Related Subjects:
| Acute Stroke Assessment (ROSIER&NIHSS)
| Atrial Fibrillation
| Atrial Myxoma
| Causes of Stroke
| Ischaemic Stroke
| Cancer and Stroke
| Cardioembolic stroke
| CT Basics for Stroke
| Endocarditis and Stroke
| Haemorrhagic Stroke
| Stroke Thrombolysis
| Hyperacute Stroke Care
Calculate ROSIER SCORE
Stroke Assessment - The aim of this assessment tool is to help enable medical and nursing staff to differentiate patients with stroke and stroke mimics. If BM < 3.5 mmol/l treat urgently and reassess once blood glucose normal YES NO Has there been loss of consciousness or syncope? -1 0 Has there been seizure activity? -1 0 Is there a NEW ACUTE onset (or on awakening from sleep)? Asymmetric facial weakness +1 0 Asymmetric arm weakness +1 0 Asymmetric leg weakness +1 0 Speech disturbance +1 0 Visual field defect +1 0 If Score = 1 or more then treat as possible stroke and do further assessment TOTAL National Institute for Health Stroke Scale/Score (NIHSS)
1A: Level of Consciousness: (If intubated/difficult to assess, make best guess, but only choose 3 if posturing/unresponsive)
1B: Ask Month and Age
1C: Tell Patient To Open and Close Eyes, then Hand Grip Squeeze
(Substitute/Pantomime Commands if Language Barrier/Confusion)
2: Test Horizontal Extraocular Movements
3: Test Visual Fields
4: Test Facial Palsy (Use Grimace if Obtunded)
5A: Test Left Arm Motor Drift
5B: Test Right Arm Motor Drift
6A: Test Left Leg Motor Drift
6B: Test Right Leg Motor Drift
7: Test Limb Ataxia (FNF/Heel-Shin)
8: Test Sensation
9: Test Language/Aphasia: Describe the scene; name the words; read the sentences.
10: Test Dysarthria (Read the words.)
11: Test Extinction/Inattention
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Acute Stroke Assessment (ROSIER&NIHSS)
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