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Stroke & Cerebrovascular Center
Guidelines for Pre-Hospital Stroke Patient Care
- Rapidly assess patient, position patient with head at 30 degrees and protect airway, manage ABCs, and obtain vital signs.
- Rapidly assess for deficits using a stroke scale like the Cincinnati Pre-Hospital Stroke Scale. Determine and document the time when the patient was last known well and onset of symptoms.
- Check patient's blood sugar. If less than 80mg/dl, administer 50cc of 50% dextrose IV push. If greater than 400, infuse 250cc bolus of Normal Saline.
- Obtain IV access and monitor for cardiac dysrhythmias.
- If a possible stroke is suspected, immediately notify Med Command and receiving facility for activation of the stroke team.
- Rapid/timely transport of stroke patients to a certified stroke center is key. "Load and Go" to MetroHealth.
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