Happy Monday, and welcome to Medical Mondays! Since May is American Stroke Month, this week’s Medical Mondays is on Stroke Awareness!
Early detection is key, so I’ve made a handy little graphic here!
Warning Signs & Symptoms
- Sudden weakness or numbness of the face, arm, or leg, especially on one side of thebody
- Sudden confusion
- Trouble speaking or understanding
- Sudden trouble seeing in one or both eyes
- Sudden trouble walking
- Dizziness or loss of balance or coordination
- Sudden severe headache with no known cause
Cincinnati Pre-hospital Stroke Scale
Test |
Findings |
Facial droop: Have the patient show teeth or smile |
Normal: both sides of face move equally Abnormal: one side of face does not move as well as the other side |
Arm drift: Patient closes eyes and extends both arms straight out, with palms up, for 10 seconds |
Normal: both arms move the same or both arms don’t move at all Abnormal: one arm doesn’t move or one arm drifts down compared with the other |
Abnormal speech: Have patient say, “You can’t teach an old dog new tricks.” |
Normal: patient uses correct words with no slurring Abnormal: patient slurs words, uses the wrong words, or is unable to speak |
Interpretation: If any 1 of these 3 signs is abnormal, the probability of a stroke is 72%. If all 3 findings are present, the probability of a stroke is >85%. You might find that it’s pretty similar to F.A.S.T. (See graphic above!)
The goal of stroke care is to minimize brain injury and to maximize the patient’s recovery.
8 D’s of Stroke Care
- Detection: Rapid recognition of stroke symptoms
- Dispatch: Early activation + dispatch of EMS by 911
- Delivery: Rapid EMS identification, management, and transport
- Door: Appropriate triage to stroke center
- Data: Rapid triage to stroke center
- Data: Rapid triage, evaluation, and management within the ED
- Decision: Stroke expertise and therapy selection
- Drug/Device: Fibrinolytic or endovascular therapy
- Disposition: Rapid admission to the stroke unit or critical care unit
Find out more about strokes at the American Stroke Association website!
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The reality though is that several conditions can mimic warning signs such as aphasia due to say a sinus infection, post concussive injury or even low blood sugar. One can find hypochondriacs and those who have psychosomatic, as well as conversion disorders everywhere at times in desperate need of attention. I’ve often seen incompetence plus unprofessional behavior become rampant where a physician’s personal biases influence patient treatment, a prime example is someone who was admitted to an ER last May with most major signs indicating potential stroke plus chest pain, change in mental state, a panic attack & difficulty breathing. They were brought in by ambulance(I was in the same waiting room that evening, won’t go into specific details)That person was never properly examined by neurology but instead had blood taken in the hall & was eventually sent home after being given painkillers despite limping, as well as drooping on one side, this was really quite bothersome to see.
As for recovery there are several new treatment methodologies on the horizon including neural stem cells which have already shown potential in reversing Parkinsons and post stroke damage. Even niacin, as well as exercise, certain vitamins, nootropics & other supplements can rewire one’s brain after an ischemic event however not all physicians are aware of this. For the longest while rest was viewed as crucial following a concussion but now the view has changed with exercise seen as crucial once symptoms subside *As grandpa Simpson* I first met nootropics as a university student struggling with final exams lol……All kidding aside, though this is true research has confirmed some substances do increase plasticity unfortunately there are side effects. Niacin for example IIRC causes insulin spikes while turmeric,(which is also an anticoagulant) also reduces blood sugar levels, same with green tea.
Just a little side note, though obtaining clinical experience from a clinic(or hospital where student volunteers are not mistreated) has been damn near impossible I may have finally landed something. Unless things change massively during the next month or so I should be doing days working with geriatric residents as a porter and potentially physio assistant.Unfortunately the commute will be killer at an hour by bus each way. As for research experience the neuro building, as well as associated labs remain closed until next year so getting in even just doing grunt work on top of the essays may be a crap shoot.
thanks for the info, it’s so important to be aware of the signs
Jennifer recently posted…Chocolate Raspberry Tart {Paleo, Vegan, Gluten-Free}
Agreed!
Farrah recently posted…Top Things To Do in Lewisburg
Such important info. I have a history of stroke in my family and my daughter, who is in her 20’s, has a friend (same age) who recently had a stroke. Many people aren’t aware that strokes can happen at any age.
Mona recently posted…Crispy Brown Rice Breakfast Cookies
Definitely! I think it’s really important to raise awareness, especially with stroke–getting treatment right away is extremely important!
Farrah recently posted…Top Things To Do in Lewisburg
Thanks for sharing – and a great graphic too. It’s good to know these type of signs. And hey! Cincinnati is mentioned – I live right by there. :)
ShootingStarsMag recently posted…Clean Sweep ARC Reading Challenge – May 2017
Thanks! Canva is wonderful. <3 and ah, I've never been to Cincinnati! There was a time where I lived about 3 hours away and wanted to check it out, but I never got the chance to!
Farrah recently posted…Top Things To Do in Lewisburg
Thanks for this. I try to spread the word when I’m fundraising for the American Heart Association (soon!) since my friends’ dad had a stroke.
Coco recently posted…Training For The Farm To Fork Fondo Hills
Thanks so much for supporting such an important cause!
Farrah recently posted…Top Things To Do in Lewisburg
This is SO so important! My Pa had multiple strokes and it was so surprising how many people had no idea about stroke symptoms. It’s vital that we’re all aware of the symptoms as often times the person having the stroke is completely incapable of explaining that they need help!
Kristy from Southern In Law recently posted…4 Budget Friendly Mother’s Day Gift Basket Ideas for Last Minute Gifting!
Ah! I’m really sorry to hear that–I hope he’s doing okay now!
Farrah recently posted…Top Things To Do in Lewisburg