Stroke

Question 1

Interventional Capable Centers:

Answer 1

1. Emanuel
2. OHSU
3. Providence Portland
4. St. Vincent’s Medical Center
5. Sunnyside Kaiser
6. Southwest Washington Medical Center

Question 2

Establish IV access __ gauge or larger (in proximal site if possible)

Answer 2

18

Question 3

Transport patient in supine position with head elevated no more than __ degrees, if tolerated

Answer 3

30

Question 4

GAZE Condition where both eyes move differently to each other.
Absent 0
Present 2
ARM WEAKNESS Cannot hold up arm(s) for 10 seconds.
Absent 0
Present 1
LEVEL OF Incorrectly answers at least one of two LOC questions
CONSCIOUSNESS AND does not follow at least one of two commands.
Absent 0
Present 1
** C-STAT positive is defined as a score ≥ 2 **
POINTS DEFINITION

Question 5

PPSS - PORTLAND PREHOSPITAL STROKE SCREEN
1. Age over 45 years Yes No
2. No prior history of seizure disorder Yes No Unknown
3. New onset of neurologic symptoms in last 24 hours Yes No Unknown
4. Patient was ambulatory at baseline (prior to event) Yes No Unknown
5. CBG between 60 & 400 Yes No

If questions 1 – 5 are all answered “Yes” or “Unknown” and at least 1 of the 4 neurological
examination findings are abnormal the patient is considered to have a POSITIVE screen.
Continue to C-STAT evaluation