Stroke
25
August

By Adem Lewis / in , , , , , , /


Speaker 2: Headache. Let’s see what’s on that
other thing, here. Help! Somebody… it hurts… something’s wrong with me, please somebody
call… help me help me please. Speaker 1: Hey Carol, I heard you yell out for some help?
So listen, can you tell me what’s going on? Speaker 2: I don’t feel good. Speaker 1: You
don’t feel good? Speaker 2: No, my head hurts, my neck. I just don’t feel good. Speaker 1:
I see your remote down here. Did you drop it? Speaker 2: Yeah, I was trying to change
the channel. Speaker 1: Can you do something for me? Can you smile at me a second? A big
smile? Okay, good. Listen, I am gonna hold your arms up here a moment, I don’t want you
to let them drop. Just hold them both even. Okay, good you can rest your arms again. Can
you say, I love my husband more than anybody? Speaker 2: I love- Speaker 1: Okay good, that’s
good. What time do you think this started? Was it, can you, was it recently, was it long
time ago? Just nod your head up or down if it was recently? Speaker 2: Yeah Speaker 1:
Okay, Carol, I don’t wanna alarm you, but I think you’re showing enough symptoms that
we should suspect something serious, and we should call for help, and get an ambulance
on the way. The hospital can certainly help you, but you’re having enough signs and symptoms
that I am concerned that it could be a stroke, not that I am for sure, but I know that at
the hospital they can take better care of you there than here at your home. Listen,
I think we’re gonna give the ambulance a call, and then if there is nothing you’ll buy some
peace of mind okay. Okay, okay, and I am not gonna leave you either. I am gonna stay right
here, so don’t worry about that. Now, let’s take a closer look at what a stroke is, how
the signs and symptoms help indicates to us that its an emergency, and then what to do
in case we recognize those signs and symptoms. So, a stroke has been said to be like an heart
attack, but in the brain, and the reason why that analogy works is because we know more
about what causes strokes, and most of the time in many cases, the reason they’re having
a stroke is very similar to the reasons we’re having a heart attack. Something has dislodged
and blocked a vessel in the brain, and is now starving that brain tissue of oxygenated
blood which is now begin to show affects neurologically in the patient’s body. Now, it can also be
caused from a breakage or a bursting of a blood vessel. A hemorrhagic stroke is normally
caused from an aneurysm, and is treated differently that we treat strokes from a blockage of a
blood clot, or a fatty clot. Let’s talk about the fast. The acronym fast is a way for us
to be able to check systematically if the patient is showing enough signs and symptoms
that we should be concerned that they might be suffering from a stroke, and then activate
emergency medical services. So let’s break down those for a moment. F stands for facial
drop. One of the ways to see this when its maybe not real drastic is to have the patient
smile at you. When they smile, does one corner of the mouth hang lower than the other? Then,
we move to A which stands for arm. Arm is when we raise both patient’s arms in front
of them, and the same side that they have facial drop, the arm lists and kind of floats
away from the other arm. They’re not able to hold the arm up like they can the first
arm that’s not affected. Then, we talk about S, S stands for Slurred speech. To get them
to say something to you, because they’re probably be very panicked at this point. I like to
give them a humorous sentence to say back to me, or maybe something about themselves,
or their date of birth, if they seem to be slurring their speech, then that falls into
that category of S for stroke symptoms, and then lastly T. T stands for time. What time
did the symptoms begin? The reason that this is important, and why we wanna write this
down is to make sure we tell the responding medical services is because, the time of the
essence. If we’re going to try to recirculate the oxygenated blood back to their brain tissue,
and help this patient recover with his little long lasting damage as possible. So, if a
patient starts to show that signs and symptoms under the fast acronym, we know that it is
important for us to reassure the patient that we’re gonna take good care of them, we’re
not going to dessert them, but we’re going to activate 911 or the emergency medical services,
so that we can expedite the treatment of this patient, and help them regain as much quality
of life as possible.


24 thoughts on “Stroke

  1. ๐Ÿ˜‚๐Ÿ˜‚ these things r so funny!! We use to watch these in school and the guy just pops out of no where!!

  2. F Face as the patient to smile if her or his face drops on one side symptom 1

    A Ask the patient to lift there arms if one of the arms drop symptom 2

    S Speech if speech is sluggish symptom 3

    T TIME ONE ALL THESE SYMPTOMS ARE A POSITIVE CALL 911 ASAP

  3. Th and Miss You So Much more test strips and alcohol swaps to test her liver as soon as they tell us exactly what's going to happen don't know what happen to Sandra husband died we been living with my sister since my husband died we been struggling to go to hospital

  4. Holy cow he's taking ages to call for help. That 1 minute and 13 seconds he took to call emergency services could be the difference between life and death.

  5. An additional benefit of this video, is to see the provider/patient interaction. The calm, kind, informative interaction is something that gets a few lines in the the texts, but seeing it in action really drives home its importance in calming the patient, and building the patient's trust. Seeing the amount of time spent on each FAST test is also a benefit. Some might spend more time than is necessary when the patient has already "failed" the test.
    Damn fine job!

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