So, are you ready? Let's do a case study.
Now, the purpose of a case study
is for you and I to walk through
what it might look like
for someone who's experiencing an
ischemic stroke. Okay, well,
we told you right there in the title, right?
This one is an ischemic stroke.
So stop for just a minute and
see if you can ask yourself,
we've talked about 2 types of stroke.
One is ischemic, and the other was?
Right, hemorrhagic. So I want to
introduce you to Mr. Johnson
and what it looks like or could look
like for a patient at home
that experiences an ischemic stroke. So, you've
got a picture of Mr. Johnson there.
Mr. Johnson was eating breakfast at the table
and his wife was in the living room.
She heard what sounded like a dish breaking.
She asked Mr. Johnson if he was okay,
and Mr. Johnson answered slowly.
His speech was hard to understand.
He didn't seem to make sense.
So Mrs. Johnson was
understandably concerned, went into
the kitchen to check on him,
and Mr. Johnson's right arm was hanging
down, and his face looked
droopy on one side. Okay.
Clearly, something is
going on. There's some type of event.
That's the background of the story.
Now, I want you to use the FAST tool, F-A-S-T,
to perform a quick assessment on Mr. Johnson.
This is a tool that we educate
the community to use,
so they recognize when a patient needs help.
The F stands for facial drooping.
That means a section of the
face, usually -- usually only on one side
that's drooping or hard to move. And it
can be recognized if you ask the
patient to smile, one side of their
face will not be able to smile.
Now, think about what you saw with Mr.
Johnson. What we just described.
Was this positive or not? What
about arm weakness?
A stands for our weakness, and it's
the inability of the patient to raise
their arm fully because it is
in a weakened state.
S stands for speech difficulties. Patient
has an inability or it's really
difficult for them to understand
or to produce speech.
And the T is time. If any of those
symptoms above are showing,
time is of the essence. So it's time to
call emergency services or
get to the hospital.
So now what I want you to do, pause the
video, and I want you to go back
through and think through all the information
that we gave you about Mr. Johnson.
Think what Mrs. Johnson observed and
what you heard in the story,
and write out your own FAST
screening for Mr. Johnson.
Okay. Welcome back. Now, after
walking through that FAST
screening, he had several positive
signs, so we know
the best thing to do is to call 911
and to get him to the ER.