Cincinnati Prehospital Stroke Scale (CPSS)

Cards (3)

  • Facial Droop:
    • Ask pt to show their teeth or smile for you
    • Normal: both sides of face move equally well
    • Abnormal: one side of face does not move at all
  • Arm drift:
    • Ask pt to extend arms out in front of them (90 sitting & 45 supine)
    • Normal: both arms move the same or both arms do not move at all
    • Abnormal: one arm either does not move or one arm drifts down compared to the other
    • Drift scored if arm falls before 10 sec.
  • Speech:
    • Ask pt to say something
    • Normal: phase is repeated clearly & correctly
    • Abnormal: words are slurred (dysarthria) or abnormal (aphasia) or pt is mute