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Senior Sense: In Case of Stroke, Every Moment Counts
 Mary McCallum, COASEV January 2003

How can you tell if someone is having a stroke? Would you know how to assist that person until emergency medical help arrives? Strokes kill nearly 150,000 Americans annually and we know that the faster medical treatment is given, the better chance of saving a life and minimizing damage. Every moment counts.

To understand how to help, you first need to know what a stroke is and how to recognize its symptoms.

A stroke, often called a brain attack, occurs when blood flow to the brain is interrupted long enough to cut off oxygen supply, causing brain cells to die. It can be caused by a clot or rupture in an artery leading to or in the brain, or compression of an artery within the brain. Of the four types of strokes, cerebral thrombosis, caused by blood clots, is the most common, accounting for nearly 80% of attacks.

Signs and symptoms of stroke are:

  • sudden weakness or numbness of face, arm or leg on one side of the body
  • sudden dimness, blurring, or loss of vision, especially in one eye
  • difficulty in speaking or understanding speech
  • sudden severe headache
  • dizziness, unsteadiness, or a sudden fall

These can also be symptoms of a transient ischemic attack (TIA), or a "mini-stroke," which often precedes a major stroke. A TIA results from a temporary blood clot and can happen days, weeks or months a real stroke. They may last only minutes but are an important warning sign for stroke and should NOT be ignored. Getting medical attention for TIAs can prevent a fatal stroke down the road.

What should you do if someone is experiencing a full stroke or TIA?

  • Have the person immediately stop what they are doing and call 911 for help.
  • Lay the victim down with head and shoulders slightly elevated. This will reduce pressure on the brain.
  • If person is breathing but unresponsive, place them on their left side with chin extended. This opens airways and lets vomit or secretions drain from the mouth, preventing choking.
  • Never give the victim anything to eat or drink, as this may cause choking.
  • Offer calm reassurance that help is on the way.

Once medical attention has been administered and a stroke victim is in recovery, there can be long-term effects that may or may not improve over time. These include:
· weakness or paralysis on one side of the body
· speech and memory problems
· balance and coordination problems
· difficulty learning, concentrating, and making decisions

The best way to avoid stroke is to educate yourself and your loved ones about the associated risk factors. While age is a risk factor that cannot be altered, others can be changed through medical treatment and lifestyle choices. Stroke risks such as high blood pressure, heart disease and TIAs respond to medical intervention. Risk factors of high cholesterol, obesity, inactivity, smoking, and drinking alcohol can be controlled by lifestyle changes. If you lower salt intake, get more exercise, stop smoking, and take medication as prescribed by your doctor, your chances of suffering a stroke decrease dramatically.

One last tip: taking a first aid course or CPR training can prepare you in case of medical emergency. Improper care during a health crisis can actually cause more harm than good, so being alert to symptoms and reacting quickly and properly can make all the difference. Community groups provide training classes that can put you in the position to save a life.

 

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