2017 Nyc Remac - Stroke Patient Criteria (Appendix R)

Front 1

Utilize the modified Cincinnati ______.

Back 1

Pre-Hospital Stroke Scale (PSS)

Front 2

Three assessments of the Cincinnati PSS.

Back 2

(a) facial droop
(b) arm drift
(c) abnormal speech

Front 3

How do you assess facial droop?

Back 3

Have patient show teeth or smile.

Front 4

How do you assess arm drift?

Back 4

Have patient close eyes and hold arms straight out for 10 seconds.

Front 5

How do you assess abnormal speech?

Back 5

Have patient say a simple sentence.

"You can't teach an old dog new tricks."

Front 6

If _____ of the findings of the PSS are positive, establish _____.

Back 6

any one

onset

Front 7

Establishing onset.
Ask patient this question.

Back 7

"When was the last time you remember before you became weak, paralyzed or unable to speak clearly?"

Front 8

Establishing onset.
Ask family or bystander this question.

Back 8

"When was the last time you remember before the patient became weak, paralyzed or unable to speak clearly?"

Front 9

Establishing onset.
If the patient woke with deficit...

Back 9

...the time of onset is the time the patient went to sleep.

Front 10

Transport to stroke center if time of onset to time of initial EMS assessment is _____.

Back 10

FIVE (5) hours or less.