Stroke / LVO Alert Standard Guidelines

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Questions and Answers

What is the purpose of the Stroke / LVO Alert Standard?

  • To assess the last known well time
  • To outline the assessment of stroke patients
  • To establish guidelines for patient transport (correct)
  • To initiate treatment for stroke patients

Which assessment must be initiated for suspected stroke patients based on the application of guidelines?

  • Cincinnati Prehospital Stroke Screen (CPSS) (correct)
  • VAN Score assessment
  • Blood glucose level assessment only
  • Blood pressure measurement

How is a patient determined to be VAN positive according to the text?

  • By performing the Cincinnati Prehospital Stroke Screen (CPSS)
  • By showing signs of weakness
  • By having any abnormality in CPSS screening
  • By having a positive CPSS screening and positive VAN Score (correct)

When is a patient considered positive for a Large Vessel Occlusion (LVO) according to the text?

<p>If they have a positive VAN Score &amp; positive CPSS screening along with weakness (A)</p> Signup and view all the answers

What should be done after establishing the last time the patient was seen normal?

<p>Obtain a blood glucose level (C)</p> Signup and view all the answers

What is considered abnormal in the Cincinnati Prehospital Stroke Screen (CPSS)?

<p>Any abnormality in the screening (B)</p> Signup and view all the answers

If a patient has a positive VAN Score, what should be done according to the text?

<p>Assess for weakness (B)</p> Signup and view all the answers

What is the appropriate destination for a patient who is positive for CPSS but has negative weakness and a positive VAN Score?

<p>Thrombectomy Capable Stroke Center (B)</p> Signup and view all the answers

When should a patient with stroke-like symptoms with an onset greater than 23 hours be transported to a Stroke Center?

<p>To the closest Stroke Center (D)</p> Signup and view all the answers

What important tool is recommended to aid in capturing patient information for the receiving facility?

<p>#FILM (D)</p> Signup and view all the answers

According to the guidelines, under what condition can a patient be transported to a Primary Stroke Center (PSC) instead of a Thrombectomy Capable Stroke Center (TCSC)?

<p>When the distance to TCSC is more than 15 minutes further (C)</p> Signup and view all the answers

Which patient should be transported to a Thrombectomy Capable Stroke Center?

<p>Patient with positive CPSS and negative weakness (B)</p> Signup and view all the answers

What does the VAN Score represent in the context of stroke alerts?

<p>Blood glucose level (C)</p> Signup and view all the answers

What information should ideally be included under 'I' in the #FILM tool for receiving facilities?

<p>#FILM recent interventions (surgeries, cardiac cath, etc.) (C)</p> Signup and view all the answers

In what scenario should a patient be transported to a Primary Stroke Center instead of a Thrombectomy Capable Stroke Center?

<p>&gt; 15 minutes further to TCSC compared to PSC (C)</p> Signup and view all the answers

What is the purpose of the Stroke / LVO Alert Standard?

<p>To establish guidelines for declaring a Stroke or LVO Alert (B)</p> Signup and view all the answers

What is the significance of a positive Cincinnati Prehospital Stroke Screen (CPSS)?

<p>It requires further assessment with the VAN Score (D)</p> Signup and view all the answers

When is a patient considered VAN positive according to the text?

<p>When any portion of the VAN assessment is positive (D)</p> Signup and view all the answers

What action should be taken if the VAN Score is positive and the CPSS screening is negative?

<p>Transport the patient to a Thrombectomy Capable Stroke Center (D)</p> Signup and view all the answers

Which assessment must be completed to determine if a patient is positive for a Large Vessel Occlusion (LVO)?

<p>Visual Disturbance, Aphasia, and Neglect (VAN) Score (D)</p> Signup and view all the answers

What does a positive VAN Score along with weakness indicate according to the text?

<p>Confirmation of a Large Vessel Occlusion (LVO) (A)</p> Signup and view all the answers

How can it be determined that a patient needs urgent transport to an appropriate receiving facility?

<p>By initiating treatment based on clinical guidelines (C)</p> Signup and view all the answers

What should be done if a patient has a positive VAN Score and onset of symptoms within 23 hours?

<p>Transport to Thrombectomy Capable Stroke Center (D)</p> Signup and view all the answers

In what situation can a patient be transported to a Primary Stroke Center instead of a Thrombectomy Capable Stroke Center?

<p>If the onset of symptoms is more than 23 hours (B)</p> Signup and view all the answers

When should a family member or historian ideally accompany the patient to the hospital?

<p>Whenever possible (D)</p> Signup and view all the answers

What does the #FILM tool primarily aid in capturing for the receiving facility?

<p>Recent interventions (D)</p> Signup and view all the answers

Which center should a patient be transported to if the distance to the Thrombectomy Capable Stroke Center is more than 15 minutes further than that to the Primary Stroke Center?

<p>Thrombectomy Capable Stroke Center (A)</p> Signup and view all the answers

What should be done if a patient with stroke-like symptoms has an onset greater than 23 hours?

<p>Transport to Primary Stroke Center (C)</p> Signup and view all the answers

What is the recommended action for a patient who is positive for CPSS but negative weakness and has an onset of symptoms within 23 hours?

<p>#FILM tool initiation (C)</p> Signup and view all the answers

Why is it important to identify a family member or historian to accompany the patient to the hospital?

<p>To aid in capturing patient information and history (C)</p> Signup and view all the answers

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