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  • LAPSS

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    alonkash
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    The LAPSS (Los Angeles Prehospital Stroke Screen) is an 11-item screening tool used by emergency medical personnel to identify stroke symptoms and determine if a "CODE STROKE" should be called. It screens for factors like age, seizure history, onset of symptoms, mobility, blood glucose levels, facial droop, arm weakness, and unilateral weakness. If the screening criteria are met, a CODE STROKE is called to alert the receiving hospital. However, a stroke cannot be ruled out if criteria are not met. The screening was validated in a 2000 study to effectively identify stroke in the field.

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    The LAPSS (Los Angeles Prehospital Stroke Screen) is an 11-item screening tool used by emergency medical personnel to identify stroke symptoms and determine if a "CODE STROKE" should be called. It screens for factors like age, seizure history, onset of symptoms, mobility, blood glucose levels, facial droop, arm weakness, and unilateral weakness. If the screening criteria are met, a CODE STROKE is called to alert the receiving hospital. However, a stroke cannot be ruled out if criteria are not met. The screening was validated in a 2000 study to effectively identify stroke in the field.

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    231 Ansichten2 Seiten

    LAPSS

    Hochgeladen von

    alonkash
    The LAPSS (Los Angeles Prehospital Stroke Screen) is an 11-item screening tool used by emergency medical personnel to identify stroke symptoms and determine if a "CODE STROKE" should be called. It screens for factors like age, seizure history, onset of symptoms, mobility, blood glucose levels, facial droop, arm weakness, and unilateral weakness. If the screening criteria are met, a CODE STROKE is called to alert the receiving hospital. However, a stroke cannot be ruled out if criteria are not met. The screening was validated in a 2000 study to effectively identify stroke in the field.

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    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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