American Heart Association
Acute Stroke
Areas of the Brain
NIHSS
EMS Stroke
100

This month is Stroke Awareness month.

May

100

The kind of stroke caused by a ruptured vessel.

Hemorrhagic

100

This lobe might be affected if a stroke patient is experiencing deficits in problem-solving, judgement, behavior, and motor planning.

Frontal Lobe

100

The finger to nose and heel to shin assess this.

Ataxia

100

3 common signs of a stroke that the public are taught to recognize.

Facial Droop, Arm Weakness, Slurred Speech

200

The name of the initiative going on in Iowa that is helping to improve stroke systems of care.

Mission: Lifeline Stroke

200

This type of drug is used for “clot busting” and can be used for ischemic strokes.

Thrombolytics: Alteplase (tPA) or Tenecteplase (tNK)  

200

This lobe might be affected if a stroke patient is experiencing deficits in writing, reading, and speaking.

Parietal Lobe

200

When examining a patient, they do not have an abnormal gaze, gaze deviation, or gaze palsy. What is the appropriate score for item 2 (best gaze)?

0

200

This time is important for EMS to communicate to the hospital when treating someone for a stroke.

Last Known Well

300

What major milestone anniversary is the AHA celebrating this year? 

100 years

300

A patient that has a large vessel occlusion will benefit from this procedure.

Thrombectomy

300

This lobe might be affected if a stroke patient is experiencing deficits in hearing, vision, and speech comprehension.

Temporal Lobe

300

When examining a patient, and asking them to smile, the patient displays a significant left facial droop, but raises eyebrows symmetrically. What is the appropriate score for item 4 (facial palsy)?

2

300

This specific type of ischemic stroke involves a clot in one of the brains major arteries.

Large Vessel Occulusion

400

The Hemsley Foundation grant for Iowa is this many years.

3 years

400

The goal for Door In/Door Out. (time)

< 90 minutes

400

This lobe might be affected if a stroke patient is experiencing deficits in vision.

Occipital Lobe

400

The patient is now asked to hold one leg at 45 degrees for 5 seconds. The left leg is held up for 5 seconds without any evidence of drift. The right leg can hold for 5 seconds against gravity with a drift present. How do you score items 6a (left leg)?

1

400

This lab can be drawn by EMS and will help the hospital with the treatment plan for stroke.

Blood Glucose

500

How many stroke records to date are in Get With the Guidelines Stroke

9,677,351

500

The minimum goal for door to thrombolytic (tPA or tNK) therapy. (time)

Within 60 minutes from arrival

500

This area of the brain might be affected if a stroke patient is experiencing deficits in balance, spatial awareness, and motor planning.

The Cerebellum

500
Patients with a stroke in this hemisphere score more highly

Left-Hemisphere

500

EMS responds to a patient with stroke symptoms, and they have hypertension. Should EMS treat the hypertension with meds?

No, EMS should not treat hypertension in stroke patients. Exception: if they are doing an inter-facility transfer post treatment, there will be specific guidelines for BP management.