Hemorrhagic Strokes

skyemt

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Hi,

in the field, what are the s/s, if any, that would lead you to suspect possible hemorrhagic stroke, vs ischemic stroke? and why?


thanks.
 
I once got to watch a man have a stroke in front of me. It wasn't like a "stroke" like getting struck, BOOM! It was like a progressive pall descending on the patient where he slowly but progressively lost more and more function on one side of his body.

He was actually able, at first, to articulate his experience, as in "That's strange, I can't seem to move my left arm very well, can I?" He tested himself. I could almost envision the brain cells as they lost function, one by one. By the end of the fifteen or so minute run to the hospital, and as I did what I could (which was basically establish IV and secure his airway), he was completely paralyzed on one side, yet still conscious.

My understanding is: regardless the cause of the stroke, it's all about location, location, location.
 
If less than 3 hrs from last confirmed symptom free, I'll treat as ischemic. If unable to confirm, I'll treat as hemorrhagic. And if critical, transport as critical.
 
Strokes

Thanks Rid for the EMS link! :)
 
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