ACLS Supplementary materials by American heart Association

By American heart Association

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Dispatch: Early EMS Activation and Dispatch Instructions As soon as signs or symptoms of a stroke are suspected, family members or other bystanders should immediately phone the emergency response number (or 911). This is the first critical link in the Stroke Chain of Survival. Rapid recognition and reaction, including phoning the emergency response number (or 911), begins to link the stroke victim to medical care. This first link can make possible such therapies as fibrinolytics, which can improve survival and function after stroke.

2006 American Heart Association 62 • Notify local EMS authorities of AED placement so that EMS personnel, particularly the EMS dispatcher, are aware that the 911 caller is in a location in which an AED is available. • Report actual use of the AED to EMS authorities (reporting is usually done by phoning 911or other emergency response system). Family Presence During Resuscitation Overview According to surveys in the United States and the United Kingdom,162167 most family members would like to be present during the attempted resuscitation of a loved one.

A fall may cause a head injury. Physical Assessment and Management The following table lists the steps for assessing and managing a stroke victim. Step 1 2 3 4 Action Ensure an adequate airway. Obtain vital signs. Conduct a brief general assessment. Look for trauma to the head or neck, cardiovascular compromise, or other abnormalities. Out-of-hospital, quickly use a validated tool such as • the Cincinnati Prehospital Stroke Scale107,118-120 • the Los Angeles Prehospital Stroke Screen (LAPSS)121,122 Both tools are described below.

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