Stroke - Los Angeles Prehosp Stroke Screen

If all item 1 through 6 are checked Yes (sensitivity = 93%, specificity = 97%)

1. Age >45 years: y/unkn/n

2. H/o sz or epilepsy absent

3. Sx duration <24h

4. At baseline, Pt is not wheelchair bound

5. Blood glucose between 60 - 400

6. Obvious asymmetry (right vs left) in any of the following 3 exam categories:

Facial smile/grimace: eq, droop

Grip: eq, weak grip/no grip

Arm strength: eq, drifts down, falls rapidly