CDE Detailed Report

(assessed by Orgogozo Stroke Scale) – Numeric scores may not be needed if the full Orgogozo Stroke Scale is not administered.

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This data element refers to the original scene and is not applicable to inter-facility transport or to patients arriving by means other than EMS. Note that EMS includes response by volunteer and professional paramedics, EMTs, fire, police and other municipal service officers responding to 911 calls. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

The purpose of this data element is to identify the earliest possible time that stroke symptoms began. This is sometimes known as "Onset Time" although the use of this term has been confusing to many in the past. If a patient experiences the onset of their symptoms in the company of another individual who can verify that the patient was functioning normally up until the time of start of symptoms, then in this patient the time "last known well" is also the time of symptom discovery. In many cases, however, no one is present at the exact start of symptoms. In this situation, we need to document the time when symptoms were first discovered (time of symptom discovery) as well as the time that the patient was last known to be well or at their baseline (time last known well), and record both of these. The time last known well should be the time closest to the time of discovery for which we have clear evidence that the patient was at their previous baseline. Depending on the type of symptoms, this might be established by a telephone or in person conversation. Family members, EMS personnel, and others, often mistakenly record the time of symptom discovery as the time the patient was last known well. It is imperative to distinguish these two times to avoid inappropriate use of IV t-PA (Intravenous Tissue Plasminogen Activator) in patients who are recently discovered to have symptoms but are many hours (>3 hrs) from their time of last being well.

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

This date and time should generally not vary between observers unless a witness noticed the onset of symptoms but did not alert anyone else, and a different individual is the one who contacted EMS or sought medical attention. If the event was witnessed, then the last known well date and time and the discovery date and time will be identical. Record both, even if identical. (To within 15 minutes of exact time of discovery is acceptable.)

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Breaths per minute

years

It is important to record whether the temperature is measured in degrees Celsius (°C) or degrees Fahrenheit (°F).It may also be important to record the location where the temperature measurement was made.

Choose one - the hand which the participant/subject uses predominantly, not necessarily the hand the participant/subject writes with exclusively.

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