Stroke — recognition and first actions
VITE: Visage affaissé, Incapacité à lever les deux bras, Trouble de la parole, Extrême urgence. Establish the last time the person was seen well. That time, not the time symptoms were noticed, determines eligibility for thrombolysis. First actions: nothing by mouth until a swallowing screen, capillary glucose to rule out hypoglycemia which mimics stroke, head of bed position as ordered, neurological checks, no antihypertensive without an order because perfusion pressure is protective in the acute phase.