Stroke

This stroke screen is a bit more complex than the Cincinnati stroke scale and relies on risk factors, history, blood glucose and symptoms.

LAPSS Screening Criteria:

• Age >45 years
• No prior history of a seizure or epilepsy
• Symptoms must last <24 hours
• Baseline patient function cannot include being bedridden or wheelchair bound
• Blood glucose between 60–400 mg/dL
• Obvious asymmetry of any 3 areas
  • Smile or grimace
  • Grip
  • Arm strength (drift)

The above criteria signify the possibility of a stroke. A qualifying patient should be rapidly transported to the closest stroke-capable facility.