2. STROKE: 911 Emergency

3. 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?

4. Stroke: 911 Emergency Module One

5. 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

6. Where does a stroke occur?

7. Are there different parts to the brain?

8. What keeps the brain going?

9. What exactly is a stroke? 87% 13%

10. What is a TIA?

11. Let’s review Where in the body does a stroke occur? What exactly is a stroke? How does a stroke happen?

12. Stroke: 911 Emergency Module Two

13. 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

14. Stroke Stats EVERY 40 Seconds

15. Stroke Stats

16. Are you at risk? Risk Factors you cannot control Gender Race Age Family History Prior stroke or heart attack

17. 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)

18. Are you at risk?

19. Let’s review How often does a stroke occur? Is a stroke dangerous? Am I at risk?

20. Stroke: 911 Emergency Module Three

21. 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

22. 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.

23. 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!!!

24. 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

25. Can I be sure it is a stroke?

26. Stroke Assessment Tool for 911 Face Arm Speech

27. What other information should I get? Last seen normal Diabetic? Previous stroke?

28. Let’s review How do I know when a stroke is occurring? How can I, as a 911 telecommunicator, make a difference?

29. Stroke: 911 Emergency Module Four

30. 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

31. EMS Stroke Care Stroke Screen Face Arm Speech Vital Signs Check blood sugar levels Cardiac Monitor Intravenous line LIMIT SCENE TIME Hospital pre-notification

32. 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

33. What therapy is best for this patient? Blood

34. What therapy is best for this patient?

35. Therapies for Ischemic Stroke 3 hour window Time is Critical

36. Therapies for Ischemic Stroke MERCI Device that is threaded into the brain blood stream to remove the clot

37. Therapies for Hemorrhagic Strokes

38. Let’s review What will happen to the stroke patient when EMS arrives? What will happen to the stroke patient at the hospital?

39. Course Review

40. Stroke: 911 Emergency Case Review

41. Case #1

42. Stroke: 911 Emergency Case Review

43. Case #1

44. Stroke: 911 Emergency Case Review

45. What have you learned?

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

47. 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

48. 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

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

50. Question #5 Is a stroke dangerous?

51. Question #6 Am I at risk?

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

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

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

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