algo islspsls 091029

1 PSLS PSLS PSLS PSLS 2 2009;31-51 B C A ( MIST) D CPSS BAGMASK PCEC Hurry, but gently! YES YESNO t-PA KPSS Step 5b Step 4 Step 3 Step 5a Step 2 Step 1 Step 6 Step 7 CPSS JCS100 or GCS 8 10 CPSS 10 Kothari RU.

2 Pancioli A, Liu T, Brott T, Broderick J. Cincinnati Prehospital Stroke Scale: reproducibility and validity. Ann Emerg Med. 1999;33: 373 378. (Kurashiki Prehospital Stroke Scale:KPSS) 13 (KPSS) , 29(4) : 555-557, 2007.

3 C: M: V: M C:0-0 M:0-0 V:0 = 0 C:0-1 M:0-4 V:1 = 6 KPSS JCSIII 10 / 30 / JCS300 JCS200 JCSIII II GCS 8 MIST BAGMASK Hurry, but gently! BAGMASK SAMPLE GUMBA B M A A ADL G S K Hurry, but gently!

4 A B C D E MIST MMechanism IImpaired SSign & Stroke scale TTreatment / Time A Airway B Breathing 10 / 30 / C Circulation D Dysfunction of CNS E Environment.

5 Epilepsy F Fukusuu I 1 2 II 10 20 III 100L 100W 200F 200E 300 Emergency Coma Scale, Version2003 4 3 2 E 1 5 4 3 2 V 1 6 5 4 3 2 M 1 Glasgow Coma Scale GCS 0 I 1 2 3 II 10 20 30 III 100 200 300 R : Restlessness.

6 I : Incontinence A : Akinetic mutism, apallic state Japan Coma Scale JCS ECSNIHSS 1a 0 = 1 = 2 = 3 = 1b 0 = 1 = 2 = 1c 0 = 1 = 2 = 2

7 2 0 = 1 = 2 = or 3 1 11 0 = 1 = 2 = 3 = 4 0 = 1 = 2 = 3 = or 5a 5b 5a 5b 90 45 10 6a 6b 6a 6b 30 5 0 = 10(or 5) 1 = 2 = 3 = 4 = 7 - - - 0 = 1 = 2 = 8 0 = 1 = or 2 = 9 0 = 1 = 2 = 3 = or 10

8 0 = 1 = 2 = or 11 0 = 1 = or 2 = or or NIH Stroke Scale, 1994 ISLS ISLS ISLS 2006;19-22 ER CT B SpO2 C D Impression ABC A CT 12 Impression (ECS) 10 CT 25 45