Prehospital scales like the Cincinnati Prehospital Stroke Scale, which is often used by emergency medical services, assess for facial droop, arm drift, and abnormal speech.

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“When you get to that heat stroke level you can have the stroke like symptoms as well,” Scott said. “So, you’ll have the facial droopage, arm, drift, your speech will be slurred.” ...

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DR. ROACH WRITES: I recently had the occasion outside the hospital to recognize an ongoing stroke in a person who did not immediately recognize the importance of his symptoms.