Which Stroke am I
This stroke has right eye deviation, left side visual field disability and left sided weakness and neglect
We check this to rule out a mimic
What is BGL
(Treat is less then or equal to 60)
ALS should attempt to do this
What is establish 2 Large Bore IVs
Golden Rule in patient care is
What is Do No Harm
This is the last time a patient can be said to be symptom free
What is Last Known Well
To test for this stroke we test eye field test and look for impaired motor control
What is Brain Stem Stroke
(Eyes don't work together and May Affect left face right leg or all four body quadrants)
What is Cincinnati Stroke Scale
What is FAST
(Face, Arm, Speech and Time)
Continued monitoring and remembering that if symptoms go away and then return it resets this
What is the last known well
We continue to monitor this during patient care
What are vitals
These are modifiable Ischemic Stroke Factors (name three)
What is Hypertension, Smoking, Obesity, AFib, Diabetes, Low Physical Activity, Unhealthy Diet, Heavy Alcohol Intake
This patient is emotional and understands what they are having
What is Left Hemispheric Stroke
This should be done as soon as one of the neuro exam parts show positive for a stroke
What is Stroke Code Activation
BLS can obtain and transmit and Paramedics can obtain and read this to rule out any other mimics
What is 12-Lead ECG
Administration of oxygen is only required when
What is O2 Sat is 94% or less
(start at 2 l/min)
Endovascular Therapy can be done up to how many hours after LKW
What is 24 hours
To test for this stroke we use finger to nose to finger and heel to shin
What is a Cerebellar Stroke
This is important to know for choosing the patient's treatment
What is Patient's Past History
(Have been in hospital, have they had surgery, do they have history of AFib or Hypertension, trauma injury to the head)
This exam helps identify the missed strokes when just using CPSS
What is BEFAST
(Balance Eyes Face Arms Speech Time)
We do not treat a stroke patient with glucose unless
What is BGL of less then 60
What is 3 to 4.5 hours
This stroke has left eye deviation, right side visual field defect and right side weakness
What is a Left Hemisphere Stroke
This is the desired scene time
When giving your hand off report remember to report these five things
What is Last Known Well (Exact Time), History of Trauma, Headaches or seizures in last 72 hr., Witness information, Medication, and all Neuro Exam Findings including BGL
We dispatch these two things if we are BLS
What is ALS and Flight Crew
Strokes may mimic (there are five listed try to name them all)