What is the Cincinnati Prehospital Stroke Scale used for?
To assess signs of a stroke.
What does facial droop indicate in stroke assessment?
One side of the face does not move as well.
What is a normal response for facial droop?
Both sides of the face move equally.
What does arm drift assess?
Patient's ability to extend both arms with palms up.
What indicates abnormal arm drift?
One arm does not move or drifts down.
How is abnormal speech assessed?
Patient says 'you can’t teach an old dog new tricks'.
What is a normal speech response?
Patient uses correct words with no slurring.
What happens if any sign is abnormal?
Probability of stroke is 72%.
What should be supported during stroke assessment?
ABCs: airway, breathing, circulation.
What is the first step in stroke assessment?
Give oxygen if indicated.
What should be checked alongside stroke assessment?
Blood glucose levels.
What is crucial for triage in stroke cases?
Triage to stroke center.
What should be activated upon stroke suspicion?
Stroke team at the hospital.
What imaging is ordered for stroke assessment?
CT brain without contrast or MRI scan.
What should be established during patient assessment?
Time of symptom onset or last normal.
What is the management goal for suspected stroke?
Determine presence of hemorrhage via CT scan.
What is the action if CT shows no hemorrhage?
Consider fibrinolytic therapy.
What should be monitored after administering rTPA?
Blood pressure and neurologic status.
What is the time goal for CT scan after ED arrival?
Within 20 minutes.
What should be done if patient is not a candidate for rTPA?
Consider EVT transfer within 60 minutes.
What is the time frame for physician evaluation after ED arrival?
Within 60 min
What is the time frame for TPA administration after stroke admission?
Within 3 hours
What is the time frame for CT scan results after ED arrival?
Within 45 min
What should be provided if a patient is hypoxic?
Provide oxygen
Where can you complete your ACLS recertification online?
http://www.acls.net
What guidelines does this document follow?
2020 American Heart Association® guidelines
How often are the American Heart Association® guidelines updated?
Every five years
What should you do if reading this document after December 2025?
Contact [email protected] for an update
What should be done if patient is not a candidate for rTPA?
Consider EVT transfer within 60 minutes.
What should you do if reading this document after December 2025?
Contact [email protected] for an update
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