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 if they are not alert.
What is the patient's home med list or prescription bottles?
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 < 6 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
Patient woke up at 0700. Took a shower and sat down to eat breakfast. Patient was eating breakfast and all of sudden dropped their spoon at 0800.
What is LKW 0800?
200
These are the pieces of information that are important to document on an EMS run sheet for suspected stroke patients.
What is Last known well time, Blood Sugar, Description of neurological deficits, Cincinnati stroke scale or LAMS, Pre-notification of code stroke to the ED if in the window?
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
One-sided weakness, facial droop, impaired speech, vision changes, gaze.
What are 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
The optimal size and place for IV access by EMS for suspected stroke patients.
What is 18 gauge IV in the right antecubital space?
300
Headache, nausea, vomiting, decreased LOC, and/or seizure are common symptoms of this kind of stroke.
What is an Intracranial Hemorrhage?
400
Patients who have hypoglycemia, seizures, or Bell's Palsy.
What is a stroke mimic?
400
The most common antiplatelet used for stroke prevention.
What is Aspirin?
400
Patient goes to bed at 10pm. He wakes up at 6a.m. with complaints of dizziness and vision issues.
What is Last Known Well of 10pm.?
400
This is the part of the brain at risk of cell death in an acute stroke.
What is the penumbra? Best efforts should be made to saving penumbral areas, such as administration of Alteplase or endovascular treatment. As research has demonstrated that the amount of penumbral tissue saved and spontaneous neurologic recovery are closely related.
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 what we give to patients when they come in with an ICH on Coumadin.
What is Fresh frozen plasma or kcentra?
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. Remember to still activate "code stroke" on unknowns.
500
This treatment is only available at Comprehensive Stroke Centers.
What is mechanical intervention, aneurysm coiling, or intra arterial Alteplase?
500
When a blood vessel supplying the brain tears, which can lead to stroke.
What is a Vertebral or Carotid Dissection? Neck extension during hair-washing at a beauty parlor, Chiropractic manipulation of the neck, Whiplash injuries, Blunt trauma to the neck, Extreme neck extension during yoga, Painting a ceiling,Coughing, vomiting and sneezing, Neck extension while receiving CPR