17 STROKE

1.                  Establish level of consciousness.

2.                  Secure and maintain airway.  Consider C-spine precautions.

3.                  Administer O2 to maintain SaO2 >95% (90% if hx COPD).

4.                  Talk to patient and reassure to decrease anxiety.

5.                  Complete Primary Survey.  Initiate BCLS as needed.

6.                  CALL FOR INTERCEPT IF UNSTABLE OR CONDITION DETERIORATES.

7.                  Be ready to attach defibrillator if patient’s condition deteriorates.

8.                  Associated symptoms = follow appropriate SOG.

9.                  Obtain Secondary Survey, History, Vital Signs.

Important to determine time of onset for possible thrombolytic therapy.  Also any bleeding tendencies, recent surgeries, or blood thinning medications.

10.              Seizure precautions (padded rails, etc.)

11.              Contact Medical Control.

12.              Monitor Vital Signs and Condition enroute.