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9-1-1 Scenario: Stroke

Listen to the audio clip and then test yourself by answering the following questions.

  • You will need the QuickTime player to correctly listen to the audio clip.
  • The clip will not start automatically. Press the play button to begin the clip.

1:  What piece of evidence can be heard from the call pertaining to down time?
A: The reporting party went to the store and found the patient upon his return.
B: The patient's lips were "super blue."
C: The patient was snoring.
D: All of the above

2:  What is the medical term for stroke?
A: Cardiovascular event
B: Cerebral vascular accident
C: Conscious and alert
D: Myocardial infarction

3:  Why is the time of onset important with strokes?
A: To be aware of the time the patient had medical problems
B: To define the "door to drug" time for thrombolytic therapy
C: To advise the responding units they have time since the patient is relatively stable
D: Because the time is needed for patient contact reports

4:  Is there any suspected reason stated by the reporting party as to the cause of the cardiac arrest?
A: The patient had a stressful day.
B: The patient had a history of illness.
C: Attempted suicide
D: Cardiac history

5:  Does the patient have an altered level of consciousness simply by not talking and not functioning?
A: Yes
B: No

6:  What is the major complication the reporting party encountered while attempting CPR?
A: Airway patency
B: Breathing mouth-to-mouth
C: Circulation-compressions
D: Chest compressions

7:  Why do you suspect that there is a possibility of fluids and/or vomit in the airway of the patient?
A: Snoring
B: The reporting party states that there is fluid.
C: The reporting party reports that there is gurgling.
D: All of the above

8:  Is there an appropriate indication for clot busting therapy as requested by the family on scene?
A: Yes, it is always appropriate in strokes.
B: No, it is too new and is not appropriate.
C: Maybe, depending on the type of stroke and the health and medical history of the patient.

9:  Why is visualization of the airway to inspect for obstructions and fluids so difficult?
A: There is no fluid and fluid will not hurt a patient.
B: There is no active vomiting.
C: Fluid and obstruction settle in the pharyngeal when the patient is in the supine position.
D: Visualization is not needed.

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