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• W2912690386 abstract "Background: In 2013, the American Heart Association/American Stroke Association began a public awareness marketing campaign that included a tool; called F.A.S. T. The purpose was used to educate the public on stroke signs and symptoms and to go to the emergency department promptly for treatment. Prehospital personnel has stroke screening tools, such as Cincinnati Stroke Scale utilized locally. The health system stroke center utilized a nursing triage process using the acronym FLASHED to identify patients were exhibiting symptoms of stroke so that nurses would triage patients based on the acronym. F stands for facial asymmetry or droop; L is leg weakness or numbness. A is for arm weakness or numbness. S stands for speech deficits. H is for a severe headache without cause. E is for eyes; this includes all or part of the vision in one or both eyes. D stands for dizziness or loss of coordination if accompanied by any of the above symptoms. Purpose: The purpose of this study was to utilize a tool better suited for nursing for stroke identification in the ED setting. Identifying if patients that met the FLASHED criteria for stroke were appropriate for receiving an emergent evaluation for an acute stroke. Methods: A retrospective electronic record review of ED patients was used for this study. A content analysis included identification of symptom description and stroke one activations over a 24 month period. A patient arriving in the ED meeting FLASHED criteria resulted in stroke one activation with their last known well within 6 hours of arrival. Results: Over a 24 month period, nearly 500 Stroke One activations occurred. Of those activations, 3% did not meet the FLASHED criteria. 89.7% of all Stroke One Activations received a stroke workup by a neurologist. 56% of all activations resulted in the patient being discharged from either an inpatient or observation status with a stroke related diagnosis. Conclusion: Recognition of possible stroke patients based on symptoms upon arrival to the ED promptly is a priority for all EDs. A clear triage tool is essential to identify patients with stroke symptoms. While using FLASHED as this tool resulted in assessments, testing, and interventions further study is needed to determine the validity and reliability of the FLASHED tool." @default.
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• W2912690386 date "2019-02-01" @default.
• W2912690386 modified "2023-09-26" @default.
• W2912690386 title "Abstract WP511: Using a Nurse Driven Protocol for Stroke Triage" @default.
• W2912690386 doi "https://doi.org/10.1161/str.50.suppl_1.wp511" @default.
• W2912690386 hasPublicationYear "2019" @default.
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