Cerebral Vascular Accident (CVA)/Stroke Recognition

A CVA occurs when there is a blockage or rupture of an artery in the brain. Most strokes originate from an occlusion and are painless. However, some are accompanied with a headache. Patients complaining of severe headaches should be screened for a CVA and the provider should maintain a high index of suspicion for hemorrhagic stroke. Symptom resolution within 24 hours indicates a possible transient ischemic attack (TIA) and is predictive of a CVA in the future. Complete the Portland Prehospital Stroke Screen (PPSS). If positive, proceed to C-STAT and transport as indicated.