Adult Suspected Stroke Protocol 47 PDF

MEDICAL Protocol 47 ADULT SUSPECTED STROKE: PG 1 OF 2 B EMT B INITIAL MEDICAL CARE I EMT-I I...

MEDICAL Protocol 47 ADULT SUSPECTED STROKE: PG 1 OF 2 B EMT B INITIAL MEDICAL CARE I EMT-I I P Paramedic P Perform BOTH Cincinnati Prehospital Stroke Scale* AND Rapid Arterial Occlusion Evaluation (RACE) Scale for Large Vessel Occlusion** Identify patients last “known normal” Identify if patient is on anticoagulants DOCUMENT ALL FINDINGS ABOVE Do NOT unnecessarily delay transport for procedure. Scene time should be < 10 minutes. For any abnormal Stroke Scale finding, transport to the nearest most appropriate facility. Do not delay scene time. Initiate rapid transport. Refer to ADULT Blood Glucose DIABETIC/GLUCOSE < 60 or > 400 PROTOCOL #41 I 12-Lead ECG (if available) P Refer to other PROTOCOL as indicated: ADULT COMA OF UNKNOWN ORIGIN PROTOCOL #43 ADULT SEIZURES/STATUS EPILEPTICUS PROTOCOL #44 *Cincinnati Prehospital Stroke Scale Facial Droop (Have the patient show teeth or smile) Normal – Both sides of face move equally well Abnormal – One side of face does not move as well as the other side Arm Drift (Patient closes eyes and holds both arms straight out with palms up for 10 seconds) Normal – Both arms move the same or both arms do not move at all (other findings, such as pronator drift, may be helpful) Abnormal – One arm does not move or one arm drifts down compared with the other Speech (Have the patient say, “You can’t teach an old dog new tricks.”) Normal – Patient uses correct words with no slurring Abnormal – Patient slurs words, uses inappropriate words, or is unable to speak Revised: 12/01/24 Effective: 05/01/98  MEDICAL Protocol 47 ADULT SUSPECTED STROKE: PG 2 OF 2 B EMT B I EMT-I I P Paramedic P **Rapid Arterial Occlusion Evaluation (RACE) Scale for Large Vessel Occlusion A score of > 5 indicates the possibility of a large vessel occlusion. Revised: 12/01/24 Effective: 05/01/98