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Multilingual Support:

Concerns

Cerebrovascular accident (stroke or TIA)

Cause

Signs and symptoms

Action

Cerebrovascular accident (stroke or TIA)

A sudden irreversible (stroke) or reversible (transient ischemic attacks [TIA]) neurologic event.

Cause

Usually caused by a thrombus, embolism or a ruptured blood vessel in the brain.

Signs and symptoms

Stroke
  • Face – Does one side of the face droop? Ask the patient to smile.
  • Arms – Is one arm weak or numb? Ask the patient to raise both arms. Does one arm drift downward?
  • Speech – Is speech slurred? Ask the patient to repeat a sentence.
  • Time – If the patient shows any of these symptoms, alert EMS immediately.
Transient ischemic attack
  • WALK (Is your balance off?)
  • TALK (Is your speech slurred or face droopy?)
  • REACH (Is your vision all or partly lost?)
  • FEEL (Is your headache severe?)

Action

  • be calm and reassuring
  • discontinue dental treatment
  • clear the mouth of all foreign objects
  • assess responsiveness
  • evaluate breathing, airway and circulation
  • monitor blood pressure, pulse and respiratory rate every 5 min
  • administer oxygen, 6-8 L/min
  • alert EMS
  • document the time of the event

OK