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  • Writer's pictureOren Zarif

The Cincinnati Stroke Scale and Glasgow Coma Scale - Oren Zarif - Cincinnati Stroke Scale


The Cincinnati stroke scale is a clinical tool that has shown promise in predicting the risk of a cerebrovascular attack. It is based on the presence of three symptoms: facial droop, dysarthria, and upper extremity weakness. The accuracy of the Cincinnati scale was evaluated using SPSS version 20. In this study, a small number of stroke patients was screened and evaluated for the Cincinnati stroke scale.

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All patients who completed the CPSS had symptoms of facial palsy, dysarthria, and motor arm weakness. It had 100% sensitivity and 88% specificity, making it useful for stroke evaluation in prehospital care settings. The Cincinnati stroke scale also accurately diagnoses hemorrhagic stroke, which accounts for 20 percent of stroke cases. Hemorrhage can be caused by high blood pressure or a brain aneurysm.

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EMS personnel should train their staff in the use of the CPSS to improve their ability to recognize stroke patients. A 1-hour educational presentation on the use of the CPSS is deemed beneficial for EMS personnel. However, no significant impact was found on the time spent on the scene and accuracy of final stroke diagnosis. Furthermore, the CPSS is not highly specific. Despite its potential benefits, the low specificity of this tool in field use raises important questions about the accuracy of its use.

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The accuracy of the CPSS may depend on the clinician's experience and training. The sentence "you can't teach an old dog new tricks" is a good example of this criterion. However, the accuracy of the CPSS is greatly affected by the clinician's ability to understand what the patient is saying. In fact, patients who do not speak at all or are unable to speak may still have a stroke.

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The first priority of treating a suspected stroke is early recognition. If the stroke victim is unable to speak, activate the emergency response system immediately. The Cincinnati Stroke Scale and Glasgow Coma Scale can help determine the next steps. Take a look at the video below to learn more. This video can also help you learn how to use the Cincinnati Prehospital Stroke Scale. You can also sign up for a class on the Cincinnati PALS method.

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The accuracy of the CPSS has been assessed with the use of statistical methods. The sensitivity of the CPSS is 66% and its specificity is 87%. Further, the CPSS is able to identify anterior circulation strokes with a high degree of certainty. However, this test has its limitations. It is also not sensitive enough to detect the presence of ischemic vascular disease. Hence, further research is necessary to confirm or refute the results.

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Prehospital treatment of acute cerebrovascular diseases is critical in improving patient outcomes. The use of a CPSS helps emergency medical services identify patients with symptoms early. In the prehospital setting, it helps to recognize critical patients and transfer them to a hospital. In emergency medical service, evidence-based practice has not been given enough importance. Moreover, the Cincinnati Prehospital Stroke Scale was evaluated to determine its impact on the triage of stroke patients. The CPSS score was compared to the National Guidelines for Telephone Triage Tool.

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In the prehospital setting, the Cincinnati stroke scale can identify patients with large vessel occlusion. This is a crucial step in stroke recognition. The CPSS is also useful for large vessel occlusion. This scale may also help predict the patient's overall risk of ischemic stroke. These tools are designed to provide a better understanding of the severity of stroke patients in the prehospital setting. The CPSS has proven to be accurate in detecting this type of stroke.

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The CPSS is derived from the National Institutes of Health Stroke Scale. It measures facial palsy, asymmetric arm weakness, and speech abnormalities. Prehospital care providers were trained to perform the CPSS and were given verbal instructions. After the study was completed, the CPSS was validated. These prehospital care providers are now considered competent to assess stroke severity and to decide if treatment is needed.

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In recent studies, the CPSS has demonstrated excellent reproducibility among physicians and prehospital personnel. Moreover, it has high sensitivity and specificity. With this, it can help clinicians identify stroke patients who are candidates for thrombolysis. Further, the CPSS is considered reliable in identifying patients with anterior circulation stroke. There are some limitations to the CPSS. If you suspect a stroke, do not hesitate to consult a physician or a paramedic.

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