EMS Assessment
TCD
Facts
SSM Stroke Team
NIH
100
Staff receive stroke specific information from this.
What is your stroke coordinator, team leader, staff meetings, or huddles.
100
Assessment used to quantify stroke symptoms and measure neurological function
What is NIHSS?
100
1 in 4
How many people die within 1 year of having an initial stroke?
100
Dr. Margolis, Cyndi Grant
Name 2 members of Stroke Leadership at LSL
100
Acute stroke patients should have rapid evaluation by a non-contrast CT to help identify exclusion criteria for TPA such as this.
What is intracerebral hemorrhage?
200
SSM ensures standardized care of stroke patients by use of these.
What is stroke specific order sets and policy/procedures
200
These are the required components of a neuro check
What is LOC, cognition, speech, orientation, pupil/eye signs, motor all 4 extremities assessments.
200
Women more than men
Who is more likely to die from stroke?
200
We do this to avoid aspiration pneumonia in stroke patients.
What is dysphagia screen? What is provide good oral care?
200
This is why we allow permissive hypertension immediately following an ischemic stroke.
What is maintain cerebral perfusion?
300
This is the stroke specific target times that is collected for ED
What is door to Alteplase, door to NIH, door to CT, door to lab, door in door out, door to doc, door to EKG.
300
A person you can call for questions or issues regarding stroke patients.
What is the stroke coordinator
300
Every 45 seconds
How often does someone in the US have a stroke?
300
This is the upper level at which we treat blood pressure for ischemic stroke patients.
What is SBP 220 mmHg and DBP 120 mmHg? Fact: The blood pressure should only be lowered by 15% in the first 24 hours.
300
This is the three types of strokes.
What is Ischemic, ICH, SAH?
400
These are the organizations from whom we have Clinical practice Guidelines (CPGs).
What is American Heart Association, American Stroke Association, The Brain Attach Coalition
400
This should be documented hourly while in the ED
What is neurological checks and vital signs?
400
Intracerebral Hemorrhage, Subarachnoid Hemorrhage, TIA and Ischemic Stroke
What are the 4 types of stroke?
400
This is the blood pressure that the patient needs to be below to receive Alteplase.
What is 185/110?
400
Bleeding from this spreads over the surface of the brain resulting in a subarachnoid hemorrhage
What is ruptured cerebral aneurysm?
500
This is where you can find the stroke program Clinical practice guidelines
What is stroke program team sites on the intranet page?
500
Decrease level of consciousness, pupil changes, decreased motor strength or posturing are signs of this.
What is sign and symptoms of increase ICP?
500
All 5 St. Charles County Hospitals
Which hospitals in St. Charles County are stroke certified?
500
These are the required vital signs and neuro checks in patients that receive Alteplase.
What is q15 x 2 hours, q30 x 6 hours, and q1 hr x 16 hours.
500
This is the outer covering of the cerebrum. It is often referred to as the gray matter.
What is cerebral cortex?