| 
Los Angeles Prehospital
Stroke Screen (LAPSS) |
|
Screening Criteria |
Yes |
No |
1. Age over 45 years |
___ |
___ |
2. No prior history of seizure
disorder |
___ |
___ |
3. New onset of neurologic
symptoms in last 24 hours |
___ |
___ |
4. Patient was ambulatory
at baseline (prior to event) |
___ |
___ |
| 5. Blood glucose between 60 and 400 |
|
|
Exam: look for obvious
assymetry |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
| 6. Based on exam, patient has
only unilateral weakness: |
|
|
If Yes (or unknown) to all items above
LAPSS screening criteria met:
If LAPSS criteria for stroke met, call receiving hospital
with “code stroke”, if not then return to the appropriate
treatment protocol. (Note: the patient may still be experiencing
a stroke if even if LAPSS criteria are not met.)
Reference
Kidwell CS, Starkman S, Eckstein M, Weems K,
Saver JL. “Identifying stroke in the field. Prospective validation
of the Los Angeles prehospital stroke screen (LAPSS).” Stroke
2000 Jan;31(1):71-6
|
