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Stroke Alert
Time is Brain!
Assessment
Treatment
Prevention
100

The acronym BEFAST which helps people remember the signs of stroke stands for

What is balance, eyes, face, arm, speech, time?

100
1.9 million neurons is the number of neurons lost during this amount of time
What is one minute during a stroke?
100
This imaging test is the most sensitive study in detecting acute ischemia.
What is MRI Brain with diffusion weighted imaging?
100

Name 3 main strategies for acute treatment of stroke.

What are acute thrombolysis with TNK, endovascular thrombectomy, medical management including BP control?

100

Name 2 modifiable stroke risk factors.

What are HTN, DM, HLD, PFO, Afib, prior stroke, obesity, smoking, drug use

200

Call this type of alert for last known normal 5 hours ago. 

What is a stroke alert?

200

The goal time for patient arrival to the 1st slice of the CT scan.

What is <20 minutes?

200
Focused questions to ask EMS personnel or in triage concerning the stroke patient.

What are things like last known normal time, anticoagulation use, prior stroke or MI history, or history of Afib

200

If patient eligible for TNK, blood pressure should be consistently less than...

What is 185/110 pre- TNK and 180/105 post- TNK?

200

Name 2 non-modifiable stroke risk factors. 

What are being male, over 55, family history of stroke, history of migraines, African American?

300

I document stroke alerts here.  

What is the stroke narrator?

300

Door to needle (TNK) time should be less than...

What is <45 minutes?

300
Specific medication question to ask early in triaging patients with concern for stroke.
What is asking specifically about anticoagulants?
300
24 hours is the treatment window for this intervention
What is endovascular thrombectomy?
300

Etiology work up to prevent future strokes may include these diagnostic tests

What are vascular imaging, Echo, MRI brain, lipid panel, A1C, 30 day EKG monitoring?

400

Activate a VAN alert for arm weakness plus one of these three signs of stroke 

What are vision changes, aphasia, or neglect?

400

Less than 4.5 hours is the treatment window for this type of treatment. It was FDA approved for use in stroke patients this week!

What is acute thrombolysis with TNK?

400
Well validated stroke severity score used to assess for stroke, guide treatment, and determine prognosis. It is a requirement for stroke center certification.
What is the NIH stroke scale?
400

Blood pressure up to this value is permitted in hopes of improving cerebral perfusion to the area of ischemia in patients ineligible for TNK. (i.e. permissive HTN)

What is 220/120?

400

Treatable condition that is most attributed to stroke.

What is HTN?

500

I call this number and activate this alert when the neurologist tells me we're going to IR for a thrombectomy.

What is 85555 with a LVO activation?

500

Per stroke, estimated number of neurons lost = 1.2 billion, with 8.3 trillion synapses lost, and this number of years is the estimated number of years of accelerated aging after a stroke.

What is 36 years?

500

"Great mimicker" of stroke that we check for immediately 

What is hypoglycemia?

500
If inclusion criteria is met- an ischemic stroke patient may receive these two interventions in the acute phase  

TNK and thrombectomy

500

Three ways to decrease your risk for stroke.

What are Exercise, Mediterranean diet, taking medications as prescribed, reducing stress, stop smoking?