Different Strokes for Different Folks


Repost IG @https://www.instagram.com/the_resuscitationist/

 

TEAM,
.
Different “strokes” for different folks. 
CVA=Vascular injury that reduces cerebral blood flow to specific region of brain causing neuro impairment
determination of last known time when patient was at baseline is essential. Time = brain.

ISCHEMIC STROKE CAUSES

Thrombotic (80% of ischemic CVA)

Atherosclerosis

Vasculitis

verteberal & carotid artery dissection

Polycythemia

Hypercoagulable state

Infection

Embolic (20% of ischemic CVA)

Valvular vegetations

Mural thrombi

Arterial-arterial emboli from proximal source

Fat Emboli

Septic emboli

Hypoperfusion

Cardiac failure resulting in systemic 
HEMORRHAGIC CAUSE

Intracerebral

Hypertension

Amyloidosis

Anticoagulation

Vascular malformations

Cocaine

Subarachnoid 
Berry aneurysm rupture

AV malformation

CINCINNATI PREHOSPITAL STROKE SCALE
1 .Facial droop
2. Arm drift
3. Speech
All 3 present >85% acute stroke
.
Also incorporated into public awareness “FAST” = face, arm, speech, time
 STROKE TYPES
Ischemic, cerebellar, transient ischemic attack (TIA), hemorrhagic, intracerebral,subarachnoid
Wikiem.org for more indepth. This is a HUGE topic with many different niches.