Why is the baby laughing at the end?
Can a person without medical training recognize a stroke?
What are the 3 tests?
Why is it important to quickly recognize a stroke?
How much damage does a stroke cause each minute?
How many people have a stroke each year?
Why do we need to hear SMILE-The Stroke Song?
What about countries that donít use the 911 emergency system ?
My group wants to sing or record SMILE, what are the restrictions?
What does MountainWings earn from SMILE?
How can I help get SMILE-The Stroke Song heard and save lives?
Will these 3 tests diagnose all strokes?

Q: Can a person without medical training accurately recognize a stroke?
A: The simple three-item examination is known as the Cincinnati Prehospital Stroke Scale (CPSS) and has been successfully used by health care professionals in stroke screening. The focus of the research was to see if the CPSS could be used by the general public. The study recruited stroke survivors who still had some symptoms. They then asked 100 non-patient visitors to the University of North Carolina Hospital emergency room to use the CPSS in telephone script form. The researchers concluded that bystanders correctly administered the CPSS 96 percent of the time. (back to top of questions)

Q: What are the 3 tests?
A: The Cincinnati Prehospital Stroke Scale (CPSS) can recognize a stroke by asking three simple questions:

1. Ask the individual to SMILE. 
   Look for facial weakness, especially on one side.

2. Ask the person to SPEAK A SIMPLE SENTENCE clearly such as:
  "Itís a sunny day outside."
That sentence has plenty of sharp sounds so listen carefully for slurring.

3. Ask him or her to RAISE BOTH ARMS.
  Watch for both arms to remain at the same height

If he or she has trouble with any of these 3 tasks, call for an ambulance immediately and describe the symptoms to the dispatcher.

After discovering that a group of non-medical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn the three questions. Widespread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage.
(back to top of questions)

Q: Why is recognizing a stroke immediately important?
A: A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke... totally.

He said the trick was getting a stroke recognized, diagnosed and getting to the patient within 3 hours, which is tough. That anonymous neurologist's statement may be exaggerated and not true in all cases but time is critical in all cases. (back to top)

Q: How much damage is done by a stroke each minute?
A: Destroyed each minute are 1.9 million brain cells (neurons), 14 billion synapses, and 7.5 miles of myelinated fibers through which thoughts pass. Calculated by Dr. Jeffrey L. Saver, professor of neurology at UCLA. Thatís why time is critical.

Q: How many people a year have a stroke?
A: Over 20 million per year worldwide have a stroke and over 5 million per year die from strokes. In the U.S. about 700,000 people a year have strokes. 500,000 are first time strokes and 200,000 are recurrent strokes. About 61% of stroke deaths are women. Strokes are the 3rd leading cause of death in the U.S. behind heart attacks and all forms of cancer combined. (back to top of questions)

Q: Why do we need to hear SMILE-The Stroke Song?
A: The Stroke Song helps with a major problem in the 3 tests...
Remembering the tests!
A song is one of the most powerful memory methods. After you listen to The Stroke Song several times, especially if you hear in rotation on the radio, it will forever remain in your mind and even in the fear, turmoil, and confusion of an emergency health situation, you will remember:

ďSmile, itís a sunny day outside, raise your hands!Ē (back to top of questions)

Q: What about countries that donít use the 911 emergency system?
A: There is a special version for countries that donít use the 911 system. That version changes the 911 verse. CLICK HERE TO LISTEN to that version or CLICK HERE to download it. (back to top of questions)

Q: What are the use, copyright, and license restrictions on SMILE-The Stroke Song?
A: We made The Stroke Song to be freely distributed. The Stroke Song is copyrighted by but MountainWings freely allows The Stroke Song to be both played and performed by individuals or groups without royalties. Websites or any other individual or group either public or private may use The Stroke Song without compensation. Radio stations are subject to normal ASCAP song rules since there is blanket coverage for all music played by the station.

The Stroke Song may also be recorded by other artists without payment to MountainWings as long as the recording is allowed to be freely played and downloaded. It may be included on other compilations that are not free as long as The Stroke Song can be freely extracted and shared without cost. We may even put other versions by other artists on The only restriction is that the words cannot be changed unless with written permission from

Q: What does MountainWings earn from The Stroke Song?
A: The Stroke Song was written and recorded to save lives, not to make money. MountainWings earns nothing from The Stroke Song. Of course donations are greatly appreciated to help MountainWings continue its work. (back to top of questions)

Q: How can I help get SMILE-The Stroke Song heard and save lives?
A: Call your local radio station and ask them to download and play the song. It sounds great, people love the song, and it will save lives. It will even save lives sooner or later for those who work at the radio station. (back to top of questions)

Q: Will these 3 tests accurately diagnose ALL strokes?
A: Nothing is perfect, not even sophisticated medical tests. These are the five symptoms The American Stroke Association says are the warning signs of a stroke:
1. Sudden numbness or weakness of the face, arm or leg, especially on one side
2. Sudden confusion, trouble speaking or understanding
3. Sudden trouble seeing in one or both eyes
4. Sudden trouble walking, dizziness, loss of balance or coordination
5. Sudden, severe headache with no known cause

If a person exhibits any of the above symptoms OR canít pass the 3 tests then get emergency medical treatment immediately. (back to top of questions)


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