Delayed Stroke Recognition: The N1 Failure That Costs Brain and Lives
Cassie Guthrie, Legal Nurse Consultant, shared on LinkedIn:
”Saturday Stroke STATs –
Last week’s post introduced the three most critical failures in relation to Stroke treatment….
1. Delayed Recognition
2. Time From Emergency Room to Needle
3. Breakdown in communication between departments during care:
EMS → ED → Imaging Dept. →Neurology →NeuroIntervential Radiology →ICU
This week is Critical Failure N1: Delayed Recognition
Delayed recognition is the most critical failure noted when a Stroke occurs. The longer the delay in time between onset, recognition, and treatment, increases the risk for irreversible cerebrovascular damage.
The longer the brain is deprived of oxygen, blood flow, or rising pressure from hemorrhaging inside the skull, the more likely there will be long-lasting deficits or death. Hemorrhagic and large vessel occlusive strokes are associated with higher mortality and morbidity when unrecognized.
Know the signs and symptoms of Stroke before it happens.
Time is brain.
Think Fast.
F. A. S. T.
Facial dropping
Arm Weakness or paralysis
Speech slurred or garbled, unable to speak
Time – EMS or 911 activation from initial symptoms
The other warning signs prior to a stroke may include:
▪️Severe headache – the worst one you’ve ever had. Called a thunderclap headache
▪️Numbness on one side, flaccidity
▪️Vision Changes
▪️Clumsiness with falls
▪️Dizziness
▪️Sudden Confusion
▪️Memory loss
▪️Personality changes
▪️Loss of senses (taste, smell)
▪️Loss of consciousness
Most strokes are silent and may not be accompanied by any of the warning signs above.
Know the clinical practice guidelines that the American Stroke Association and the American Heart Association (ASA/AHA) have in place for the standard of care for Cerebrovascular Accidents or Stroke. Next week, those guidelines will be discussed.
The ASA/AHA has many educational articles, videos, and training materials to familiarize yourself with stroke. Informative video attached here.”
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