Scales – EMTResource.com https://emtresource.com Emergency Medical Technician Sat, 04 Jun 2016 02:02:17 +0000 en-US hourly 1 https://wordpress.org/?v=4.7.10 Los Angeles Prehospital Stroke Screen (LAPSS) https://emtresource.com/resources/scales/los-angeles-prehospital-stroke-screen-lapss/ https://emtresource.com/resources/scales/los-angeles-prehospital-stroke-screen-lapss/#respond Sun, 27 Apr 2014 22:38:18 +0000 https://emtresource.com/?p=249

The Los Angeles Prehospital Stroke Screen (LAPSS) is a neurological exam used to assess patients with any suspected signs or symptoms of stroke.

Criteria Yes No Unknown
Age greater than 45 years __ __ __
No history of seizures or epilepsy __ __ __
Onset of symptoms is less than 24 hours __ __ __
Patient was ambulatory prior to onset of symptoms __ __ __
Blood glucose between 60 and 400 mg/dl __ __ __
Physical Exam Equal Right Left
Facial smile __ __ Droop __ Droop
Grip strength __ __ Weak
__ No grip		 __ Weak
__ No grip
Arm strength __ __ Drifts down
__ Falls rapidly		 __ Drifts down
__ Falls rapidly
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The Cincinnati Prehospital Stroke Scale is a neurological exam used to assess patients with any suspected signs or symptoms of stroke.

Facial Droop

Activity

  • Instruct the patient to smile and show their teeth.

Findings

  • Normal: The face is symmetrical on both sides.
  • Abnormal: Facial droop to one side.

Arm Drift

Activity

  • Instruct the patient to raise both arms up and hold them out with their eyes closed for up to 10 seconds.

Findings

  • Normal: Both arms move together and remain at the same level.
  • Abnormal: One arm drifts lower than the other.

Slurred Speech

Activity

  • Instruct the patient to say the following: “You can’t teach an old dog new tricks.”

Findings

  • Normal: Speech is clear and correct words are used.
  • Abnormal: Aphasia, speech is slurred or incorrect words are used.
]]> https://emtresource.com/resources/scales/cincinnati-prehospital-stroke-scale/feed/ 0 Glasgow Coma Scale (GCS) https://emtresource.com/resources/scales/glasgow-coma-scale-gcs/ https://emtresource.com/resources/scales/glasgow-coma-scale-gcs/#respond Sun, 27 Apr 2014 22:08:59 +0000 https://emtresource.com/?p=242

The Glasgow Coma Scale (GCS) is a numerical way to identify the severity of a trauma patient.

Eye Opening Points
Opens eyes spontaneously 4
Opens eyes to voice or commands 3
Opens eyes to painful stimulus 2
Does not open eyes 1
Verbal Response Points
Alert and oriented to person, place, time and event 5
Confused response and not alert and oriented to person, place, time and event 4
Inappropriate words that do not make sense 3
Incomprehensible words, garbled speech or unintelligible noises 2
No verbal response 1
Motor Response Points
Obeys commands 6
Localizes painful stimulus 5
Withdraws from painful stimulus 4
Decorticate (flexion) response to painful stimulus 3
Decerebrate (extension) response to painful stimulus 2
Does not move 1
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