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Miami Emergency Neurologic Deficit (MEND) Exam training is
an integral part of the stroke course. The MEND Exam:
- Is easy to learn, easy to use, & provides
key information
- Enhances communication among EMS personnel,
nurses, and physicians
- Is
based on the NIH Stroke Scale (NIHSS), incorporates the
Cincinnati Prehospital Stroke Scale (CPSS), and takes less
than 3 minutes
to perform
We advise the MEND Exam be utilized as follows:
EMS PERSONNEL
- On scene, first perform ABCs (airway,
breathing, and circulation) of emergency care
- After ABCs, perform
CPSS under “D” for disability
- En route, perform
full MEND Exam if time allows (but NOT on scene)
HOSPITAL PERSONNEL
- Stroke specialists perform NIHSS at key
intervals (e.g., pre-t-PA, post-t-PA, at discharge)
- ED, unit,
and floor nurses use MEND Exam as routine neurologic
assessment tool for patients with focal deficits
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