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Los Angeles Prehospital Stroke Screen
Aka: Los Angeles Prehospital Stroke Screen, LAPSS
- Indications
- Cerebrovascular Accident Assessment
- See Ischemic Stroke Management Protocol
- Criteria (Positive if all 6 major items present)
- Age over 45 years
- No prior history of Seizure disorder
- New onset of neurologic symptoms in last 24 hours
- Patient was ambulatory at baseline (prior to event)
- Blood Glucose in range 60 to 400
- Unilateral asymmetry (one of categories below)
- Facial droop
- Grip weakness or absence
- Arm weakness
- Interpretation: Positive answers to all 6 questions above
- Contact hospital en-route
- Alert hospital of possible CVA patient
- Efficacy
- Test Sensitivity: 93%
- Test Specificity: 97%