Title: Lesson 10-2 Neurology
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

Apply knowledge to provide care for patients with a neurological emergency

At the end of this lesson and the associated lab activities students will be able to:

Cognitive Learning Objectives

- 10-2.1 Discuss & review the anatomy, physiology & pathophysiology of the brain & spinal cord
- 10-2.2 Discuss & identify the causes of ischemic strokes, hemorrhagic strokes & transient ischemic attacks and their similarities & differences
- 10-2.3 Discuss how to use the stroke assessment tool accepted by the State of Florida to identify a stroke patient rapidly
- 10-2.4 Define and differentiate generalize seizure, partial seizure & status epilepticus and list their possible causes
- 10-2.5 Describe the assessment & medical care of the infant, child, adult and geriatric patient with neurological emergencies

Affective Objectives

- No affective objectives identified

Psychomotor Objectives

- 10-2.1 Demonstrate how to use the stroke assessment tool accepted by the State of Florida to identify a stroke patient rapidly
- 10-2.2 Demonstrate the assessment & medical care of all age groups with neurological emergencies

Online Video

Your instructor will recommend which videos to view for this lesson. All videos are valuable resources. Students may wish to view more to enhance their learning.

Epilepsy

- Epilepsy - Types of Seizures (4:13)
http://www.epilepsy.com/atom/431
Comments: Video reviewing the types of seizures: Generalized and Partial seizures. There are many subtypes within each broad category. Various types of seizures are recorded for your observation.

- A Guide to Seizure Management for Emergency Medical Responders (15:28)
http://www.epilepsy.com/atom/1986
Source: Epilepsy Foundation
Comments: This video provides a comprehensive overview of the pathophysiology of seizures, types, and prehospital treatment. Both BLS and ALS treatment is reviewed in this video. Transport determination and recommendations are reviewed.

Transient Ischemic Attack (TIA)

- Symptoms of TIA (10:10)
https://www.youtube.com/watch?v=1sN0DpRrnTo
Comments: Through review of TIA with video animation. Signs and symptoms, causes, diagnosis and treatment are presented.

Stroke

- Stroke (4.12)
https://www.youtube.com/watch?v=pcmrgwNCPwM
Comments: Animated video from Nucleus Medical Media reviewing type of stroke.

- Stroke on Air (0:25)
https://www.youtube.com/watch?v=dwHpBwAxDIs
Comments: A news reporter suffers a complex migraine mimicking a stoke live during on-air broadcast. She experienced expressive aphasia, numbness and tingling in her arm, blurred vision, and headache.

- Follow-up interview with reporter
https://www.youtube.com/watch?v=eIQcI3DkYKk

- Symptoms of a Stroke: The Cincinnati Stroke Scale (2.48)
https://www.youtube.com/watch?v=CMV9Wo03RLg
Comments: Short video lecture demonstrating the CSS.

- Are you at risk for a stroke: Minorities and Stroke (2:11)
https://www.youtube.com/watch?v=CttD9H_G9Sg
Comments: Video from the National Stroke Association reviewing the cultural and ethnic prevalence rates.

Supplemental Material

- Epilepsy 101
WWW Resource: EpilepsyFoundation.org
http://www.epilepsy.com/learn/about-epilepsy-basics
Review the content under:

Types of Seizures
Types of Epilepsy Syndromes
Triggers of Seizures
Epilepsy Statistics
Impact
Diagnosis
Treating Seizures and Epilepsy
Refractory Epilepsy
Diverse Communities
Seizure and Epilepsy News
Seizures in Youth
Gender Issues
Age Groups
Multimedia Center

- Women and Stroke
http://www.stroke.org/site/PageServer?pagename=WOMSYMP
Source: National Stroke Association
Comments: Review sections Women and Stroke, Women’s Stoke Risk and Symptoms in Women.

- Think FAST Stroke Games
http://www.stroke.org/site/PageServer?pagename=thinkfastgames
Source: National Stroke Association

- Faces of Stroke (3:25)
http://www.stroke.org/site/PageServer?pagename=faces_home
Source: National Stroke Association
Comments: Short video to break the myths of stroke. Of point, Baily, a 18 year old stroke survivor tells her story. EMS must not stereotype potential stroke victims.

- See the Impact of Stroke in the Brain
Second:Minute:Hour:10 Hours
http://www.strokeawareness.com/ems4stroke/impact-of-stroke/
Comments: Illustrative image to show the magnitude of tissue destruction versus time in acute ischemic stroke. Click on the tabs above the image to see the growth of the zone of ischemia. Note the information re: neurons lost and age effect on brain.

- Stroke Prehospital Care.pdf
Source: St. Elizabeth Healthcare

Stroke Checklists

- Target Stroke - Cincinnati Prehospital Stroke Scale
http://www.strokeassociation.org/idc/groups/stroke-public/@wcm/@hcm/@sta/documents/downloadable/ucm_454087.pdf

- STROKE is an EMERGENCY.pdf
Source: Genetech

- Stroke in the Young.pdf
EMS World

- Managing Headache Patients.pdf
EMS World