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Stroke

Learning Outcomes:
  • To understand what stroke is and their common causes

  • To learn how to respond and treat casualties with stroke

  • To know when to call for help and how to monitor the casualty safely

Lesson Content:
What is Stroke? 

A stroke is a condition in which the blood supply to the brain is suddenly impaired by a blood clot or a ruptured blood vessel.

 

Signs and symptoms

Symptoms

  • Altered level of consciousness

  • Slurred or garbled speech

  • Loss of movement and sensation, usually on one side of the body

  • Severe headache 

Signs of Stroke with the acronym “FAST”:

  • Facial weakness – Ask casualty to smile/show their teeth? Check with their family member is they see anything unsual about the face (facial droop) 

  • Arm weakness – Ask casualty to close their eyes and raise both arms. Check if one arm drift downwards (also known as pronator drift) 

  • Speech difficulty – Ask the casualty what happened and hear them speak. Check with family members if they hear anything unusual (slurred speech) 

  • Time to act fast – Call 995 for SCDF. Take note and ask family members about the last time casualty was seen well.

Actions to take

  • Conduct Primary Survey and Secondary Survey. Find out as much as possible about the casualty to handover to the paramedic (from casualty/bystander). 

  • Some past medical history can increase the risk of stroke (high blood pressure, diabetes, high cholesterol, irregular heartbeats (atrial fibrillation) 

  • Monitor casualty’s vitals constantly. If the casualty falls unresponsive with no pulse and breathing, start CPR and AED immediately.

  • Reassure casualty that professional help is coming.

Recognition of Stroke
Signs and Symptoms of Stroke
Questions:

Please access the questions via this link: https://forms.gle/Taxmtp7DqYpRFHT69

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