Paramedic Recert EMS Care | 23-MCIT-F3-4106 | Stroke

Paramedic Recert EMS Care | 23-MCIT-F3-4106 | Stroke starts with the introduction to the topic.

Stroke is the fifth leading cause of adult disability and death in the US, with 795,000 cases yearly.  Given the fact that the outcome of stroke patients greatly depends on the availability of stroke treatments in the receiving hospital and their quick administration, EMS personnel’s role is critical in effectively managing these patients. This course discusses the various aspects of Stroke and its assessment and management

The lessons covered are :

  • Lesson 1:  Stroke: Causes and risk factors
  • Lesson 2:  Categories of stroke
  • Lesson 3:  Signs & symptoms
  • Lesson 4:  Stroke: Chain of survival
  • Lesson 5:  Stroke Assessment Tools
  • Lesson 6:  Management of stroke
  • Lesson 7: Hospital levels of care, and,
  • Lesson 8:  Destination decisions

Core Concepts & Takeaways

  • Identify the options for out-of-hospital stroke assessment tools.
  • Explain oxygen administration during a stroke emergency.
  • Discuss the importance of knowing the timeline of stroke events.
  • Identify patients needing rapid transport to the most appropriate stroke hospital.  And,
  • Discuss the importance of starting the fibrinolytic check sheet.

An excerpt from the course Paramedic Recert EMS Care | 23-MCIT-F3-4106 | Stroke

Ischemic strokes account for 85% of all strokes and are caused by blood clots.  It is the only type of stroke for which fibrinolytics are administered.


Ischemic strokes due to cerebral thrombosis arise from either atherosclerotic plaques or pressure caused by a brain mass. Typically, cerebral thrombosis-related strokes are linked to a prolonged history of vascular diseases. As a result, most affected individuals are older and exhibit signs of atherosclerosis in other parts of their body, such as angina pectoris, claudication, or previous strokes. The indications and symptoms of a thrombotic stroke encompass the following:

Hemiparesis or hemiplegia on the side of the body opposite the lesion

Numbness (decreased sensation) on the side of the body opposite the lesion


Confusion or coma



Diplopia (double vision)

Monocular blindness (painless visual loss in one eye)

Numbness of the face

Dysarthria (slurred speech)


Dizziness or vertigo, and,


Important Notes:

  • If you only want to take the online course for CME credit, you can pay here.  The fee for online-only does NOT include a skills session nor (re)certification.  You will receive a certificate for one CME credit after successful completion of the course.
  • This course is part of the Paramedic Recertification  curriculum .  If you sign up for one of those courses, you will be automatically enrolled in this course. Click here for scheduled courses.
  • To get credit for this course, you must watch all the lessons in their entirety, the course review, and pass the quiz at the end with a score of 75% or better.

Course Curriculum

Paramedic Recert EMS Care | 23-MCIT-F3-4106 | Stroke

  • Lesson 0 – Introduction
  • Lesson 1 – Causes and Risk Factors
  • Lesson 2 – Categories of Stroke
  • Lesson 3 – Signs and Symptoms
  • Lesson 4 – Chain of Survival
  • Lesson 5 – Stroke Assessment Tools
  • Lesson 6 – Management of Stroke
  • Lesson 7 – Hospital Levels of Care
  • Lesson 8 – Destination Decisions
  • Lesson 9 – Chapter Review
Course Duration: 2h 18m
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