ACS Stroke Sepsis

Cincinnati Stroke Program

LA Prehospital Stroke

Face Exam: Have the Pt. smile/grimace and evaluate for any droop or asymmetry.
Grip Exam: Evaluate for normality, weak unilateral grip or no grip.
Arm Exam: Have patient extend both arms and evaluate for drift or if the arm falls rapidly.

Check all that apply:

Criteria (Check All That Apply)
Pt Age > 45 yo?	Yes
Hx of Seizures?	Yes
New Neuro Sx in Last 24 Hrs?	Yes
Pt Ambulatory Prior to Event?	Yes
Blood Glucose 60-400?	Yes
Asymmetry on Physical?	Yes

Total Score= 1 point per yes

References

Kidwell CS et al. Identifying stroke in the field. Stroke 2000 Jan;31(1):71-6

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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