Stroke | Signs of STROKE

21/08/2009 18:30


Stroke can be hemorrhagic or Ischemic.  Ischemic stroke occurred because a primary vessel is occluded by a clot, fat (thrombus or emblism).  WhileHemorrhagic stroke is a result of a ruptured cerebral artery.


7 D’s of Stroke Management:

1.      Detection – Early recognition

2.      Dispatch – Early Ems/emergency activation and instructions for EMD’s

3.      Delivery – Pre hospital assessment, transport, and management

4.      Door – ED Triage (arrival at hospital)

5.      Data – ED Evaluation and management (Patient Hx assessment)

6.      Decision – Specific STROKE Therapies

7.      Drug – Fibrinolytic Therapy for Ischemic stroke


Common signs of Transient Ischemic Attack:

1.      Unilateral Paralysis – weakness, clumsiness, usually involving 1 part of the body

2.      Unilateral numbness – sensory loss, tingling or abnormal sensation, usually involving 1 part of the body

3.      Language Disturbance – trouble understanding or speaking (aphasia) or slurred speech (dysarthria)

4.      Monocular blindness – painless visual loss in one eye, often described as curtain dropping

5.      Vertigo – sense of spinning or whirling that persists at rest, isolated vertigo is also a common symptom of many nonvascular diseases; therefore at least one other symptom should also be present.

6.      Ataxia – poor balance, stumbling gait, staggering, incoordination of one side of the body