Stroke Protocol
A patient with suspected stroke must have a BGL greater than this to meet STAT Stroke criteria.
What is greater than 3 mmol/L?
These are the 3 components of a LAMS Score assesment.
What are:
- Facial Smile
- Grip Strength
- Arm Drift?
True or False:
We are not allowed to contact OLMC for consultation unless the patient definitely meets Stat Stroke Criteria.
What is False?
(Consult OLMC if unsure if the patient meets guidelines)
Stroke patients are not allowed to have any oral intake on route to the hospital.
What is True?
A patient's stroke symptoms must have started less than this many hours ago to meet STAT stroke criteria?
What is 6 hours ago or less? (onset to arrival a stroke centre)
A LAMS score of this indicates a severe stroke.
What is 4 or 5?
True or False:
TNK and EVT are the two current treatments for hemorrhagic strokes.
What is "False"?
(treatments for ischemic strokes)
Elevate the head of the stretcher to this degree for transport of the stroke patient.
What is 10 - 20 degrees?
A patient must have this number of Red Findings to meet Stat Stroke criteria.
What is one or more findings?
A patient presenting with a normal smile, normal grip strength and an arm that drifts down slowly would have this LAMS score.
What is a LAMS score of 1?
20 to 40% of strokes are preceded by this.
What is a TIA?
Consider O2 prn for stroke patients with SPO2 less than this value.
What is 90% (titrate to SPO2 92-96%)
This is the dose of D50W given to a suspected stroke patient followed by a repeat BGL. If the BGL remains low we can give this dose again.
A patient with a facial droop, no grip strength and an arm that drifts down rapidly would have this LAMS score.
What is a LAMS score of 5?
These are the two types of strokes.
What is ischemic and hemorrhagic?
EVT is the short form for this stroke treatment.
What is Endovascular Therapy?
These are the five Red Findings.
- Unresponsive or responds only to pain
- Leg falls rapidly
- Arm drifts down or falls rapidly
- No grip strength
- Incomprehensible or mute speech?
A patient with a facial droop, weak grip strength and an arm that drifts down slowly would have a LAMS score of this.
What is a LAMS score of 3?
This percentage of TIA patients will have a stroke in the next 90 days.
What is 10 to 20%?
These are the 5 symptoms that might indicate Posterior Stoke.
What are:
- Dizziness (Vertigo)
- Dysarthria (difficulty speaking)
- Diplopia (double vision)
- Drowsiness
- Dysphagia (difficulty swallowing)