Increase text size: A A A

Type in the condition you need,
or visit Advanced Search

Print this page

Email this to a friend

Comment on this page

Save to my Health Library

Johns Hopkins Health Alert

What To Do When A Stroke Occurs

Johns Hopkins Health Alerts | Hypertension & Stroke | Stroke Symptoms

  • It’s common for people to deny the possibility of something as serious as a stroke -- don’t hesitate to take prompt action.

Much more publicity is given to the symptoms of a heart attack than a stroke. Yet like a heart attack, a stroke is an emergency that requires immediate medical attention—and getting to the hospital as soon as symptoms start is essential, since drug therapy is most likely to be effective within the first three hours of stroke onset.

Listed below are the symptoms of a stroke, as well as what to do in the event of a stroke.

Symptoms of Stroke:

  • Sudden weakness or numbness in the face, arm, or leg on one side of the body.

  • Sudden loss, blurring, or dimness of vision.

  • Mental confusion, loss of memory, or sudden loss of consciousness.

  • Slurred speech, loss of speech, or problems understanding others.

  • Sudden, severe headache with no apparent cause.

  • Unexplained dizziness, drowsiness, loss of coordination, or falls.

  • Nausea and vomiting, especially when accompanied by any of the above symptoms.

Actions To Take in the Event of a Stroke:

  • Stay calm. Ignore any tendency to downplay a stroke symptom; it’s common for people to deny the possibility of something as serious as a stroke. Don’t hesitate to take prompt action.

  • Call or have someone call an ambulance. (Dial 911 in most parts of the United States.) Be sure to give your name, telephone number, and exact whereabouts.

  • While waiting for the ambulance, the person suffering the stroke should be made as comfortable as possible and should not eat or drink anything other than water.

  • If an ambulance cannot arrive for an extended period of time, a family member or neighbor should drive the stroke patient to the hospital. Under no circumstances should the person experiencing the stroke symptoms attempt to drive.

  • Notify the stroke patient’s doctor. He or she can provide the hospital with the patient’s medical history, which may be important for determining the best type of treatment for the stroke.

  • At the hospital, be sure to list any medical conditions the stroke patient has (such as high blood pressure), any allergies the patient has (particularly to medication), and any medications the patient is currently taking.

Johns Hopkins Health Alerts | Hypertension & Stroke | Stroke Symptoms

Posted in Hypertension and Stroke on April 17, 2006
Reviewed June 2008

Notify Me

Would you like us to inform you when we post new Hypertension and Stroke Health Alerts?

Your email address:

Comments

Post a Comment

Users and editors may post comments here at their own discretion. The views expressed do not constitute medical advice and do not represent the position of Johns Hopkins Medicine or University Health Publishing, which has no responsibility for its content.


I'm surprised you did not encourage your readers to explore tPA (tissue plasminogen activator). According to my research, it is very effective if given in the first three hours after a heart attack or stroke. Some of our area hospital emergency rooms have a person on staff 24/7 and are familiar with tPA. At one, however, the person answering the phone didn't know what I was talking about and, when she asked someone, the answer was, "Rarely." Needless to say, I carry a card in my wallet asking EMS to take me to a tPA hospital and giving the hospital permission to administer it in case of a stroke or heart attack diagnosis. Thanks for hosting this site.

Posted by: wpmlenoir@mac.com | May 22, 2006

Interesting. But as you say, it is not always available in every area, or even applied if it is.

Posted by: Marjorie | May 23, 2006

From the New York Times, 5/28/07: "Lifesaving Opportunities Missed, Before and After Stroke"

"... Although tPA was shown in 1996 to save lives and prevent brain damage, and although the drug could help half of all stroke patients, only 3 percent to 4 percent receive it. Most patients, denying or failing to appreciate their symptoms, wait too long to seek help -- tPA must be given within three hours. And even when patients call 911 promptly, most hospitals, often uncertain about stroke diagnoses, do not provide the drug.

'I label this a national tragedy or a national embarrassment,' said Dr. Mark J. Alberts, a neurology professor at the Feinberg School of Medicine at Northwestern University. 'I know of no disease that is as common or as serious as stroke and where you basically have one therapy and it's only used in 3 to 4 percent of patients.' "

The Joint Commission, which accredits hospitals, has begun also to certify certain hospitals as Primary Stroke Centers. In my metropolitan area, only the two largest, center-city hospitals, 30 minutes away, are certified. Yet I am certain that our local EMS would take me only to the nearest hospital if I were having stroke symptoms, and there is virtually no chance that I would receive tPA -- the difference between recovery and long-term disability.

This seems worthy of a great deal more attention.

Posted by: JohnPA | June 18, 2007



Post a Comment


New to the Johns Hopkins Health Alerts?
Signup

User Name:


This appears next to your comment.


Email Address:

(this will not be posted)
This will be your login ID.

Password:

Confirm Password:


Receive Health Alerts?

Notify me when new comments are posted?

Comment (offensive materials and/or spam will be removed, no HTML allowed)

Already a subscriber?
Login

Email:

Password:


Forgot your password?

Registered Users Log-in:

Email:

Password:

Remember me
Forgot Password?

Become a Registered User!
It's fast and FREE!
The Benefits of Being A Registered User

Health Topic Pages

Arthritis +Add
Back Pain & Osteoporosis +Add
Caregivers | Caregiving
Colon Cancer +Add
Complementary Medicine
Depression & Anxiety +Add
Diabetes +Add
Digestive Health +Add
Exercise and Fitness
Healthy Living +Add
Heart Health +Add
Hypertension & Stroke +Add
Lung Disorders +Add
Memory +Add
Men's Health
Nutrition +Add
Prescription Drugs +Add
Prostate Disorders +Add
Sexual Health
Vision +Add
Weight Control +Add
Women's Health
Health Alert Special Report


Get yours FREE: Seven Keys to Reduce Cholesterol

FREE Johns Hopkins Special Report: Seven Keys to Reduce Cholesterol

PLUS FREE Johns Hopkins
Heart Health Alerts!

YES! Send me my FREE Special Report and FREE Health Alerts


Our Featured Title:

Johns Hopkins White Papers

  • 2008 Hypertension & Stroke White Paper
    High blood pressure, or hypertension, gives few or no warning signs before it erupts with major complications, such as a stroke. Featured highlights for 2008 include:
    Read more or order the INSTANT PDF DOWNLOAD EDITION
    Read more or order the PRINT EDITION


    Related Titles:

  • The Johns Hopkins Heart Bulletin
    A must-have health journal for anyone concerned about their heart health. Each packed quarterly issue brings you the latest research and findings on coronary heart disease, including the latest breakthroughs on such conditions as: coronary artery disease, congestive heart failure, angina, atrial fibrilliation and other arrhythmias, pacemakers and defibrillators, and many other cardiac conditions and their treatments. Heart attack prevention, diet, weight loss, smoking cessation, how to reduce cholesterol, and other heart health concerns are also covered in-depth.
    Subscribe now, and you’ll also get a FREE Cardiac Glossary, PLUS 4 FREE Johns Hopkins Heart Health Special Reports, all available as instant downloads.Read more...

  • 2008 Heart Attack Prevention White Paper
    Featured highlights for 2008 include:
    PLUS, get your special discount and FREE Special Report: Tested, Proven Ways to Save Your Heart through this exclusive web-only offer.
    Read more or order the INSTANT PDF DOWNLOAD EDITION
    Read more or order the PRINT EDITION

  • 2008 Coronary Heart Disease White Paper
    This White Paper reports on the latest life-saving advances for your heart health, to help you prevent or treat coronary heart disease. Topics include angina; cardiac arrhythmias; and congestive heart failure.
    Feature highlights for 2008 include:
    PLUS, get your special discount and FREE Special Report: Healthier Heart, Longer Life through this exclusive web-only offer.
    Read more or order the INSTANT PDF DOWNLOAD EDITION
    Read more or order the PRINT EDITION


    Reference Books

  • The Johns Hopkins Medical Guide to Health After 50
    A comprehensive home medical encyclopedia that gives you a “crash course” on more than 100 major medical concerns of men and women over 50, organized in an easy-to-use A to Z format. Read more…

  • Johns Hopkins Symptoms and Remedies
    This easy-to-use reference book can help you pinpoint the causes of hundreds of disorders, from abdominal pain to skin rash to swollen glands. Read more…

  • The Johns Hopkins Consumer Guide to Drugs
    This illustrated guide contains drug profiles on more than 750 medications – both prescription and over-the-counter, most commonly used by people over 50. It also includes an invaluable guide to dietary supplements. Read more…


  • ALL NEW!Number One of America's Best Hospitals 2008: Johns Hopkins

    Johns Hopkins has been ranked #1 again in the Honor Roll of America's Best Hospitals by
    U.S. News and World Report for the 18th consecutive year.


    Please visit here for more information about Johns Hopkins Patient Services

    Please send me The Johns Hopkins Medical Guide to
    Health After 50




    Yes! Please send me The Johns Hopkins Medical Guide to Health After 50 for just $29.85, plus shipping and handling. I may review it risk-FREE for 30 days. If not completely satisfied, I may return the book, no questions asked.



    The Johns Hopkins Medical Guide to Health After 50 is a contemporary health handbook for your home with the authority of America’s #1 medical center behind it. Only one book brings the full force of the world’s renowned health experts to bear on the unique health issues affecting men and women after 50.



    Risk-FREE.
    Fill out the form and click "Submit my order."

    First Name

    Last Name

    Address

    Address2

    City

    State

    Zip

    Email Address (required)

    Please send me FREE monthly Johns Hopkins Healthy Living
    Health Alerts

    Your risk-free review. Yours to review risk-free. If you are not satisfied with The Johns Hopkins Medical Guide to Health After 50 for any reason, simply return the book, no questions asked.

    Why Johns Hopkins?



    © 2008 MediZine LLC. All rights reserved.
    Contact Us
    customerservice@johnshopkinshealthalerts.com