Emergency Medical Response Quiz

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Questions and Answers

What should be done if the patient's blood glucose level is below 60 or above 400?

  • Perform a Rapid Arterial Occlusion Evaluation (RACE) Scale
  • Administer oral glucose immediately
  • Initiate rapid transport to a specialty stroke center
  • Refer to Adult Diabetic/Glucose Protocol #41 (correct)

Which statement about scene time during a suspected stroke situation is true?

  • Scene time should be less than 10 minutes regardless of assessment findings. (correct)
  • Transportation should begin before completing the stroke assessment.
  • Scene time can exceed 10 minutes if the patient is stable.
  • Detailed documentation should take precedence over rapid transport.

What does an abnormal finding in the Cincinnati Prehospital Stroke Scale indicate?

  • There is no need for further intervention; the hospital can be notified.
  • The patient should be assessed for a possible diabetic emergency.
  • The patient can safely remain at the scene for additional evaluation.
  • The patient must be transported to the nearest appropriate facility without delay. (correct)

Which action is NOT recommended during the initial medical care of a suspected stroke?

<p>Delaying transport for extensive procedures and reassessments (A)</p> Signup and view all the answers

In assessing arm drift for the Cincinnati Prehospital Stroke Scale, what indicates an abnormal finding?

<p>One arm drifts down compared to the other (D)</p> Signup and view all the answers

Which statement accurately describes the Cincinnati Prehospital Stroke Scale?

<p>It focuses on assessing the function of the patient's arms, speech, and facial movement. (A)</p> Signup and view all the answers

If the patient's blood glucose level is below 60 or above 400 during a suspected stroke, which protocol should be followed?

<p>ADULT DIABETIC/GLUCOSE PROTOCOL #41 (A)</p> Signup and view all the answers

When assessing a patient for a suspected stroke, paramedics should prioritize:

<p>Transporting the patient to a facility equipped for stroke care. (D)</p> Signup and view all the answers

Identify the correct sequence of actions for a suspected adult stroke case.

<p>Cincinnati Prehospital Stroke Scale and RACE, 12-lead ECG, Blood glucose (B)</p> Signup and view all the answers

The RACE scale is specifically used to assess:

<p>The presence of a large vessel occlusion, a type of stroke. (D)</p> Signup and view all the answers

What is the recommended scene time for a suspected stroke patient?

<p>Less than 10 minutes (C)</p> Signup and view all the answers

Which of the following protocols should be followed if a patient's blood glucose level is below 60 or above 400 during a suspected stroke?

<p>ADULT DIABETIC/GLUCOSE PROTOCOL #41 (B)</p> Signup and view all the answers

What is considered an abnormal finding in the Cincinnati Prehospital Stroke Scale for arm drift?

<p>One arm drifts down compared to the other (D)</p> Signup and view all the answers

Which of these actions is NOT specifically recommended during the initial medical care of a suspected stroke?

<p>Performing a CT scan immediately (D)</p> Signup and view all the answers

When assessing a patient for a suspected stroke, which of the following is NOT explicitly mentioned as something to be documented?

<p>The patient's vital signs (A)</p> Signup and view all the answers

According to Protocol 47, which of the following actions should be taken for a patient suspected of having a stroke?

<p>Initiate rapid transport to the nearest most appropriate stroke facility if any abnormal finding is detected on the Cincinnati Prehospital Stroke Scale. (A)</p> Signup and view all the answers

A patient exhibits facial droop on one side but has no other abnormal findings in the Cincinnati Prehospital Stroke Scale. What is the recommended action based on Protocol 47?

<p>Transport to the nearest facility, as any abnormal finding is a reason for transport. (C)</p> Signup and view all the answers

What is the maximum recommended time for a paramedic to remain on scene with a patient suspected of having a stroke?

<p>10 minutes (D)</p> Signup and view all the answers

During the initial medical care for a suspected stroke, a paramedic determines the patient's blood glucose level is below 60. Which of the following actions is most appropriate based on Protocol 47?

<p>Refer to the ADULT DIABETIC/GLUCOSE PROTOCOL #41 for further guidance. (A)</p> Signup and view all the answers

When assessing a suspected adult stroke, what information should be documented beyond the findings on the Cincinnati Prehospital Stroke Scale and the RACE scale?

<p>The patient's medication history, including anticoagulants. (C)</p> Signup and view all the answers

Flashcards

Cincinnati Prehospital Stroke Scale

A tool to assess stroke symptoms using facial droop, arm drift, and speech.

Facial Droop

A symptom where one side of the face does not move as well as the other.

Arm Drift

A test to determine if one arm drifts down or does not move compared to the other during assessment.

Speech Abnormality

Condition where a patient slurs words or cannot speak well, indicating possible stroke.

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Rapid Arterial Occlusion Evaluation (RACE)

A scale used for assessing large vessel occlusion in suspected stroke patients.

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Last Known Normal

The most recent time the patient was observed to be normal before symptoms arose.

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Anticoagulants

Medications that prevent blood clotting, relevant for stroke patients.

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Scene Time Protocol

Transport should not delay beyond 10 minutes at the scene for suspected stroke cases.

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Blood Glucose Levels

Checking blood glucose is critical; <60 or >400 requires special protocol.

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Transport to Facility

If stroke scales show abnormalities, transport the patient immediately to the nearest appropriate facility.

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Cincinnati Prehospital Stroke Scale Steps

A two-part assessment involving facial droop, arm drift, and speech.

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Transport Protocol for Abnormal Findings

Transport immediately to the nearest facility if any Stroke Scale shows abnormalities.

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Blood Glucose Check Importance

Blood glucose levels <60 or >400 require adherence to a specific protocol.

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Anticoagulants Impact in Stroke

Patients on anticoagulants are at higher risk during a stroke event.

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Last Known Normal Significance

Identifying the last time the patient was normal helps guide treatment decisions.

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Cincinnati Prehospital Stroke Scale - Facial Droop

Assessment of facial movement; one side may droop, indicating a stroke.

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Cincinnati Prehospital Stroke Scale - Arm Drift

Test to see if one arm drifts downward, indicating potential stroke.

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Cincinnati Prehospital Stroke Scale - Speech

Assessment of speech; abnormal if slurring or inappropriate words are used.

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Action for Abnormal Stroke Findings

Transport immediately to the nearest facility if any stroke signs are present.

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Importance of Last Known Normal

Critical time point identifying when the patient was last normal, guiding treatment.

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