RECOGNIZING A STROKE

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[wtd]

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke…totally. RECOGNIZING A STROKE in ‘3’ (+1 new) steps, STR . . .a bystander can recognize a stroke by asking three simple questions:

S *Ask the individual to SMILE. T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently) (i.e. It is sunny out today.) R*Ask him or her to RAISE BOTH ARMS. If he or she has trouble with ANY ONE of these tasks, call emergency numberimmediatelyand describe the symptoms to the dispatcher. NOTE: Another ‘sign’ of a stroke can be revealed by asking the person to ‘stick’ out his tongue.. If the tongue is ‘crooked’, if it goes to one side or the other,that is also an indication of a stroke. Stroke gene discovered : http://www.sciencedaily.com/releases/2010/09/1009...

[wtd]

Given an earlier thread on a video of CBS anchor, Serene Branson possibly suffering a stroke while on air was pulled due to intemperate comments, it appeared appropriate to address this critical health issue from an educational standpoint. Prayers go out to Ms. Branson and her family.

[geologist]

important to keep repeating this information as there are people that have not read or seen it. It can be life altering.

Thank you .

[ButThreeLeftsDo]

Thanks to my Mother, I have this routine down pat.

This is good information.

[beebuster2000]

also ask person to post on freep. if it sticks to the left, stroke.

[null and void]

Hit it!

(This is my 94,000^th post!)

[HangnJudge]

F - Face, look for facial asymmetry
A - Arm, look for weakness or drift
S - Speech, can find right words, sounds slurred
T - Time - Get your .SS to the emergency room

Historically, less than 5% recvieve TPA foe stroke
usually because of delays to presentation to ER

[kidd]

Does aspirin help during the early part of a stroke?

[Osage Orange]

Depends on the type of stroke.

If a blockage...then could help.

If a hemorrhage..then could harm.

So the answer is yes, and no.

[wtd]

thanks for adding that

[Ole Okie]

Hit it!

(This is my 94,000th post!)

Heck, it's Laz's 94,000th "I'd hit it!".

[fightinJAG]

Thank you for this info.

[SERKIT]

Or, follow any interview of US Director of National Intelligence James Clapper and see all the symptoms. He’s not having one, he IS one.

[kittymyrib]

They’ve recently added a fourth test: Stick out your tongue. A stroke victim’s tongue will point to the right or the left rather than the center.

[fanfan]

Congrats Nully!

Happy Valentines Day!

[heartwood]

Table - tPA Inclusion and Exclusion Criteria tPA Indications These statements must be true in order to consider tPA administration: Ischemic stroke onset within 3 hours of drug administration. Measurable deficit on NIH Stroke Scale examination. Patient's computed tomography (CT) does not show hemorrhage or nonstroke cause of deficit. Patient's age is >18 years. tPA Contraindications Do NOT administer tPA if any of these statements are true: Patient's symptoms are minor or rapidly improving. Patient had seizure at onset of stroke. Patient has had another stroke or serious head trauma within the past 3 months. Patient had major surgery within the last 14 days. Patient has known history of intracranial hemorrhage. Patient has sustained systolic blood pressure >185 mmHg. Patient has sustained diastolic blood pressure >110 mmHg. Aggressive treatment is necessary to lower the patient's blood pressure. Patient has symptoms suggestive of subarachnoid hemorrhage. Patient has had gastrointestinal or urinary tract hemorrhage within the last 21 days. Patient has had arterial puncture at noncompressible site within the last 7 days. Patient has received heparin with the last 48 hours and has elevated PTT. Patient's prothrombin time (PT) is >15 seconds. Patient's platelet count is <100,000 uL. Patient's serum glucose is <50 mg/dL or >400 mg/dL. tPA Relative Contraindications If either of the following statements is true, use tPA with caution: Patient has a large stroke with NIH Stroke Scale score >22. Patient's CT shows evidence of large middle cerebral artery (MCA) territory infarction (sulcal effacement or blurring of gray-white junction in greater than 1/3 of MCA territory). (from the American College of Emergency Physicians) Even if all the criteria are met, no medicine is 100% efficacious, and tPA is one of the most dangerous medications even if the criteria are met. It's used because the stakes are so high.