ACS Stroke Sepsis

Cincinnati Stroke Program

Cincy Prehospital Stroke

Face exam: Have the patient smile or show their teeth.
Arm exam: Have the patient extend their arms in front of them and count to 10 with their eyes closed.
Speech exam: Have the patient repeat a phrase such as 'The sky is blue in Cincinnati'.

Criteria
Face Exam	Normal face exam: Patient moves both sides of their face equally. Abnormal face exam: One side does not move as well as the other.
Arm Exam	Normal arm exam: Both arms move the same or both do not move at all. Abnormal arm exam: One arm does not move or drifts down.
Speech Exam	Normal speech exam: The patient says the correct words without slurring. Abnormal speech exam: The patient is unable to speach, slurs the words or says the incorrect words.

Total Score= 1 point per abnormal exam

References

Adams HP et al. Guidelines for Management of Adults with Ischemic Stroke. Stroke 2007, p. 1674.

Select ABCD2 Score Anticoagulation BP Management (Ischemia) BP Management (Hemorrhage) Brain Death Exam Cincy Prehospital Stroke Cranial Nerves DVT Management Elevated INR Management Fischer Scale (SAH) Glasgow Coma Score Glasgow Outcomes Scale Heparin-Induced ICH Hounsfield Units Hypercoagulation Labs Hunt Hess (SAH) ICH Rates ICH Score ICH Volume ICP Management Imaging In Stroke Ischemic Outcomes Key History Elements Labs/Studies to Order LA Prehospital Stroke Mean Arterial Pressure Modified Rankin Score NIH Stroke Scale Physiologic Management Phenytoin Correction Resources Stroke Mimics Stroke Syndromes Temperature Conversion tPA Dosing Calculator tPA-Induced ICH tPA Criteria Weight Conversion WFNS (SAH)

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