular treatment, including criteria for centres delivering endovascular care and patient eligibility with inclusion and exclusion criteria. This module was developed under the expert leadership of OSN Best Practice Champion Dr. Leanne Casaubon and Dr. Jean-Martin Boulanger, who dedicated many extra hours to the extensive review process for the endovascular section. All supporting materials (rationale, system implications, performance measures, implementation resources and evidence summaries) are updated and available on the stroke best practices website (

“Endovascular therapy has completely changed acute stroke care in 2015 and these recommendations will provide guidance for healthcare providers and for the system to optimize this care,” said Casaubon. “The Hyperacute Stroke Care 2015 Update also highlights the importance of ‘Working Together’ as a larger interprofessional team to optimize stroke care – including an emphasis EMS systems and the role of paramedics in the early time frame after stroke symptom onset – team work that can help significantly to improve the outcomes of people with stroke/TIA.”

The manuscript can be found on the IJS website at:

Mood, Cognition and Fatigue Module

Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals, and the evidence suggests one-third or more will experience vascular-cognitive impairment, and/or intractable fatigue, either alone or in combination. The 2015 update of the Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Module guideline is a comprehensive summary of current evidence-based recommendations for clinicians in a range of settings, who provide care to patients following stroke. These recommendations are tighter and stronger than ever before. A new section has been added on rehabilitation for stroke patients with cognitive impairment.  Post-stroke fatigue has been added to this module.

The manuscript can be found on the IJS website at: