Scales – EMTResource.com

Los Angeles Prehospital Stroke Screen (LAPSS)

EMTResource.com — Sun, 27 Apr 2014 22:38:18 +0000

The Los Angeles Prehospital Stroke Screen (LAPSS) is a neurological exam used to assess patients with any suspected signs or symptoms of stroke.

Criteria	Yes	No	Unknown
Age greater than 45 years	__	__	__
No history of seizures or epilepsy	__	__	__
Onset of symptoms is less than 24 hours	__	__	__
Patient was ambulatory prior to onset of symptoms	__	__	__
Blood glucose between 60 and 400 mg/dl	__	__	__

Physical Exam	Equal	Right	Left
Facial smile	__	__ Droop	__ Droop
Grip strength	__	__ Weak __ No grip	__ Weak __ No grip
Arm strength	__	__ Drifts down __ Falls rapidly	__ Drifts down __ Falls rapidly

EMTResource.com — Sun, 27 Apr 2014 22:34:48 +0000

The Cincinnati Prehospital Stroke Scale is a neurological exam used to assess patients with any suspected signs or symptoms of stroke.

Activity

Findings

Activity

Instruct the patient to raise both arms up and hold them out with their eyes closed for up to 10 seconds.

Findings

Activity

Instruct the patient to say the following: “You can’t teach an old dog new tricks.”

Findings

EMTResource.com — Sun, 27 Apr 2014 22:08:59 +0000

The Glasgow Coma Scale (GCS) is a numerical way to identify the severity of a trauma patient.

Eye Opening	Points
Opens eyes spontaneously	4
Opens eyes to voice or commands	3
Opens eyes to painful stimulus	2
Does not open eyes	1

Verbal Response	Points
Alert and oriented to person, place, time and event	5
Confused response and not alert and oriented to person, place, time and event	4
Inappropriate words that do not make sense	3
Incomprehensible words, garbled speech or unintelligible noises	2
No verbal response	1

Motor Response	Points
Obeys commands	6
Localizes painful stimulus	5
Withdraws from painful stimulus	4
Decorticate (flexion) response to painful stimulus	3
Decerebrate (extension) response to painful stimulus	2
Does not move	1