Read Los Angeles Prehospital Stroke Screen text version

LOS ANGELES PREHOSPITAL STROKE SCREEN (LAPSS)

Patient Name: ____________________________ Rater Name: ____________________________ Date: ____________________________

Screening Criteria

4. 5. 6. 7. 8. Age over 45 years No prior history of seizure disorder New onset of neurologic symptoms in last 24 hours Patient was ambulatory at baseline (prior to event) Blood glucose between 60 and 400

Yes

____ ____ ____ ____ ____

No

____ ____ ____ ____ ____

9. Exam: look for obvious asymmetry Normal Facial smile / grimace: Grip: Right Droop Weak Grip No Grip Drifts Down Falls Rapidly Left Droop Weak Grip No Grip Drifts Down Falls Rapidly

Arm weakness:

Based on exam, patient has only unilateral (and not bilateral) weakness: 10. If Yes (or unknown) to all items above LAPSS screening criteria met:

Yes Yes

No No

11. If LAPSS criteria for stroke met, call receiving hospital with "CODE STROKE", if not then return to the appropriate treatment protocol. (Note: the patient may still be experiencing a stroke if even if LAPSS criteria are not met.)

Provided by the Internet Stroke Center -- www.strokecenter.org

References

Kidwell CS, Starkman S, Eckstein M, Weems K, Saver JL. "Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS)." Stroke 2000 Jan;31(1):71-6

Provided by the Internet Stroke Center -- www.strokecenter.org

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Los Angeles Prehospital Stroke Screen

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Los Angeles Prehospital Stroke Screen