stroke in the ED scenario

candidate brief

actor brief

examiner brief

  • Washes hands, introduces self
  • Confirms patient identity
  • Asks specifically about:
    • onset timing of symptoms
    • resolution of symptoms
    • Facial asymmetry
    • Weakness in arms/legs
    • Speech disturbance
    • Visual field disturbance
    • Seizure activity or syncope
  • Past medical history including risk factors
  • Drug history, allergies
  • Social history
  • Functional baseline
  • Explains differentials
  • States will carry out examination
  • Suggests appropriate investigations
  • Appropriate management plan
  • Invites questions
  • Global mark

#stroke #neurology