All stations
Medical
Intermediate
10 minute station

Suspected Acute Stroke, 71-Year-Old Male

Dispatch

Cat 2 — 71-year-old male, sudden onset facial droop and slurred speech, last seen well 45 minutes ago.

On arrival

Patient seated on sofa, right-sided facial droop, right arm weakness, dysarthria. Wife confirms he was normal at breakfast.

Initial observations

Airway
Patent, dysarthric speech
RR
18
SpO2
97% on air
Pulse
88 irregularly irregular
BP
176/98 mmHg
Blood glucose
6.2 mmol/L
FAST/ROSIER
Positive — facial droop, arm weakness, speech disturbance