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

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

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

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

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

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

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

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

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

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

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

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