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STROKE: 911 Emergency

Learning Objectives for


Stroke: 911 Emergency

When you finish this course you will be able to

answer the following questions:


Where in the body does a stroke occur?
What exactly is a stroke?
How does a stroke happen?
How often does a stroke occur?
Is a stroke dangerous?
Am I at risk?
How do I know when a stroke is occurring?
How can I, as a 911 telecommunicator, make a

difference?
What will happen to the stroke patient when EMS
arrives?
What will happen to the stroke patient at the hospital?

Stroke: 911 Emergency


Module One

Learning Objectives: Module


One
The learning objectives for

Module One are:


Understand where in the body a

stroke occurs
Review brain anatomy
Discuss the ways in which a
stroke occurs

Where does a stroke occur?

Are there different parts to the


brain?

What keeps the brain going?

What exactly is a stroke?

87%

13%

What is a TIA?

Lets review
Where in the body does a stroke

occur?
What exactly is a stroke?
How does a stroke happen?

Stroke: 911 Emergency


Module Two

Learning Objectives: Module


Two
The learning objectives for

Module Two are:


Understand how often people die

of stroke
Discuss how Americans are
affected by stroke
Discuss the risk factors for stroke

Stroke Stats

EVERY 40
Seconds

Stroke Stats

Are you at risk?


Risk Factors you cannot

control
Gender
Race
Age
Family History
Prior stroke or heart attack

Are you at risk?


Risk Factors you can control
Hypertension
Atherosclerosis
Other heart

diseases
High blood
cholesterol
Blood disorders
(such as sickle cell
disease)

Atrial fibrillation
Diabetes
Health behaviors

(alcohol,
smoking, etc.)
Transient
Ischemic Attack
(TIA)

Are you at risk?

Lets review
How often does a stroke occur?
Is a stroke dangerous?
Am I at risk?

Stroke: 911 Emergency


Module Three

Learning Objectives: Module


Three

The learning objectives for

Module Three are:


Learn to recognize stroke
Understand the importance of the

911 center in stroke care

What does a stroke look like?


The five warning signs of stroke are:
Sudden confusion, trouble speaking or

understanding.
Sudden trouble seeing in one or both eyes.
Sudden trouble walking, dizziness, loss of
balance or coordination.
Sudden, severe headache with no known
cause.
Sudden numbness or weakness of the face,
arm or leg, especially on one side of
the body.

Why is the 911 Center


important?
Is slurred speech:
A. An intoxicated

person
B. A speech
impediment
C. A visitor from abroad
D. A stroke

IT MAKES A
DIFFERENCE!!!

How will I know it is a stroke?


Establish and Stick to

your local protocol


Establish the nature of
the emergency
Ensure the patient is
breathing and has a
pulse
Ask key questions
Be thinking stroke
Remember the 5

warning signs of stroke

Can I be sure it is a stroke?

Stroke Assessment Tool for


911
Face
Arm
Speech

What other information should


I get?
Last seen normal
Diabetic?
Previous stroke?

Lets review
How do I know when a stroke is

occurring?
How can I, as a 911

telecommunicator, make a
difference?

Stroke: 911 Emergency


Module Four

Learning Objectives: Module


Four

The learning objectives for

Module Four are:


Discuss the prehospital care of a

stroke patient
Discuss the hospital care of a
stroke patient

EMS Stroke Care


Stroke Screen
Face
Arm
Speech

Vital Signs
Check blood sugar

levels
Cardiac Monitor
Intravenous line
LIMIT SCENE TIME
Hospital prenotification

Emergency Department Stroke


Care
Before the patient

arrives
CT scanner made ready
Essential personnel

alerted
Once the patient

arrives
Physical examination
Blood work
CT Scan

What therapy is best for this


patient?
Blood

What therapy is best for this


patient?

Therapies for Ischemic Stroke

3 hour
window
Time is Critical

Therapies for Ischemic Stroke


MERCI
Device that

is threaded
into the brain
blood stream
to remove
the clot

Therapies for Hemorrhagic


Strokes

Lets review
What will happen to the stroke

patient when EMS arrives?


What will happen to the stroke

patient at the hospital?

Course Review

Stroke: 911 Emergency


Case Review

Case #1

Stroke: 911 Emergency


Case Review

Case #1

Stroke: 911 Emergency


Case Review

What have you learned?

Question #1
Where in the body does a stroke occur?
A. The Heart
B. The Liver
C. The Brain
D. The Skull

Question #2
A stroke is:
A. Part of a golf score
B. A disruption in the blood supply to the
brain
C. A growth in the brain
D. A slowly progressive disease

Question #3
A stroke occurs when:
A. A blood vessel in the brain grows too
large
B. A blood vessel in the brain fails to grow
C. A blood vessel in the brain bursts
D. A nerve is severed

Question #4
A stroke occurs:
A. Every 40 seconds
B. Every 3 days
C. Every day
D. Every 3 seconds

Question #5
Is a stroke dangerous?

Question #6
Am I at risk?

Question #7
How do I know when a stroke is
occurring?

Question #8
How can I, as a 911
telecommunicator, make a
difference?

Question #9
What will happen to the stroke
patient when EMS arrives?

Question #10
What will happen to the stroke patient
at the hospital?

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