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[Music] so we're going to perform the National Institutes of Health exam for stroke this is a research tool um that helps us grade the severity of stroke and it gives us a standardized way to assess patients over time so that from examiner to examiner uh the exam we have a score that is graded the same way this exam is not a diagnostic tool uh it is mostly used to help us grade the severity of the stroke and to standardize our approach the other thing is is very sensitive for detecting anterior circulation Strokes so Strokes in the MCA territories but it is not very good at detecting some of the more subtle posterior circulation Strokes the NIH Stroke Scale booklets are available and that's kind of how we we'll kind of use this to guide us through our way here uh the first step is to test our level of consciousness the patient so how how awake are how awake are they sometimes this can be you know if somebody's on sedation or things like that you'

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