Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should assess stroke at the scene and counsel the patient to go to the hospital for treatment. This case includes an environment change as the learner is in the back of an ambulance with the patient. They must activate stroke protocols and give a report to the receiving hospital via phone. The case ends with a report to the receiving hospital.

Learning Objectives

– Recognize acute stroke early
– Adequately counsel the patient and calm their anxiety
– Initiate stroke protocol
– Give report to receiving hospital