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Los Angeles Prehospital Stroke Screen (LAPSS)
The Los Angeles Prehospital Stroke Screen (abbreviated LAPSS) is a method of identifying potential stroke patients in a pre-hospital setting. Screening criteria * No history of seizures or epilepsy *Age 45 years or older *At baseline, patient is not bedridden and does not use a wheelchair *Blood glucose between 60 and 400 mg/dL *Obvious asymmetry-unilateral weakness with any of the following motor exams: *#Facial Smile/Grimace *#Grip *#Arm Strength If all of the above criteria are met (or not ascertainable) the LAPSS is positive for stroke. Patients may still be experiencing a stroke even if LAPSS criteria are not met. Validity A January 2000 study, conducted by 3 teams of Los Angeles-based paramedic units resulted in "sensitivity of 91% (95% CI, 76% to 98%), specificity of 97% (95% CI, 93% to 99%), positive predictive value of 86% (95% CI, 70% to 95%), and negative predictive value of 98% (95% CI, 95% to 99%). With correction for the 4 documentation errors, positive predic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stroke
Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorrhagic, due to bleeding. Both cause parts of the brain to stop functioning properly. Signs and symptoms of stroke may include an hemiplegia, inability to move or feel on one side of the body, receptive aphasia, problems understanding or expressive aphasia, speaking, dizziness, or homonymous hemianopsia, loss of vision to one side. Signs and symptoms often appear soon after the stroke has occurred. If symptoms last less than 24 hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. subarachnoid hemorrhage, Hemorrhagic stroke may also be associated with a thunderclap headache, severe headache. The symptoms of stroke can be permanent. Long-term complications may include pneumonia and Urinary incontinence, loss of b ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Los Angeles
Los Angeles, often referred to by its initials L.A., is the List of municipalities in California, most populous city in the U.S. state of California, and the commercial, Financial District, Los Angeles, financial, and Culture of Los Angeles, cultural center of Southern California. With an estimated 3,878,704 residents within the city limits , it is the List of United States cities by population, second-most populous in the United States, behind only New York City. Los Angeles has an Ethnic groups in Los Angeles, ethnically and culturally diverse population, and is the principal city of a Metropolitan statistical areas, metropolitan area of 12.9 million people (2024). Greater Los Angeles, a combined statistical area that includes the Los Angeles and Riverside–San Bernardino metropolitan areas, is a sprawling metropolis of over 18.5 million residents. The majority of the city proper lies in Los Angeles Basin, a basin in Southern California adjacent to the Pacific Ocean in the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Paramedic
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients. Not all ambulance personnel are paramedics, although the term is sometimes used informally to refer to any ambulance personnel. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Functions and duties The paramedic role is closely related to other healthcare positions, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Beijing
Beijing, Chinese postal romanization, previously romanized as Peking, is the capital city of China. With more than 22 million residents, it is the world's List of national capitals by population, most populous national capital city as well as China's List of cities in China by population, second largest city by urban area after Shanghai. It is located in North China, Northern China, and is governed as a Direct-administered municipalities of China, municipality under the direct administration of the Government of the People's Republic of China, State Council with List of administrative divisions of Beijing, 16 urban, suburban, and rural districts.Figures based on 2006 statistics published in 2007 National Statistical Yearbook of China and available online at archive. Retrieved 21 April 2009. Beijing is mostly surrounded by Hebei Province and neighbors Tianjin to the southeast; together, the three divisions form the Jing-Jin-Ji, Jing-Jin-Ji cluster. Beijing is a global city and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
FAST (stroke)
FAST is an acronym used as a Mnemonic, mnemonic device to help early recognition and detection of the signs and symptoms of a stroke. The acronym stands for Facial drooping, Arm (or leg) weakness, Speech difficulties and Time to call emergency services. *F - Facial drooping - A section of the face, usually only on one side, that is Central facial palsy, drooping and hard to move. This can be recognized by a crooked smile, or difficulty preventing saliva from leaking at a corner of the mouth. *A - Arm (or leg) weakness - Inability to Paresis, raise one's arm fully, or the inability to hold or squeeze something (such as someone's hand), or a new reduction in strength of an arm or leg when raising/supporting an extra weight (such as new difficulty of carrying/lifting a typical object, or raising one's body from squatting/sitting position). *S - Speech difficulties - An Aphasia, inability or difficulty to understand or produce speech, slurred speech, or having difficulty repeating e ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cincinnati Prehospital Stroke Scale
The Cincinnati Prehospital Stroke Scale (abbreviated CPSS) is a system used to diagnose a potential stroke in a prehospital setting. It tests three signs for abnormal findings which may indicate that the patient is having a stroke. 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. The CPSS was derived from the National Institutes of Health Stroke Scale developed in 1997 at the University of Cincinnati Medical Center for prehospital use. Method #''Facial droop:'' Have the person smile or show his or her teeth. If one side doesn't move as well as the other so it seems to droop, that could be a sign of a stroke. #* Normal: Both sides of face move equally #* Abnormal: One side of face does not move as well as the other (or at all) #''Arm drift:'' Have the person close his or her eyes and hold his or her arms straight out in front with palms facing up for about 10 seconds. If one arm ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stroke
Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorrhagic, due to bleeding. Both cause parts of the brain to stop functioning properly. Signs and symptoms of stroke may include an hemiplegia, inability to move or feel on one side of the body, receptive aphasia, problems understanding or expressive aphasia, speaking, dizziness, or homonymous hemianopsia, loss of vision to one side. Signs and symptoms often appear soon after the stroke has occurred. If symptoms last less than 24 hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. subarachnoid hemorrhage, Hemorrhagic stroke may also be associated with a thunderclap headache, severe headache. The symptoms of stroke can be permanent. Long-term complications may include pneumonia and Urinary incontinence, loss of b ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Assessment And Evaluation Instruments
Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
