Stroke and Emergency Assessment Quiz
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Questions and Answers

The acronym BE-FAST is used to assess possible ______ or TIA patients.

stroke

In the BE-FAST assessment, 'B' stands for ______.

Balance

BRUE stands for Brief, Resolved, Unexplained ______.

Event

The term 'Definitive Therapy' implies an immediate need for the administration of a ______ bolus or medications.

<p>fluid</p> Signup and view all the answers

End-Tidal CO2 monitoring is mandatory for ______ patients.

<p>intubated</p> Signup and view all the answers

LEADSD is an acronym for assessing endotracheal ______ attempts.

<p>intubation</p> Signup and view all the answers

A Nebulizer is an O2-powered delivery system for medications or normal ______.

<p>saline</p> Signup and view all the answers

An Opioid-Dependent Pain Management Patient is one who takes prescribed ______ for chronic pain.

<p>opioids</p> Signup and view all the answers

Flashcards

BE-FAST

A rapid assessment tool used to identify potential stroke symptoms in patients. It stands for Balance, Eyes, Face, Arms, Speech, and Time. Abnormal findings can indicate a stroke emergency.

FAST-ED

A prehospital scale used to assess stroke severity in patients who have already tested positive for BE-FAST. It stands for Facial Palsy, Arm Weakness, Speech Changes, Time, Eye Deviation, and Denial/Neglect.

Brief, Resolved, Unexplained Event (BRUE)

A sudden, brief, but resolved episode in infants under 12 months, involving symptoms like altered breathing, color changes, or muscle tone changes.

Definitive Therapy

The immediate or expected need for administering fluids or medication to address a medical emergency.

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End-Tidal CO2 (EtCO2)

A device measuring end-tidal carbon dioxide levels in a patient, especially vital for those intubated.

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LEADSD

A set of steps to follow when evaluating and documenting endotracheal intubation attempts, including assessing lung sounds, end-tidal CO2, abdominal sounds, depth, and size.

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Nebulizer

A device that uses oxygen to deliver medications or normal saline in the form of a mist, for respiratory treatment.

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Opioid-Dependent Pain Management Patient

An individual who relies on prescribed opioids for chronic pain management, especially those using infusion devices.

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Study Notes

BE-FAST Stroke Screening Scale

  • Used to assess possible Transient Ischemic Attack (TIA) or stroke in patients.
  • Includes evaluation of balance, eyes, face, arms/legs, speech, and time.

FAST-ED Stroke Scale

  • Used to evaluate stroke severity in patients with a positive BE-FAST result.

BRUE (Brief Resolved Unexplained Event)

  • Episode affecting infants under 12 months.
  • Characterized by sudden, brief, and resolved episodes of:
    • Irregular breathing, decreased or absent.
    • Changes in skin colour (cyanosis, pallor).
    • Muscle tone changes (hypertonia or hypotonia).
    • Altered level of responsiveness.

Definitive Therapy

  • Immediate administration of fluids or medications needed.

End-Tidal CO2 (EtCO2) Monitoring

  • Continuous monitoring of end-tidal CO2 considered mandatory in intubated patients.
  • Refer to Skills List (S-104) for exceptions.

LEADSD (Endotracheal Intubation Assessment)

  • Acronym representing steps in assessing and documenting endotracheal intubation attempts.
  • Includes Lung Sounds, End-Tidal CO2 Detection, Absence of Abdominal Sounds, Depth, Size, and Documentation.

Nebulizer

  • Delivery system for administering normal saline or medications.

Opioid

  • Substances derived from opium, morphine, or synthetic equivalents.
  • Has effects on opioid receptors (analgesia, somnolence, respiratory depression).

Pediatric Patient

  • Patients are defined by their age (14 years or younger):
    • Neonate (birth to 30 days).
    • Infant (1 month to 1 year)

Opioid Overdose (Symptomatic)

  • Decreased level of consciousness and/or respiratory depression (e.g., respiratory rate < 12 or EtCO2 ≥ 40 mmHg).

Perilaryngeal Airway Adjunct (PAA)

  • Airway options:
    • Supraglottic airway (SGA): "i-gel" (only approved device for pre-hospital use in San Diego County)
    • Retroglottic airway: "King Airway" (only approved device for pre-hospital use in San Diego County)

Unstable Patient

  • Criteria for unstable patients:
  • Age 15 years or older with systolic blood pressure (SBP) below 90 mmHg, exhibiting signs of inadequate perfusion.
  • Age 14 years or younger with signs of inadequate perfusion, including altered mental status, pallor/cyanosis, or hypotension by age.

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Description

Test your knowledge on the BE-FAST stroke screening scale, FAST-ED stroke scale, and BRUE assessment in infants. This quiz will help you understand definitive therapy methods and the importance of EtCO2 monitoring in clinical settings. Assess your skills in endotracheal intubation assessment as well.

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