Show:
Recognition
Medications
Last Known Well
Odds and Ends
Types of Stroke
100
Scale used by EMS to assess for Stroke.
What is the Cincinnati Stroke Scale?
100
This is the best method for determining which medications the patient is on.
What is the patient's home med list?
100
The most recent time the patient was in their usual state of health.
What is Last Known Well?
100
Patient with a neurological deficit and a Last Known well of < 12 hours.
What is the parameters for a Code Stroke?
100
Patient develops stroke symptoms that completely resolve within 24 hours and no infarct noted on MRI.
What is a Transient Ischemic Attack?
200
A simplified assessment tool taught to the public to recognize stroke.
What is the F.A.S.T. exam?
200
Up to 4.5 hours from Last Known Well
What is the treatment time frame for Alteplase?
200
An incorrect way to state Last Known Well.
What is time of onset?
200
Last Known Well, Blood Sugar, Description of neurological deficits
What are the pieces of information documented on an EMS run sheet in a Code Stroke?
200
A loss of brain function due to a disturbance in the blood supply to the brain caused by a blocked blood vessel.
What is an Ischemic Stroke?
300
Patients with one-sided weakness, facial droop and impaired speech.
What are classic signs and symptoms of a stroke?
300
Aspirin, Aggrenox, Plavix, heparin, Lovenox, Xarelto, Pradaxa, Eliquis, Coumadin (warfarin)
What are blood thinners?
300
Patient is at lunch with a friend and develops right arm weakness and garbled speech. Friend noted onset at 1230p.m.
What is a Last Known Well of 1230p.m?
300
18 gauge IV in the right antecubital space
What is the optimal IV access by EMS?
300
This occurs when a diseased blood vessel within the brain bursts, allowing blood to leak inside the brain. Usually caused by high blood pressure
What is an Intracranial Hemorrhage?
400
Patients who have hypoglycemia, seizures, or Bell's Palsy.
What is a stroke mimic?
400
Aspirin
What is the most common blood thinner used for stroke prevention?
400
Patient goes to bed at 10pm. He wakes up at 6a.m. dizziness and vision issues.
What is Last Known Well of 10pm.?
400
Calling the ED before arrival for a stroke patient
What is pre-notification of a Code Stroke to the ED?
400
This type of stroke is caused by a ruptured aneurysm.
What is a Subarachnoid Hemorrhage?
500
A patient who has vision issues and dizziness but no lateral weakness
What are possible symptoms of a posterior stroke?
500
This is the action taken for a suspected stroke patient who has blood pressure readings of 225/125 x 3 readings 5 minutes apart.
What is contact medical control to discuss hypertension treatment options?
500
Patient is found in parking lot with right sided facial droop and incoherent. EMS cannot obtain any history from the patient and no family is available.
What is unknown Last Known Well.
500
Place to take the Code Stroke Patient on arrival.
What is the Stroke Stop?
500
When a blood vessel supplying the brain tears.
What is a Vertebral or Carotid Dissection?