Adult Neurological

Question 1

Status Epilepticus

Answer 1

2 or more seizures without periods of consciousness, or a single seizure lasting >5 mins

Question 2

How should patients >20 weeks pregnant in status epilepticus be transported?

Answer 2

Transport patients >20 weeks pregnant in left-lateral position

Question 3

Suspect stroke for any of the following:

Answer 3

• New onset symptoms with abnormal CPSS
• New onset altered state (GCS <14) with unidentifiable etiology.
• CPSS is normal, but patient/bystander report stroke symptoms within previous 24 hrs

Question 4

If stroke suspected:

Answer 4

• Determine time of onset of symptoms (pt last known normal)
- When possible, obtain and relay to the receiving hospital the name/contact information of the individual who can verify the time of onset of symptoms (pt last known normal)
• Check blood glucose (if glucometer available)
• Transport as soon as possible (scene time should be ≤10 mins)

Question 5

Criteria for calling a Stroke Alert

Answer 5

• Onset of symptoms ≤24 hrs (including wake-up stroke)
• ≤45 minute transport time to a stroke receiving center