APEX NIH Stroke Scale Group A Patient 1-6 ********************** APEX NIH Stroke Scale Group B Patient 1-6

NIH Stroke scale (NIHSS)
What NIHSS measures
measures severity of symptoms of stroke
NIHSS areas of assessment
Level of consciousness
Vision
Extraoccular movements
Facial Palsy
Limb strength
Ataxia
Sensation
Speech and language
Grading scale of NIHSS
3 or 4 point scale
Scores range from 0-42
Score of >25
Very severe stroke on NIHSS scale
Score of 15-24
Severe stroke on NIHSS scale
Score of 5-14
Mile to Moderately Severe stroke on NIHSS scale
Score of 1-5
Mild stroke on NIHSS scale
NIHSS STROKE SCALE
common signs of a stroke
•Confusion
•Slurred speech
•Facial droop
•Extremity weakness and/or numbness
•Vision disturbance
•Dysphasia
•Ataxia
FAST
•FAST - rapid identification for lay people
•Does not identify sensory impairment, vertigo or gait changes
-Facial droop
-Arm weakness
-Slurred speech
-Time
ways to assess a stroke
•FAST - rapid identification for lay people
•CPSS, LAPSS, ROSIER - used for prehospital and ER recognition