The American Heart Association has developed EMS resources have been designed to maximize stroke recovery. An outline of these clinical assessments and actions are:
- Support ABCs: airway, breathing, circulation. Administer oxygen as indicated
- Perform prehospital stroke assessment
- Cincinnati Prehospital Stroke Scale
- Los Angeles Prehospital Stroke Screen (LAPSS)
- Los Angeles Motor Scale
- Miami Emergency Neurological Deficit Scale
- Establish & record time of patient last known normal
- Obtain medical history including medications, recent illness, injuries, surgeries, etc.
- Rapid transport (consider triage to a center with a stroke unit if appropriate; consider bringing a witness,family member, or caregiver)
- Alert receiving hospital stroke center “CODE STROKE”
- Check glucose level if possible [58]
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