Pittsburgh Post-Gazette

A stroke primer

- Stroke primer provided by Dr. Coleen Carignan, director of St. Barnabas Medical Center, and Michele Snyder, administra­tive director of St. Barnabas Medical Center.

Signs of a stroke include the sudden onset of any of the following: numbness or weakness in the face, arm or leg, especially on one side of the body, confusion, trouble speaking or difficulty understand­ing speech, trouble seeing in one or both eyes, trouble walking, dizziness, loss of balance or lack of coordinati­on or a severe headache with no known cause. Call 911 right away if you or someone else has any of these symptoms.

If you think someone may be having a stroke, act F.A.S.T., and do the following simple test:

F (Face): Ask the person to smile. Does one side of the face droop? A (Arms): Ask the person to raise both arms. Does one arm drift downward? S (Speech): Ask the person to repeat a simple phrase; for example, “No ifs, ands or buts.” Is the speech slurred or strange? T (Time): If you see any of these signs, call 911 right away.

Quick treatment not only improves the chance of survival, but also may reduce complicati­ons. Therapy with clot-dissolving drugs must start within three hours for an ischemic stroke — and the sooner, the better. Emergency treatment of hemorrhagi­c (bleeding) stroke focuses on controllin­g bleeding and reducing pressure in the brain.

Note these Pittsburgh hospitals with stroke centers: Allegheny General Hospital of the Allegheny Health Network, UPMC Presbyteri­an, UPMC Shadyside and UPMC Mercy.

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