If you think someone is having a stroke, here’s what to do.
By Beth Levine • June 17, 2020
Stroke is the number five cause of death and a leading cause
of disability in the United States, according to the Centers for Disease
Control. There are two kinds of strokes: ischemic, which
accounts for 87% and happens when a blood clot stops up a brain blood vessel or
artery to the brain; and hemorrhagic, which is caused when a
brain blood vessel breaks and results in bleeding inside or over the brain.
Major symptoms
·
Sudden
numbness or weakness of the face, arm, or leg, especially on one side of the
body
·
Sudden
confusion, or trouble speaking or understanding
·
Sudden
trouble seeing in one or both eyes
·
Sudden
trouble walking, dizziness, loss of balance, or coordination
·
Sudden,
severe headache with no known cause
Less frequent symptoms (but occur often in women)
·
Sudden
onset of nausea, and vomiting
·
Brief
loss of consciousness or fainting, confusion or convulsions
·
Sudden
hiccups
·
Sudden
face and limb pain
·
Sudden
shortness of breath and chest pain
3 easy tests to assess symptoms
1. Ask the person to
smile. Does
one side of the face droop?
2. Ask the person to
raise his arms. Does
one arm drift downward?
3. Ask the person to say
a simple sentence. Watch
for garbled words and slurred speech.
If you think you or someone with you is having a stroke,
here’s what to do:
·
Call 9-1-1 right away. Do not “wait and see” if the
symptoms subside. The sooner the patient gets medical attention, the better the
outcome. “If you have a choice, wait for the paramedics rather than driving the
patient yourself. Patients who are transported by EMS are evaluated much
quicker than people who are driven in,” says Dr. Larry B. Goldstein, MD. (And,
of course, do not drive if you are the one with the possible stroke!)
·
Note the time when symptoms appeared and let the
paramedics know. There are time frames after which certain drugs can’t be used.
·
Call even if symptoms disappear. In a transient
ischemic attack (TIA), symptoms usually only last a few minutes but it is a
warning that a major stroke may be coming. “The best way to treat a stroke is
to never have it to begin with. This is an opportunity to try to prevent one,”
says Dr. Goldstein.
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