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?
 Let’s 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
Number of Deaths in the United States

700,000
600,000
500,000
400,000
300,000
200,000
100,000
0
Heart Cancer Stroke Chronic Lung Accidents
Disease Disease
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  Atrial fibrillation
 Atherosclerosis  Diabetes
 Other heart diseases  Health behaviors
 High blood (alcohol, smoking,
cholesterol etc.)
 Blood disorders (such  Transient Ischemic
as sickle cell disease) Attack (TIA)
Are you at risk?
 Let’s 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?
 Let’s 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 pre-notification
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
 Let’s 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?