This is the Spring Neurologic Physical Therapy Education Consortium and my own hospital’s May Journal Club article selection. I thought including this in my local journal club was important, because we push FAST all the time to the public, but if there’s a simple bedside screen we can perform to rule in stroke for those less common symptoms, we’d be advancing our care.
I learned that the horizontal head impulse test (h-HIT) is the one you want to look at first. Then add nystagmus and skew via alternate cover test to be sure we get everything in that anatomic area. I hope you looked up the videos referencing those items. If you click on the link under Data Supplement on the first page or just this link, you’ll get to see those items. Or at least I hope you do, because it won’t work with my software apparently. I’m going to try again tomorrow at the office.
Educate yourself on the those tests and practice on a co-worker or like I do, my hubby. Maybe you’ll save a life!
I also was astounded by just how many of these were young strokes: 6 under 40 years old and the youngest was 26! Those dissecting vertebral arteries sound scary! I wonder if that’s more a genetics or birth defect thing (like with aortic dissections), because those people are too young to be having high blood pressure.