Cincinnati Stroke Scale Ems

If any one of the three tests shows abnormal findings the patient may be having a stroke and should be transported to a hospital as soon as possible.

Cincinnati stroke scale ems. One side of the face does not move as well as the other or not at all 2. Cincinnati prehospital stroke scale. Both side of face move equally. Facial droop to one side.

Instruct the patient to smile and show their teeth. Cincinnati prehospital stroke scale cpss identifies facial paresis arm drift and abnormal speech. The cincinnati prehospital stroke scale cpss is simple and made up of three clinical items facial droop arm drift and abnormal speech with high sensitivity 7995 moderate specificity 2479 and good interobserver reliability correlation coefficient 089 for ischemic stroke diagnosis. A retrospective comparison of patients transported by emss for suspected stroke to a high volume csc over a 16 month period before and after implementation of an ems redirection protocol based on.

The cincinnati prehospital stroke scale cpss is commonly used for prehospital stroke detection. The cpss was derived from the national institutes of health stroke scale developed in 1997 at the university of cincinnati medical cent. The cincinnati prehospital stroke scale rebranded by the american heart association as fast based on its components of facial droop arm drift speech abnormality and time since last known normal. 11 13 in an observational retrospective in hospital study a cpss score of 33 had a 32 positive and 90 negative predictive value for lvo.

Ems assessed for possibility of stroke using the cincinnati prehospital stroke scale but identified no deficits such as unilateral weakness in the arms or face and slurred or incomprehensible. The cpss or as it is. Patient extends arms out closes eyes and holds in place x 10 seconds. Normal both sides of the face move equally.

Arm drift ask the patient to close their eyes and hold both arms out straight. The cincinnati prehospital stroke scale is a neurological exam used to assess patients with any suspected signs or symptoms of stroke. Facial droop ask the patient to show their teeth or smile. 80 of stroke patients will exhibit one or more of these symptoms.

However it has the same limitations for certain stroke related deficits that can occur in isolation. We aimed to assess whether 1 a high cpss score can identify lvo and 2 an emergency medical service ems redirection protocol based on high cpss accelerated endovascular treatment evt. It tests three signs for abnormal findings which may indicate that the patient is having a stroke. Adopted from kothari et al 1996.

Components of the cincinnati prehospital stroke scale. Cincinnati prehospital stroke scale the cincinnati prehospital stroke scale cpss takes the least amount of time to perform and is one of the most widely used in ems. Bnormal one side of the face does not move as well as the other. The cincinnati prehospital stroke scale is a system used to diagnose a potential stroke in a pre hospital setting.