string(11) "/protocols/"

CVA / Stroke 8.0

All Providers

  • Focused history and physical exam
    • Blood glucose, assess temperature, oxygen saturation
    • Obtain LAST KNOWN WELL information
    • NPO
  • Cardiac monitor, ETCO2, pulse oximetry, consider 12 lead EKG
  • Treatment Plan
    • Rapid Transport
      • Transport to a Stoke Receiving Facility, ALERT FACILITY OF SUSPECTED STROKE
  • Pediatric Considerations
    • Children can have strokes
    • Risk factors: sickle cell, heart disease, head/neck infections, head trauma, dehydration

ADULT

EMT
  • Evaluate and document Cincinnati Stroke Scale
    • Facial Droop
      • Normal: both side of face move equally
      • Abnormal: one side does not move
    • Arm Drift
      • Normal: both arms move equally
      • Abnormal: one arm drifts
    • Speech
      • Normal: patient uses correct words, no slurring
      • Abnormal: slurred, inappropriate, or mute
AEMT
  • Advanced airway if needed, vascular access per IV/IO Access and Fluid Therapy Protocol
Paramedic

Pediatric (not to exceed adult dose)

EMT
  • Evaluate and document Cincinnati Stroke Scale
    • Facial Droop
      • Normal: both side of face move equally
      • Abnormal: one side does not move
    • Arm Drift
      • Normal: both arms move equally
      • Abnormal: one arm drifts
    • Speech
      • Normal: patient uses correct words, no slurring
      • Abnormal: slurred, inappropriate, or mute
AEMT
  • Advanced airway if needed, vascular access per IV/IO Access and Fluid Therapy Protocol
Paramedic