Emergency Response to Stroke Assessment

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Questions and Answers

According to the protocol, what are the two assessments that should be performed on a suspected stroke patient?

  • Rapid Arterial Occlusion Evaluation Scale and Neurological Assessment
  • Rapid Arterial Occlusion Evaluation Scale and Glasgow Coma Scale
  • Cincinnati Prehospital Stroke Scale and Glasgow Coma Scale
  • Cincinnati Prehospital Stroke Scale and Rapid Arterial Occlusion Evaluation Scale (correct)

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

  • 15 minutes
  • 20 minutes
  • 5 minutes
  • 10 minutes (correct)

According to the Cincinnati Prehospital Stroke Scale, which of the following is considered abnormal speech?

  • Patient speaks in a high-pitched voice
  • Patient slurs words, uses inappropriate words, or is unable to speak (correct)
  • Patient uses correct words with no slurring
  • Patient speaks in a monotone voice

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

<p>Refer to the Adult Diabetic/Glucose Protocol #41 (D)</p> Signup and view all the answers

Which of these is considered a possible sign of arm drift as defined by the Cincinnati Prehospital Stroke Scale?

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

What should be documented after assessing a suspected stroke patient?

<p>Findings from both Cincinnati Prehospital Stroke Scale and RACE Scale (C), Patients last known normal and anticoagulant use (D)</p> Signup and view all the answers

What is the primary reason for limiting scene time to under 10 minutes for a stroke patient?

<p>To initiate rapid transport to the appropriate facility (B)</p> Signup and view all the answers

Which evaluation is specifically aimed at identifying large vessel occlusion in stroke patients?

<p>Rapid Arterial Occlusion Evaluation (RACE) Scale (B)</p> Signup and view all the answers

What action should be taken if there are any abnormal findings on the Stroke Scales?

<p>Transport to the nearest appropriate facility immediately (D)</p> Signup and view all the answers

What is essential to identify at the scene of a suspected stroke case?

<p>The patient's last known normal (D)</p> Signup and view all the answers

In the ADULT SUSPECTED STROKE protocol, what does RACE stand for?

<p>Rapid Arterial Occlusion Evaluation (D)</p> Signup and view all the answers

According to the ADULT SUSPECTED STROKE protocol, what is the recommended action if the patient's blood glucose level is below 60 or above 400?

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

In the Cincinnati Prehospital Stroke Scale, which of the following is considered an abnormal facial droop?

<p>One side of the face does not move as well as the other side (A)</p> Signup and view all the answers

In the context of the ADULT SUSPECTED STROKE protocol, what does a RACE score of > 5 indicate?

<p>The possibility of a large vessel occlusion (A)</p> Signup and view all the answers

If a patient presenting with suspected stroke has a blood glucose level of 75, what should the EMT do?

<p>Continue with standard stroke protocol (C)</p> Signup and view all the answers

According to the Cincinnati Prehospital Stroke Scale, what is considered normal speech?

<p>Patient uses correct words with no slurring (A)</p> Signup and view all the answers

Which of these is NOT a component of the Cincinnati Prehospital Stroke Scale?

<p>Pupil Response (A)</p> Signup and view all the answers

What is the recommended action if the patient's blood glucose level is < 60 or > 400?

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

Flashcards

Cincinnati Prehospital Stroke Scale

A scale used to assess stroke symptoms based on facial droop, arm drift, and speech.

Facial Droop

An assessment item where normal means both sides of the face move equally; abnormal is one side doesn't.

Arm Drift

An evaluation showing normal if both arms move equally; abnormal if one arm drifts down or does not move.

Patient Speech Assessment

Evaluates if the patient uses correct words without slurring; an abnormal response includes slurred or incorrect words.

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Transport Protocol

If stroke scale findings are abnormal, immediately transport to the nearest appropriate facility without delay.

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Rapid Arterial Occlusion Evaluation (RACE) Scale

A tool used to assess the risk of large vessel occlusion in stroke patients.

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Last Known Normal

The last time the patient was functioning normally before stroke symptoms appeared.

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Anticoagulants

Medications that prevent blood clotting, relevant for stroke management.

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Documentation

Recording all assessment findings during stroke evaluations.

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Scene Time

The duration spent at the scene before transport in a stroke emergency.

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Blood Glucose Protocol

Management protocol for blood glucose levels below 60 or above 400.

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12-Lead ECG

An electrocardiogram used to assess heart conditions.

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Rapid Arterial Occlusion Evaluation (RACE)

A scale indicating potential large vessel occlusion based on scoring.

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Normal Facial Movement

Both sides of the face move equally when smiling.

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Abnormal Arm Drift

One arm does not move or drifts downward during the test.

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Normal Speech Test

Patient uses correct words without slurring during a phrase test.

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Abnormal Speech

Presence of slurred or incorrect words during the speech test.

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