American Heart Association logo

Gold-level Rural Stroke Recognition
Tahoe Forest Hospital, Incline Village Community Hospital
American Heart Association Get With The Guidelines®

Primary Stroke Certification
Tahoe Forest Hospital
Accreditation Commission for Health Care (ACHC)

When a stroke happens, minutes determine outcomes.

Stroke teams at Tahoe Forest Hospital and Incline Village Community Hospital follow rigorous, evidence-based clinical guidelines for acute stroke care and are equipped to recognize, evaluate, and rapidly respond to stroke here in the Truckee-Tahoe region. With state-of-the-art CT imaging, 24/7 access to teleneurology expertise, and established protocols for time-sensitive clot-busting medications when clinically appropriate, our teams provide rapid, coordinated care when every minute matters.

Beyond emergency treatment, we are committed to helping you understand your risk and prevent a stroke before it happens.

Meet our stroke specialists

Stroke care depends on the people behind it. Our stroke team brings together emergency medicine, neurology, and nursing expertise, working together to get you the fastest, most effective care possible, from the moment you arrive through recovery.

Dr. Abby Young

Dr. Abby Young

Stroke Operations Director

Dr. Abby Young, a DO specializing in emergency medicine, has been a dedicated member of the Tahoe Forest Hospital team since 2015. Driven by a deep commitment to her community, she has been instrumental in building the Tahoe Forest Stroke Program. Dr. Young’s passion lies in empowering Tahoe residents to maintain their active and healthy lifestyles. She focuses on establishing preventative care, ensuring rapid access to optimal emergency stroke care and improving access to post-stroke care and rehabilitation within the Tahoe Forest System.

Dr. Joshua Kreiss

Dr. Joshua Kreiss

Neurology Advisor

Dr. Joshua Kreiss is a neurologist with nearly 20 years of experience caring for stroke patients in both inpatient and outpatient settings. He received specialized training in stroke care during his neurology residency at Brown University. Dr. Kreiss served as Stroke Director at St. Mary’s Medical Center for five years, then held the same role at Tahoe Forest for three years before transitioning to his current position as Stroke Program Neurology Advisor. He remains committed to supporting high-quality, evidence-based stroke care in our community.

Julie Morgan headshot

Julie Morgan RN, CEN CPEN

Stroke Coordinator, Emergency Department

Julie Morgan is a registered nurse licensed in both Nevada and California, specializing in emergency medicine, pediatric emergency medicine, and stroke care, with more than 20 years of experience and a dedicated member of the Tahoe Forest Hospital team since 2008.

A longtime Lake Tahoe resident, she has played an instrumental role in building the hospital’s stroke program and is passionate about empowering community members through prevention-focused care, rapid access to emergency stroke treatment, and improved post-stroke rehabilitation.

Julie also collaborates with regional stroke coordinators across California and Nevada to strengthen partnerships and improve outcomes, work that has helped earn Tahoe Forest Hospital Gold-level recognition in the American Heart Association’s Rural Stroke Care Accelerator Program and Primary Stroke Center designation from the Accreditation Commission for Health Care.

Liz Cook

Stroke Champion IVCH

Awards & recognition

2025 Get with the Guidelines Rural Stroke Award designation seal
The American Heart Association’s Get With The Guidelines® - Stroke Rural Recognition Gold award recognizes efforts to address the unique health needs of rural communities

Learn more

For more information visit the American Stroke Association, a division of the American Heart Association

The Primary Stroke Certification by the Accreditation Commission for Health Care (ACHC) reflects Tahoe Forest Hospital’s dedication and commitment to meeting standards that facilitate higher level of performance and patient care.

Learn more

For more information, visit the Accreditation Commission for Health Care (ACHC).

What is stroke?

A stroke is a serious medical condition that occurs when blood flow to the brain is interrupted or reduced, preventing brain tissue from getting the oxygen and nutrients it needs. This disruption can cause brain cells to die within minutes, leading to potentially severe and life-altering consequences. Strokes are a leading cause of disability and death worldwide, making it crucial to understand the condition and recognize its warning signs.

Types of stroke

There are three main types of stroke:

  • 1

    Ischemic stroke: This is the most common type of stroke, accounting for about 87% of all cases. It occurs when a blood clot or other obstruction blocks blood flow to the brain.

  • 2

    Hemorrhagic stroke: This type occurs when a blood vessel in the brain bursts, leading to bleeding in or around the brain. Common causes include high blood pressure and aneurysms.

  • 3
    Transient ischemic attack (TIA): Often called a "mini-stroke," a TIA is a temporary period of symptoms similar to a stroke. It doesn’t cause permanent damage but serves as a warning sign for future strokes.

Learn more about different types of stroke

Symptoms of stroke

Recognizing the symptoms of a stroke quickly can save lives. Use the acronym BE FAST to identify the warning signs:

B

Balance

Sudden loss of balance or coordination.
E

Eyes

Sudden trouble seeing in one or both eyes.
F

Face

Ask the person to smile. Is one side of the face drooping or numb?
A

Arms

Ask the person to raise both arms. Does one arm drift downward or is it weak?
S

Speech

Ask the person to repeat a simple sentence. Is their speech slurred or hard to understand?
T

Time to Call 911

If any of these symptoms are present, call emergency services immediately.

Other symptoms may include sudden confusion, vision problems, severe headache, or difficulty walking.

Hi, I'm Dr. Abby Young. I'm an Emergency Physician and the Stroke Adviser at Tahoe Forest Emergency Department, and today we're going to talk about stroke.

Stroke is an important topic as it is the fifth leading cause of death and disability in the United States and the third leading cause of death for women. Stroke can occur at any age, but we typically do tend to see it in the later decades of life.

There are two different types of stroke. The first type of stroke is ischemic stroke. Ischemic stroke occurs when there's a blockage of blood flow to the brain. The blockage of blood flow leads to brain and cell death.

The second type of stroke is called hemorrhagic stroke. This type of stroke occurs when there is a leaking blood vessel in the brain and blood leaks into the brain. Both types of stroke can cause permanent disability and death, so it is important to identify and treat stroke as quickly as possible.

Because early identification of stroke signs and symptoms is so important, we recommend that everyone be aware and use the B.E. F.A.S.T. mnemonic so that you can recognize signs of stroke in yourself, in family, or in other people around you and get help as quickly as possible.

B – Balance or dizziness. If you have any signs of imbalance or acute dizziness, this can be a sign of stroke.
E – Eyes. If you have any loss of vision or change in vision, this can also be a sign of stroke.
F – Face. If you have a facial droop or facial weakness, this can also be a sign of stroke.
A – Arm. Arm or leg weakness or numbness can be a sign of stroke.
S – Speech. If you have garbled speech, slurred speech, or word-finding difficulties, this can also be a sign of stroke.
T – Time, because every minute that we delay in getting stroke care leads to millions of brain cells dying.

We want you to call 911 as soon as possible or present to the closest emergency department.

In ischemic stroke, there are two different types of treatment. The first is a medication called a thrombolytic. The thrombolytic is a medication that can be given in the emergency department and breaks up the clot or the blockage that's causing the lack of blood flow to the brain.

The second type of treatment for thrombolytic stroke is called a thrombectomy. This is a mechanical procedure where a physician threads a catheter through your vessels and is able to mechanically break up the blockage and restore the blood flow to your brain.

The treatment for hemorrhagic stroke is important to identify the stroke as early as possible so that we can control blood pressure and reverse any medications that may be causing your blood to be too thin. In addition, there are neurosurgical procedures that can be performed to stop the leaking blood vessels in the brain.

For all treatments of stroke, it is very important to rapidly identify the symptoms of stroke and what type of stroke it is so we can get treatment as soon as possible.

I'm Dr. Abby Young, Tahoe Forest Emergency Physician and Stroke Adviser. Thanks for joining me.

Causes & risk factors

Several factors can increase the risk of stroke, including:

  • 1

    Medical conditions: High blood pressure, diabetes, heart disease, and high cholesterol.

  • 2
    Lifestyle choices: Smoking, excessive alcohol consumption, poor diet, and lack of physical activity.
  • 3
    Age and gender: While strokes can happen at any age, the risk increases with age. Men are slightly more likely to have strokes, but women tend to have worse outcomes.
  • 4

    Family history: A family history of stroke can raise your risk.

Prevention

Preventing a stroke often involves managing risk factors and making healthy lifestyle choices. Here are some steps you can take:

Treatment and recovery

Treatment for stroke depends on its type and severity and may involve medication, surgery, or both. Recovery is a highly individual process that often includes physical, occupational, and speech therapy, as well as support for cognitive and emotional health. Support from medical professionals, family, and caregivers plays a crucial role in helping stroke survivors regain independence.

Learn more on our recovery page and conditions and diagnoses page.

For questions about follow-up care, contact the Stroke Care Coordinator at (530) 550-6715 (Wednesday, Thursday, and Friday).

Resources

Learning how diet and lifestyle choices can reduce your risk of stroke is one of the most important steps you can take. Our healthy living page covers heart-healthy eating approaches including the DASH and Mediterranean plans, practical tips for building better habits, and links to additional resources from the American Heart Association.

Healthy living for stroke prevention and recovery

The following pages provide detailed information about specific stroke-related conditions, how they affect the brain, and available treatment options.

Find a support group to help prevent stoke or cope with challenges as a caregiver.