Case 3 - Stroke

Question 1

T/F: A 12-lead ECG takes precedence over stroke care.

Answer 1

False!!!!

No are no specific “stroke arrhythmias,” and they may not require treatment if they are hemodynamically stable.

Question 2

Rank types of strokes from highest to lowest in terms of incidence.

Answer 2

Ischemic - 87%
Hemorrhagic - 10%
Subarachnoid - 3%

Question 3

Outline the steps of the Cincinnati Prehospital Stroke Scale

Answer 3

• Facial droop (have patient smile/show teeth)
• Arm drift (have patient hold arms straight out with palms up for 10 seconds)
• Abnormal speech (have patient say, “You can’t teach an old dog new tricks)

Question 4

The CPSS has a pre-hospital sensitivity of ____ and specificity of ____.

Answer 4

59%, 89%

Question 5

In a pt with prior neurological deficits, what is measured instead of “Time last normal?”

Answer 5

The time at which they were last seen at their baseline.