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January 2007

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From:
"McGlaughlin, Jeffrey A" <[log in to unmask]>
Reply To:
TechNet E-Mail Forum <[log in to unmask]>, McGlaughlin, Jeffrey A
Date:
Tue, 30 Jan 2007 11:28:34 -0500
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The rules that Joe printed are in line with the recommendations of the National Stroke Associations F.A.S.T. Check for stroke [http://www.stroke.org/site/PageServer?pagename=SYMP] From other literature they do recommend aspirin but only if medical care is not readily available (>>15 minutes away). 


Jeffrey McGlaughlin, CID 
Engineering Designer EAS 
4-2-50 room 
x-7582 Phone 
(614)458-7582 Fax 


-----Original Message-----
From: TechNet [mailto:[log in to unmask]] On Behalf Of Roger Stoops
Sent: Tuesday, January 30, 2007 10:34 AM
To: [log in to unmask]
Subject: Re: [TN] 3 Step Method to Recognizing a Stroke (NTC)

Brian's point is well taken.  And it is advisable to seek proper medical attention and advice before administering any type of drug, including aspirin.  I have been certified for First Aid and CPR/AED, and we are instructed to not offer any kind of drug unless directed by the proper staff or the patient/victim has a known medical condition that requires administering of medication, or we have had the proper training.  The symptoms mentioned in the original post could also be attributed to other causes (not so sure about the tongue thing...).

'Course, I would encourage everyone to get first aid and CPR training.  Good to have the training that could save someone's life, including your own.

Roger

-----Original Message-----
From: TechNet [mailto:[log in to unmask]] On Behalf Of Brian Ellis
Sent: Tuesday, January 30, 2007 8:40 AM
To: [log in to unmask]
Subject: Re: [TN] 3 Step Method to Recognizing a Stroke (NTC)

Whoa, Joe, Whereas the diagnosis procedures are fine, the suggested treatment may do more harm than good. You have to know exactly what you are doing. I've had two minor strokes and my wife has had one major one.

It should be realised that the word stroke is, medically, almost meaningless and the symptoms can indicate a number of conditions. The two major ones are:
1) cerebral infarction. This is usually caused by a lump of plaque breaking loose from an artery or a thrombotic embolism (e.g., from a deep vein thrombosis in the leg). This solid matter will be transported into one of the carotid arteries and then through the branching vessels in the brain until it gets stuck, thereby restricting the blood supply to part of the brain. This is more likely in patients, often of a certain age, with a history of hypertension and/or arteriosclerosis. 
Otherwise younger women are more prone than men, sometimes when pregnant. This is the case where aspirin can help, provided a) the patient is not taking any anticoagulants (e.g., Warfarin) and b) the patient has no stomach or duodenal ulcers and c) the patient has no allergy or hypersensitivity to aspirin or its derivatives.

2) cerebral haemmorhage. This happens when a blood vessel in the brain bleeds. In bad cases, it may be due to an aneurysm. If this happens in a major artery, then the mortality rate is very high, but a small bleed, such as may be occasioned by a light physical bump to the head or along the spine, may affect only a small part of the brain. The treatment here is often to open the skull and drain the blood to relieve the pressure. 
The ***important point*** I wish to make here is that adminstering aspirin in this case could aggravate the condition and, in the worst case, may even cause the death of the patient.

If the patient's history is such that it seems likely to be an infarction and he is conscious, then I would say the risk of giving aspirin is small and it would probably be of benefit. Otherwise, don't. 
And, believe me, the 3 tests you give are by no means absolute. Speaking from personal experience I could have passed all three after my first infarction and probably after the second (not so sure about raising the arms, as my right hand and forearm were paralysed, but the upper arm was OK). In the case of my wife, she had a major one in the optic nerve but she could have passed all the tests, except she was ¾ blind.

There are other causes of similar symptoms, other than cerebrovascular accidents, but they are less likely, as a primary cause, to have a sudden onset. Brain tumours, for example, are one possibility.

I'm not attacking you for your thoughtfulness but I do feel that it may be dangerous to be too categorical in applying remedies unless you have a knowledge of what is likely to be happening.

Brian

Joe Fjelstad wrote:
> I got this from a friend and thought it was worth sharing here. I  
> figure if it saves one life it was well worth the small  effort...
> 
> 
> 
> 
> STROKE: Remembering The 1st Three Steps
> 
> 
> STROKE IDENTIFICATION:
> 
> 
> If someone takes a suddenly falls from a moment of dizziness or 
> disorientation they may have had a stroke. Some neurologists say that 
> if they can get to a stroke victim within  3 hours they can totally 
> reverse the effects of a stroke. (Totally is the word  used.) They say 
> the trick was getting a stroke recognized, diagnosed, and  then 
> getting the patient medically cared for within 3 hours, which is  tough.
> 
> RECOGNIZING A STROKE
> 
> Simply remember the "3" steps, S...T...R .
> 
> Sometimes symptoms of a stroke are difficult to identify. 
> Unfortunately, the lack of awareness spells disaster. The stroke 
> victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.
> 
> 
> Doctors say a bystander can recognize a stroke by asking three simple
> questions: 
> 
> 
> S *Ask the individual to SMILE.
> 
> T *Ask the person to TALK . to SPEAK A SIMPLE SENTENCE
> 
> (Coherently) (i.e. . . It is sunny out today)
> 
> R *Ask him or her to RAISE BOTH ARMS.
> 
> 
> NOTE: Another 'sign' of a stroke is this: Ask the person to  'stick' 
> out their tongue! ... if the tongue is 'crooked', if it goes to one 
> side  or the other that is also an indication of a stroke - Also give 
> the individual 2 Aspirins as they will help to thin out  there blood...
> 
> 
> If he or she has trouble with ANY ONE of these tasks, call 9-1-1 
> immediately and describe the symptoms to the dispatcher.
> 
> 
> It has been suggested by one doctor that if everyone  who receives 
> this e-mail sends it to 10 people; it is a good bet  that at least one 
> life will be saved.
> 
> 
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