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Stroke can happen to anyone, of any age, at any time. It's vital to know how to spot the signs of a stroke in yourself or someone else. What to do if someone is having a stroke

Stroke is a medical emergency. If you experience any of the symptoms below, you should call 999. How to identify a stroke Further investigations will depend on the clinical context and may be required to exclude stroke mimics. Interventions An oropharyngeal airway is a curved plastic tube with a flange on one end that sits between the tongue and hard palate to relieve soft palate obstruction. It should only be inserted in unconscious patients as it is otherwise poorly tolerated and may induce gagging and aspiration.Introduce yourself to whoever has requested a review of the patient and listen carefully to their handover. Interaction A health-tilt chin-lift should not be performed in patients with a potential spinal injury. Strokes can present with collapse, leading to concerns regarding the C-spine, especially in those over 65. Jaw thrust You should have another member of the clinical team aiding you in your ABCDE assessment, such a nurse, who can perform observations, take samples to the lab and catheterise if appropriate.

Strole has been an evangelist of human immortality since he was a child, when his grandmother died, and he felt “a pain you can’t even describe, it’s so deep in your gut.” He was 11, still new to the world, and he came to think of death, like most of us do at some point or another, as deeply unfair. There’s millions of people now who won’t see death if they choose,” said James Strole, the director of the Coalition of Radical Life Extension, an organization which brings together scientists and enthusiasts interested in “physical immortality”.Administer a 500ml bolus of Hartmann’s solution or 0.9% sodium chloride (warmed if available) over less than 15 mins.

In an ischaemic stroke, the CT head may be normal or show hypodensity. A CT may identify other intracranial pathology, including a space-occupying lesion. See our guides to recording and interpreting an ECG for more details. Interventions Intravenous fluidsInspect the patient’s skin for evidence of bruising, which may indicate an underlying clotting abnormality (e.g. disseminated intravascular coagulation).

Assess the patient’s calves for erythema, swelling and tenderness which may suggest a deep vein thrombosis. Begin by asking the patient if they have pain anywhere, which may be helpful to guide your assessment. Inspection If a patient does meet these criteria, a referral should be made to the closest mechanical thrombectomy centre. Patients who do not fit the criteria for thrombolysis/thrombectomy The oldest person to have lived, Jeanne Calment, reached 122, though she was perhaps not the greatest example of good health: she smoked until she was 117. The most successful life-extension methods we know of seem to be those we have known all along: eat well, sleep well, exercise, reduce stress and rely on modern medicine, which has prolonged average lifespans significantly over the past 160 years.You may need further help or advice from a senior staff member and you should not delay seeking help if you have concerns about your patient. If your patient is unconscious and their respiratory rate is inadequate (too slow or irregular with big pauses), you can provide assisted ventilation through a bag-valve-mask (BVM): ventilate at a rate of 12-15 breaths per minute (roughly one every 4 seconds). CPR At present our bodies are built to last – “if you took perfect care of your body” – 125 years, according to Strole. The problem is that if someone did live to be 125, they are unlikely to remain spry into their final decades. Insert the airway bevel-end first, vertically along the floor of the nose with a slight twisting action. All community medical services and ambulance services (including call handlers) should be trained to treat patients with symptoms suggestive of an acute stroke as an emergency requiring urgent transfer to a centre with specialised hyper-acute stroke services.