STROKE: 911 Emergency

Learning Objectives for Stroke: 911 EmergencyWhen 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 OneThe learning objectives for Module One are:

Understand where in the body a stroke occurs

Review brain anatomyDiscuss 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 TwoThe 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

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

Heart Disease

Cancer Stroke Chronic Lung Disease

Accidents

Number of Deaths in the United States

Are you at risk?Risk Factors you cannot control

GenderRaceAgeFamily HistoryPrior stroke or heart attack

Are you at risk?•Risk Factors you can control

HypertensionAtherosclerosisOther heart diseases

High blood cholesterol

Blood disorders (such as sickle cell disease)

Atrial fibrillationDiabetesHealth behaviors (alcohol, smoking, etc.)

Transient Ischemic 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 strokeUnderstand 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 abroadD. 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 emergencyEnsure the patient is

breathing and has a pulse

Ask key questions

Be thinking strokeRemember 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 normalDiabetic?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 CareStroke Screen

FaceArmSpeech

Vital SignsCheck blood sugar

levelsCardiac MonitorIntravenous lineLIMIT SCENE TIMEHospital pre-

notification

Emergency Department Stroke Care

Before the patient arrivesCT scanner made readyEssential personnel

alerted

Once the patient arrivesPhysical examinationBlood workCT 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 StrokeMERCIDevice 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 #1Where in the body does a stroke occur?

A. The HeartB. The LiverC. The Brain D. The Skull

Question #2A stroke is:

A. Part of a golf scoreB. A disruption in the blood supply to the brainC. A growth in the brainD. A slowly progressive disease

Question #3A stroke occurs when:

A. A blood vessel in the brain grows too largeB. A blood vessel in the brain fails to growC. A blood vessel in the brain burstsD. A nerve is severed

Question #4A stroke occurs:

A. Every 40 secondsB. Every 3 daysC. Every dayD. Every 3 seconds

Question #5Is a stroke dangerous?

Question #6Am I at risk?

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

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

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

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