Cincinnati stroke scale

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

The Cincinnati Stroke Scale is a scale used to diagnose the presence of a stroke in a patient. It tests three signs including facial droop, arm drift, and speech to find if patient is having a stroke and need more investigation. If any of the three tests shows abnormal findings, the patient may be having a stroke and should be transported to a hospital as soon as possible.

Cincinnati Prehospital Stroke Scale

Calculation of the Cincinnati Prehospital Stroke Scale

The Cincinnati Stroke Scale is a scale used to diagnose the presence of a stroke in a patient. It tests three signs including facial droop, arm drift, and speech to find if patient is having a stroke and need more investigation.

Check all boxes that apply to your patient:

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1. Facial droop: Have the person smile or show his or her teeth. If one side doesn't move as well as the other so it seems to droop, that could be sign of a stroke.
   • Normal: Both sides of the face move equally
   • Abnormal: One side of face does not move as well as the other (or at all)
2. Arm drift: Have the person close his or her eyes and hold his or her arms straight out in front for about 10 seconds. If one arm does not move, or one arm winds up drifting down more than the other, that could be a sign of a stroke.
   • Normal: Both arms move equally or not at all
   • Abnormal: One arm does not move, or one arm drifts down compared with the other side
3. Speech: Have the person say, "You can't teach an old dog new tricks," or some other simple, familiar saying. If the person slurs the words, gets some words wrong, or is unable to speak, that could be sign of stroke.
   • Normal: Patient uses correct words with no slurring
   • Abnormal: Slurred or inappropriate words or mute

Interpretation of the Cincinnati Prehospital Stroke Scale

If any of the three tests shows abnormal findings, the patient may be having a stroke and should be transported to a hospital as soon as possible.