Stroke

Cincinnati Prehospital Stroke Scale (CPSS)
The CPSS evaluates for facial palsy, arm weakness, and speech abnormalities. Items are scored as either normal or abnormal.

Facial droop
The patient shows teeth or smiles
Normal: Both sides of face move equally.
Abnormal: One side of face does not move as well as the other.

Arm drift
The patient closes their eyes and extends both arms straight out for 10 seconds
Normal: Both arms move the same, or both arms do not move at all.
Abnormal: One arm either does not move, or one arm drifts down compared to the other.

Speech
The patient repeats "The sky is blue in Cincinnati"
Normal: The patient says correct words with no slurring of words.
Abnormal: The patient slurs words, says the wrong words, or is unable to speak. [70]