Thought Archive

Neurology

Recognizing a Stroke FAST — A Practical Guide

13 Aug 2025 • Updated 21 Aug 2025

Recognizing a Stroke FAST — A Practical Guide

Recognizing a Stroke FAST — A Practical Guide

With stroke, time = brain. Early treatment improves outcomes.

Summary

Use FAST: Face droop, Arm weakness, Speech difficulty — Time to call emergency services immediately.

FAST — the quick test

  • F — Face: drooping or uneven smile
  • A — Arm: one arm drifts down
  • S — Speech: slurred or trouble speaking/understanding
  • T — Time: call emergency services now

Other warning signs

  • Sudden vision loss or double vision
  • Sudden severe headache, especially with neck stiffness
  • Sudden confusion, dizziness, balance problems
  • Sudden numbness/weakness on one side

What to do (and not do)

  • Call emergency services; do not drive yourself
  • Note time of symptom onset
  • Do not start aspirin if hemorrhage is possible (e.g., thunderclap headache)
  • Stay with the person; keep airway clear

After a TIA (“mini-stroke”)

  • Symptoms may resolve, but near-term risk of major stroke is high → urgent evaluation
  • American Stroke Association — FAST signs and emergency response.
  • National Institute of Neurological Disorders and Stroke — stroke warning signs.
  • National Health Service (NHS) — stroke and TIA patient guidance.

Educational only; not a substitute for professional medical advice. EOF