Discuss Cerebrovascular Accidents Discuss risk factors for.pptVIP

Stroke: Help I’m Having A Brain Attack Prepared By: Bill Milan NREMT-P, CCEMT-P Objectives Discuss Cerebrovascular Accidents Discuss risk factors for CVA’S Discuss S/S of CVA’S Discuss common types of CVA’S Discuss Treatment of CVA’S Objectives Discuss Cincinnati Prehospital Stroke Scale Discuss Los Angeles Prehospital Stroke Scale Cerebrovascular Accident (CVA) Is a sudden interruption of blood flow to the brain that results in neurological deficit Similar to a heart attack time is BRAIN! Also known as a STROKE 3rd Leading cause of death in the U.S. CVA or Stroke is a TRUE EMERGENCY Rapid Assessment and Transport is very important There is a 3 hour window from onset of symptoms to Fibrinolytic therapy Risk Factors for CVA’S Hypertenstion Diabetes Mellitus Arterosclerosis Hyperlipidemia Polycythemia Cardiac Disease Signs and Symptoms of CVA’S Weakness Altered LOC Dizziness or Vertigo Visual Disturbances Facial Numbness Headache Convulsions Incontinence Dysarthria (Slurred speech Aphasia (Loss of speech) Hemiparesis or Hemiplegia on opposite side of affected area of the brain Most common causes of CVA’S Cerebral Thrombosis Cerebral Embolus Cerebral Hemorrhage Cerebral Thrombosis Most common type of CVA Commonly occurs at night with pt. Awakening with ALOC, or loss of speech, sensory, or motor function Headache is not common with this type of CVA Cerebral Thrombosis Con’t Usually associtated with long HX of vessel disease S/S are usually slow to develop Cerebral Embolus Embolus generally orginates in neck or heart and travels till it reaches the brain. Most common types of Embolus are: Clotted blood, Air bubbles, tumor fragments, or fat particles. Cerebral Embolus Con’t Symptoms usually occur when pt. Is awake and active. S/S usually more rapid to develop and have identifiable causes( I.E. A-Fib, Valvular Heart disease) Headache is common with the type of CVA Cerebral Hemorrhage Accounts for 10% of all CVA’S Can occur anywhere in the cranial vault Most c