Project: Ghana Emergency Medicine Collaborative Document Title: Stroke Management in the 21st Century: What Do You Need to Know? Author(s): Rashmi Kothari (Michigan State University), MD 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/

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5 Reference: Tissue Plasminogen Activator for Acute Ischemic Stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group N Engl J Med 1995; 333:1581-1588. http://www.nejm.org/doi/full/10.1056/NEJM199512143332401.

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Normal: Both arms move equally or not at all Abnormal: One arm drifts compared to the other

Speech

Normal: Patients use correct words with no slurring Abnormal: Slurred or inappropriate words or mute

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p Value

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Disposition 0.002*

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* compared home to all other dispositions Neurology 1998;50 33

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35