2015 Trumbull Memorial Hospital Demo

CVA / TIA CVA / TIA

Universal Patient Assessment

Cincinnati Pre-Hospital Stroke Scale

Check BGL

Glucose <60mg/dL See Hypoglycemia/ Unresponsiveness Protocol

If positive Cincinnati stroke scale

Adult IV/IO

Document time of onset < 3 hours = rapid transport to ED

Oxygen Titrate SpO2 to 94%

Cardiac Monitor 12-Lead ECG If EMT or STEMI, transmit

Elevate head of cot 30° and document

Nothing by mouth

If headache present, check COHb if available

Clinical Considerations Stroke may present with:

Clinical Considerations Time of onset may include:  Exact time symptoms started, if onset is witnessed  The last time the patient was seen normal, if onset is not witnessed

 Dysrhythmias  Hypertension

 Aphasia  Vertigo  Headaches  Weakness or paralysis  Head trauma  Tumors Assess for time of onset and progression of symptoms.

33

EMR

EMT

AEMT

Paramedic

Extended