1. Danielle Short, BSN, RN, SCRN
Lead Stroke Coordinator SIH

2. Discussion today About Stroke Stroke Prevention
Stroke Recognition and Notification
Stroke Network

3. Community Education Goal
Decrease disability and death from stroke by:
Preventing strokes from ever occurring
Primary Prevention
Rapid treatment when strokes do occur
Symptom Recognition and Response
Post stroke follow-up and care
- Secondary Prevention

4. Stroke is the number ____ cause of death in the united States?
A. 1 B. 2 C. 3 D. 5 E. 7

5. What is another name for stroke?
A. Heart attack B. Brain attack C. Myocardial infarction D. Respiratory arrest E. None of the above

6. An ischemic stroke occurs when a blood clot blocks a blood vessel to the brain.
A. True B. False

7. What percentage of stroke can be prevented with healthy behaviors?
A. 10% B. 25% C. 50% D. 80% E. 95%

8. Which of these lifestyle factors plays the biggest role in increasing the risk for stroke in younger adults?
A. Being overweight B. Little or no exercise C. High blood pressure D. Smoking E. Texting while driving

9. Which of these is a symptom of stroke?
A. Sudden confusion B. Sudden weakness in an arm or leg C. Sudden severe headache with no cause D. Sudden trouble seeing E. All of the above

10. If a person has an ischemic stroke, how quickly should the person be treated to minimize long-term problems?
A. As soon as possible B. Within 30 minutes C. Within 1 hour D. Within 3 hours E. Within 8 hours

11. Which type of medicine is given to help prevent a stroke?
A. Medicine to prevent clots from forming B. Blood-thinner medicine C. Clot-busting medicine D. A and B E. All of the above

12. Which of these may be a long-term problem after a stroke?
A. Paralysis or weakness on one side of the body B. Problems with thinking or memory C. Problems with language D. Pain in the hands and feet E. All of the above

13. The best thing to do if you notice someone is having a stroke?
A. Immediately begin performing CPR B. Wait to see if the symptoms go away C. Call 911 immediately D. Drive to the nearest emergency room E. Phone a friend and get their opinion

14. You should give an aspirin to a person who is possibly having a stroke.
A. True B. False

15. Stroke Statistics Stroke is the number 5 cause of death
Leading cause of disability
Approximately 795,000 people suffer a stroke each year
Which means every 40 seconds someone is having a stroke
Kills more than 133,000 people each year

16. What is a stroke?
A stroke is a brain injury caused when a blood vessel to the brain becomes blocked or bursts, cutting off blood flow and oxygen to the brain.

17. Types of Stroke Ischemic (Blockage) 87%
- Caused by a blockage in the blood vessels to the brain
Hemorrhagic (Bleeding) 13%
- Caused by an aneurysm that burst or a leaking blood vessel in the brain

18. Causes for an Ischemic Stroke
Thrombus- caused by a blood clot that develops in the blood vessel
Embolic stroke- caused by a blood clot or plaque debris that develops elsewhere in the body and then travels to one of the blood vessels in the brain

19. Causes for Hemorrhagic Stroke
The number 1 cause of bleeding is Hypertension!!!
Aneurysms: a ballooned area of the vessel that was caused by a weakened artery wall
Arteriovenous malformation (AVM): an abnormal connection between arteries and veins.

20. Transient Ischemic Attacks (TIAs)
TIAs are “warning strokes” that can happen before a major stroke
Blood flow in brain artery is briefly blocked
TIA symptoms are temporary or referred to as “mini-stroke”
40% of people who have had a TIA will later have a stroke
A TIA is a medical emergency

21. 80% of all Strokes are Preventable

22. Stroke prevention Diet and exercise Control high blood pressure
Lower cholesterol
Prevent/ manage diabetes
Don’t smoke
Avoid excessive alcohol

23. Stroke Prevention Continued
Mange Atrial Fibrillation (A-fib)
Medication compliance
Follow-up appointments
Support groups
Know your family history
Other risk factors

24. AHA/ASA Treat Stroke F.A.S.T (PSA)

25. Face - facial drooping, uneven smile
Arm or leg- weakness, numbness, tingling, or difficulty moving arm and leg on one side of the body
Speech- slurred speech, difficulty understanding or speaking
Time- call 911 and get to the hospital immediately, short window of treatment
***Any one of these signs means a person could be having a stroke

26. Stroke symptoms in addition to F.A.S.T.
SUDDEN
Confusion
Trouble seeing in one or both eyes
Trouble walking, dizziness, loss of balance or coordination
Severe headache with no known cause, “worse headache of my life”

27. If you think someone is having a stroke
Immediately call 911 or the Emergency Medical Services (EMS) number
Check the time so you know when the first symptoms started

28. SIH Stroke network
Provides emergent LOCAL care of acute stroke without time delays
Keeps patients at their local hospitals, while only transferring those who require a higher level of care
Keeps patients in the region, as close to home and family as possible

30. Stroke is the number ____ cause of death in the united States?
A. 1 B. 2 C. 3 D. 5 E. 7

31. What is another name for stroke?
A. Heart attack B. Brain attack C. Myocardial infarction D. Respiratory arrest E. None of the above

32. An ischemic stroke occurs when a blood clot blocks a blood vessel to the brain.
A. True B. False

33. What percentage of stroke can be prevented with healthy behaviors?
A. 10% B. 25% C. 50% D. 80% E. 95%

34. Which of these lifestyle factors plays the biggest role in increasing the risk for stroke in younger adults?
A. Being overweight B. Little or no exercise C. High blood pressure D. Smoking E. Texting while driving

35. Which of these is a symptom of stroke?
A. Sudden confusion B. Sudden weakness in an arm or leg C. Sudden severe headache with no cause D. Sudden trouble seeing E. All of the above

36. If a person has an ischemic stroke, how quickly should the person be treated to minimize long-term problems?
A. As soon as possible B. Within 30 minutes C. Within 1 hour D. Within 3 hours E. Within 8 hours

37. Which type of medicine is given to help prevent a stroke?
A. Medicine to prevent clots from forming B. Blood-thinner medicine C. Clot-busting medicine D. A and B E. All of the above

38. Which of these may be a long-term problem after a stroke?
A. Paralysis or weakness on one side of the body B. Problems with thinking or memory C. Problems with language D. Pain in the hands and feet E. All of the above

39. The best thing to do if you notice someone is having a stroke?
A. Immediately begin performing CPR B. Wait to see if the symptoms go away C. Call 911 immediately D. Drive to the nearest emergency room E. Phone a friend and get their opinion

40. You should give an aspirin to a person who is possibly having a stroke.
A. True B. False

41. Reference Materials
The American Heart Association (AHA) created the American Stroke Association Division in 1998 after many years of increasing emphasis on stroke.
The ASA is dedicated to prevention, diagnosis and treatment to save lives from stroke — America’s No. 5 killer and a leading cause of serious disability.
For more information visit: Strokeassociation.org/WarningSigns

42. Questions?

43. Help teach our community about stroke!
Thank you