RT Book, Section
A1 Willey, Joshua Z.
A2 Lee, Kiwon
SR Print(0)
ID 1101642619
T1 Acute Ischemic Stroke
T2 The NeuroICU Book
YR 2012
FD 2012
PB McGraw-Hill Education
PP New York, NY
SN 9780071636353
LK neurology.mhmedical.com/content.aspx?aid=1101642619
RD 2024/04/25
AB A  62-year-old  man  with  no  known  prior  medical  history  presents  to  the  emergency  department  (ED)  after  being  found  by  emergency  medical  technicians  (EMTs)  for  reportedly  being  intoxicated.  Pedestrians  had  noted  him  walking  on  the  street  disoriented  and  “rambling,”  and  he  appeared  to  have  difficulty  walking.  A  local  business  owner,  who  had  seen  him  on  the  streets  before,  thought  this  behavior  was  uncharacteristic  and  called  911  at  1300.  The  EMTs  noted  that  he  was  unable  to  speak  coherently,  but  his  breath  did  not  appear  to  smell  of  having  alcohol  in  his  system.  As  the  EMTs  were  escorting  the  patient  to  the  ambulance  he  developed  acute-onset  right  face,  arm,  and  leg  weakness.  The  ED  received  notification  of  an  acute  stroke,  and  the  stroke  team  was  activated  before  the  patient  arrived  at  the  ED.  Upon  arrival,  his  vital  signs  were  blood  pressure  142/78  mm  Hg,  heart  rate  78  bpm  in  sinus  rhythm,  respiratory  rate  14  breaths/min.