Stroke Algorithm Cincinnati Prehospital Stroke Scale (CPSS)

Stroke Algorithm Cincinnati Prehospital Stroke Scale (CPSS) post img
  • Updated on: October 14, 2024

Table of content(s)

  1. Introduction 
  2. What are the three components of CPSS?
  3. How to perform a CPSS test?
  4. Common signs of stroke according to CPSS
  5. What is the impact of CPSS in emergency response?
  6. How to learn CPSS?
  7. Conclusion

 

The Cincinnati Prehospital Stroke Scale is an effective tool used by medical professionals to assess whether a person is experiencing a stroke. It was developed in the 1990s and is used in the field by emergency medical technicians. Useful in improving stroke identification, it allows timely intervention. The scale comprises three components, such as arm drift, facial droop, and speech abnormalities. 

These indicators can be observed easily, helping first responders to analyze the likelihood of a stroke with a high degree of accuracy. This valuable tool ensures that stroke victims get swift medical care. By reducing long-term disability, it boosts survival rates. Keep reading to explore more about stroke algorithms and the prehospital stroke scale (CPSS). 

 

What are the three components of CPSS?

The Cincinnati Prehospital Stroke Scale is a reliable method used by first responders to check if a person might be having a stroke. It focuses on three signs that can help in detecting a stroke in the early stages. Here are three components of the Cincinnati Prehospital Stroke Scale:

  1. Facial Droop

The first component involves checking for any drooping on one side of the face. To assess this, the patient is asked to smile or show their teeth. If one side of the face does not move or droops, it could indicate muscle weakness, a common sign of stroke.

  1. Arm Drift

In this step, the patient is asked to close their eyes and lift both arms straight in front of them. If one arm drifts downward or is unable to stay up, it may suggest weakness or paralysis on one side of the body, another key stroke symptom.

  1. Speech Abnormalities

The final component checks for slurred or abnormal speech. The patient is asked to repeat a simple sentence, such as “The sky is blue.” If their speech is slurred, garbled, or difficult to understand, it could be a sign of a stroke affecting the brain’s speech centers.

 

How to perform a CPSS test?

It is easy to perform a CPSS test to quickly check if immediate action is needed. Here are three simple steps to determine: 

Check for Facial Droop

Ask the person to smile. If one side of the face droops or doesn’t move, it could be a sign of stroke.

Check for Arm Drift

Instruct the person to close their eyes and raise both arms in front of them. Watch to see if one arm drifts down or if they are unable to raise one arm at all, which may indicate muscle weakness.

Check for Speech Abnormalities

Ask the person to repeat a simple phrase, like “The sky is blue.” Listen for slurred, confused, or abnormal speech patterns, as these may point to a stroke.

Common signs of stroke according to CPSS

The CPSS helps you identify the most common signs of stroke with the help of observable and simple indicators. Here are crucial signs to detect early, which can lead to quick intervention. 

Facial Droop: One side of the face may appear uneven or droop when the person smiles.

Arm Weakness: The person may not be able to lift both arms equally, or one arm may drift downwards.

Speech Problems Slurred or garbled speech, or difficulty speaking clearly, is a key sign.

 

What is the impact of CPSS in emergency response?

The CPSS is a vital tool used during emergencies. Here is the impact of CPSS stroke scale in emergency response: 

  1. Streamlined Stroke Identification

CPSS simplifies the process of identifying a stroke by focusing on just three easy-to-spot symptoms. This makes it accessible even for non-medical personnel to quickly recognize a potential stroke. The test is quick to perform and saves precious time. 

  1. Reduces Misdiagnosis Risk

CPSS focuses on key stroke indicators that are visible and easy to assess, helping reduce the chances of misdiagnosis. Misdiagnosis can delay treatment and will not be harmful in outcomes. When you find the symptoms, CPSS makes it easier to identify and detect them.

  1. Prepares hospitals for patient arrival

When paramedics use CPSS to identify a stroke, they can inform the hospital while en route, allowing the stroke team to prepare. This advance notice speeds up the process of administering critical treatments, such as clot-busting drugs. Hospitals can have the necessary equipment and specialists ready when the patient arrives. 

  1. Improves stroke care outcomes

Quick identification through CPSS leads to faster intervention, which is crucial in stroke cases where every minute counts. Early diagnosis and timely treatment help to reduce the severity while improving the chances of survival. If you reduce long-term disabilities, CPSS helps patients to easily return to their normal lives. 

 

How to learn CPSS?

There are several courses that teach the Cincinnati Prehospital Stroke Scale focused on emergency medical response. Here are some common courses:

Basic Life Support (BLS) Courses

BLS courses cover stroke recognition, including CPSS, as part of their curriculum.

Also read: How To Get BLS Certification?

 

First Aid and CPR Courses

Many CPR and First Aid training programs include stroke identification and how to perform CPSS.

Emergency Medical Technician (EMT) Training

EMT certification programs include training in stroke recognition, where CPSS stroke scale is often taught as a part of prehospital care.

Stroke Certification Course

Some advanced courses focused on stroke care, such as those for paramedics or nursing staff, cover CPSS in depth. Look for programs with an emphasis on emergency stroke management.

Also read: What Is A BLS Certification?

 

Conclusion 

The Cincinnati Prehospital Stroke Scale helps to rapidly identify stroke symptoms. This enables first responders to quickly recognize the symptoms and offer treatment. Focus on components such as facial droop, arm drift, and abnormalities in speech to reduce long-term damage. It is easy to use and has a high efficiency in the field. This makes CPSS a must-learn element in taking care of stroke patients.