STROKE: 911 Emergency

Learning Objectives for

Stroke: 911 Emergency
When you finish this course you will be able to
answer the following questions:
Where in the body does a stroke occur?
What exactly is a stroke?
How does a stroke happen?
How often does a stroke occur?
Is a stroke dangerous?
Am I at risk?
How do I know when a stroke is occurring?
How can I, as a 911 telecommunicator, make a
difference?
What will happen to the stroke patient when EMS
arrives?
What will happen to the stroke patient at the hospital?
Stroke: 911 Emergency
Module One
Learning Objectives: Module
One
The learning objectives for
Module One are:

Understand where in the body a

stroke occurs
Review brain anatomy
Discuss the ways in which a
stroke occurs
Where does a stroke occur?
Are there different parts to the
brain?
What keeps the brain going?
What exactly is a stroke?

87%

13%
What is a TIA?
 Let’s review

Where in the body does a stroke

occur?

What exactly is a stroke?

How does a stroke happen?

Stroke: 911 Emergency
Module Two
Learning Objectives: Module
Two
The learning objectives for
Module Two are:

Understand how often people die

of stroke
Discuss how Americans are
affected by stroke
Discuss the risk factors for stroke
Stroke Stats

EVERY 40
Seconds
Stroke Stats
Are you at risk?
Risk Factors you cannot
control

Gender
Race
Age
Family History
Prior stroke or heart attack
Are you at risk?
•Risk Factors you can control
Hypertension Atrial fibrillation
Atherosclerosis Diabetes
Other heart Health behaviors
diseases (alcohol,
High blood smoking, etc.)
cholesterol Transient
Blood disorders Ischemic Attack
(such as sickle cell (TIA)
disease)
Are you at risk?
 Let’s review

How often does a stroke occur?

Is a stroke dangerous?

Am I at risk?
Stroke: 911 Emergency
Module Three
Learning Objectives: Module
Three
The learning objectives for
Module Three are:

Learn to recognize stroke

Understand the importance of the
911 center in stroke care
What does a stroke look like?
The five warning signs of stroke are:

• Sudden confusion, trouble speaking or

understanding.   
• Sudden trouble seeing in one or both eyes.   
• Sudden trouble walking, dizziness, loss of
balance or coordination.   
• Sudden, severe headache with no known
cause.
• Sudden numbness or weakness of the face,
arm or leg, especially on one side of
the body.
Why is the 911 Center
important?
Is slurred speech:

A. An intoxicated
person
B. A speech
impediment
C. A visitor from abroad
D. A stroke

IT MAKES A
DIFFERENCE!!!
How will I know it is a stroke?
Establish and Stick to
your local protocol
Establish the nature of
the emergency
Ensure the patient is
breathing and has a
pulse
Ask key questions

Be thinking stroke

Remember the 5
warning signs of stroke
Can I be sure it is a stroke?
Stroke Assessment Tool for
911

Face

Arm

Speech
What other information should
I get?

Last seen normal

Diabetic?
Previous stroke?
 Let’s review

How do I know when a stroke is

occurring?

How can I, as a 911

telecommunicator, make a
difference?
Stroke: 911 Emergency
Module Four
Learning Objectives: Module
Four
The learning objectives for
Module Four are:

Discuss the prehospital care of a

stroke patient
Discuss the hospital care of a
stroke patient
EMS Stroke Care
Stroke Screen
Face
Arm
Speech
Vital Signs
Check blood sugar
levels
Cardiac Monitor
Intravenous line
LIMIT SCENE TIME
Hospital pre-
notification
Emergency Department Stroke
Care

Before the patient

arrives
CT scanner made ready
Essential personnel
alerted

Once the patient

arrives
Physical examination
Blood work
CT Scan
What therapy is best for this
patient?

Blood
What therapy is best for this
patient?
Therapies for Ischemic Stroke

3 hour
window
Time is Critical
Therapies for Ischemic Stroke
MERCI
Device that
is threaded
into the brain
blood stream
to remove
the clot
Therapies for Hemorrhagic
Strokes
 Let’s review

What will happen to the stroke

patient when EMS arrives?

What will happen to the stroke

patient at the hospital?
Course Review
Stroke: 911 Emergency
Case Review
Case #1
Stroke: 911 Emergency
Case Review
Case #1
Stroke: 911 Emergency
Case Review
What have you learned?
Question #1
Where in the body does a stroke occur?
A. The Heart
B. The Liver
C. The Brain
D. The Skull
Question #2
A stroke is:
A. Part of a golf score
B. A disruption in the blood supply to the
brain
C. A growth in the brain
D. A slowly progressive disease
Question #3
A stroke occurs when:

A. A blood vessel in the brain grows too

large
B. A blood vessel in the brain fails to grow
C. A blood vessel in the brain bursts
D. A nerve is severed
Question #4
A stroke occurs:

A. Every 40 seconds
B. Every 3 days
C. Every day
D. Every 3 seconds
Question #5
Is a stroke dangerous?
Question #6
Am I at risk?
Question #7
How do I know when a stroke is
occurring?
Question #8
How can I, as a 911
telecommunicator, make a
difference?
Question #9
What will happen to the stroke
patient when EMS arrives?
 Question #10
What will happen to the stroke patient
at the hospital?