B.A.P.E.T Protocol

B.A.P.E.T Brain Attack Protocol & Emergency TreatmentBy:Nicole Florentine,Christina Lauderman Erin Patrick,&Kara Sharp

Types of StrokeCerebral Vascular AccidentIschemicClot or plaqueTransient Ischemic AttackClot or plaque causes cerebral ischemia causing stroke-like symptomsResolves quickly in less than 24 hours without interventionCT/MRI will be negative

Hemorrhagic StrokeIntracerebralSubarachnoid

Recognizing Common SymptomsSpeech DifficultyWeakness (especially one sided)Facial droopNumbness/ tingling of face or extremity

Atypical SymptomsDizzinessAcute onset of blurred vision/ loss of vision New onset of seizuresDisequilibrium (balance issues)Confusion

Headache

CVAHeadacheOne- sided weaknessSpeech difficultyNumbness and tinglingICHworst headacheNausea VomitingGeneralized weaknessFlu-like symptomsphotophobia

MIGRANEband-like, focal headacheauraphotophobianausea vomitinghistory of migraines

Risk FactorsAgeGenderRace (African American)Past CVA/ TIAFamily historySmokingObesityHeart diseaseDiabetes

AlertPurpose- Rapid Intervention of patient with acute strokeAcuteness determined by CT/ MRIAnyone can place an alert!

ANYONE Can Place Alert!ANYONE can place alert by calling UPMC Command at 412.647.5858If you even slightly suspect stroke symptoms, place an alert! It can be cancelled if determined later not to be a strokePatients have better outcomes if made an alert!

Benchmark/ Treatment ProtocolBenchmarks need to be met to continue our stoke accreditationTreatment1. Direct to treatment room2. NIH stroke scale on arrival3. MD and RN evaluation