2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
CVA / TIA
CVA / TIA
Universal Patient Assessment
Cincinnati Pre-Hospital Stroke
Scale
Check BGL
Adult IV/IO
Oxygen
Titrate SpO2 to 94%
Cardiac Monitor
12-Lead ECG
If EMT or STEMI, transmit
If headache present, check
COHb if available
Glucose <60mg/dL
See Hypoglycemia/
Unresponsiveness Protocol
If positive Cincinnati
stroke scale
Document time of onset
< 3 hours = rapid
transport to ED
Elevate head of cot 30° and
document
Nothing by mouth
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
Clinical Considerations
Stroke may present with:
 Dysrhythmias
 Hypertension
 Aphasia
 Vertigo
 Headaches
 Weakness or paralysis
 Head trauma
 Tumors
Assess for time of onset and
progression of symptoms.