Na Both sides of face move equally. One side of face does not move as well as other side. Arm Drift (patient clos CB» at : Both arms move the same or One arm does not move or both arms do not move at all one arm drifts down compared with the other PVRS eI TUEy @ Normal - patient uses correct words with ‘© Abnormal - patient slurs words, uses the no slurring, wrong words, or is unable to speak. Interpretation: If any 1 of these signs is abnormal, the probability ofa stroke is 72% Coa aesSuspected Stroke Algorithn: ACLS Be Goals for Management of Stroke ACLS Online Since 1998 Cee haute crc Activate Emergency Response Vv Cire see rc ur ec ne 0©®@6060 SupportABCs: Perform Check glucose Establshtime _Triageto _—Alerthospital Active stoke lve Onygen prehospital stroke ofsymptom stoke centre team needed aesezsment onset last notmal) Immediate general assessment and Immediate neurologic assessment stabilazation by stroke team or designee (© Assess ABCs, vital signs (© Perform neurologic ‘© Preview patient history (© Provide oxygen# 02 sat <04% screening arsessment |@. Estabish time symptom onset or lastknawn normal (© Obtain V access and perform @ Order emergent CTE |@ Perform neurologic examination (NIH Stioke Scale laboratory assessments MAL of brain or Canadian Neurologic Seale) Check glucose: teat indicated Obtain 12-ead ECG Pete ecu rr) Hemorthage No Hemorrhage v v Probabale acute ischemic stroke; Consult neurologist ot neurosurgeon: consider fibrinaltictherapy consider tansfer# not available ‘© Cheek for fbrinotytc exclusions (@. Repeat neurologic exam: are defcts rapidly improving to norma? > Gp Vv © Begin ste or hemorrhage pathway |@ Admitto stoke unit or intensive eae unt Cor Ces cieer eet v f9 Begin posttPA stoke pathway © Aggressively monitor: BP per protocol For neurologie deterioration f@ Emergent admission to stoke Ce ee See ee ee et eee ee eet eer ei Eee