Title: MEND – Gordon Center
Headings: MEND
MEND
MEND
Using the MEND Exam
Learning the MEND Exam
Availability of the MEND Exam
MEND Apps
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Content: MEND – Gordon Center
MEND
MEND
MEND is an acronym for Miami Emergency Neurologic Deficit. The MEND is an easy-to-learn, easy-to- use checklist that provides key information. It incorporates the three components of the Cincinnati Prehospital Stroke Scale (CPSS) as well as additional components from the NIH Stroke Scale (NIHSS). Both of these are validated tools. The MEND exam was devised to facilitate communication between healthcare providers throughout the continuum of care for stroke patients. The same tool can be used to obtain a baseline exam in the prehospital setting and then for initial evaluation and subsequent exams in the emergency department, ICU, or hospital floor. The need for the MEND exam arose because the NIHSS, while very thorough, is also a time-consuming exam. It is not feasible to perform in the prehospital setting and on regular neurologic evaluations by nurses. Conversely, although the CPSS is a quick screening examination, it has only a 70% sensitivity to detect stroke in the field, it is not used in the hospital setting, and is missing components that are important for localization, severity and interval changes. The MEND exam is more thorough than the CPSS but takes less than 3 minutes to perform and requires no additional tools.