Stroke
M414
- Age >16; may or may not have altered level of consciousness
- Assess ABCs and suspicion for trauma
- Assess patient with Cincinnati Stroke Scale
- Facial droop (big smile)
- Pronator drift (extend arms, palms up, eyes closed: one arm drift = positive; both = unclear)
- Speech (“The sky is blue in Cincinnati”)
- Assess and record the exact time the patient was last known to be normal
- Glucose level should be >70mg/dL
- Rapid transport and pre-notify destination Emergency Department
- Minimize scene time to <10 mins; do not delay unnecessarily for procedures; attempt IVs and other procedures during transport
- Refer to ED capability chart for transport destination selection
- Consider transport to a JCC Primary or Comprehensive Stroke Center if:
- Stroke center is <15 mins farther than a non-stroke center
- Last known normal <12 hours