TY - CHAP M1 - Book, Section TI - Acute Ischemic Stroke A1 - Willey, Joshua Z. A2 - Lee, Kiwon PY - 2012 T2 - The NeuroICU Book 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1101642619 ER -