FAST: The mnemonic that might one day save your life

A cerebrovascular accident (CVA), also known as a stroke, is a potentially life threatening medical condition if left unaware and untreated. However, if the patient suffering from a stroke receives immediate medical attention, there is a high chance of survival and the patient is more likely to have limited damage by the stroke. Studies have shown that most people with stroke symptoms are still not getting to the hospital fast enough. Therefore, it is crucial that the local emergency services are contacted immediately after a person displays symptoms that resembled that of a stroke. Imagine the situation where you are dining at a restaurant and a person seated next to you experience a stroke. How would you know if this person is indeed having a stroke and needs immediate medical attention?

Signs of stroke

A stroke can happen to anyone of any age and health conditions. It can also occur at anytime and anywhere, so knowing how to detect whether a person or even yourself is potentially having a stroke may prove to be useful in case of emergency. A stroke is caused by disrupted blood flow to part of the brain, causing extensive damage to brain cells. When supply of oxygen is cut off by the disrupted blood flow, the brain cells fail to perform like they usually do and causing stroke symptoms that present themselves in several ways:

1. Sudden numbless of the face, limbs, especially on one side of the body
2. Sudden confusion or troubles speaking or comprehending
3. Sudden trouble seeing in either or both eyes
4. Sudden difficulties walking, balancing or in coordination
5. Sudden head aches

A full list of signs of stroke

FAST, or the Face Arm Speech Test

The FAST mnemonic is developed by a group of physicians and paramedics as a way to detect potential stroke patients and to deliver immediate treatment to the patient as quickly as possible. The four parts of the FAST mnemonic are namely:

Facial Weakness – whether a person can smile without dropping of the mouth
Arm Weakness – whether a person can hold up both arm
Speech Difficulty – whether a person can speak or understand speak
Time to act

with the last part “Time to act” signifying how important it is that the suspected stroke patient be sent to the hospital immediately for diagnosis and treatment.

The time frame for treatment is approximately 3 hours starting from the onset of symptoms where a drug that dissolve blood clots may be effective to prevent further brain cells damage. Knowing how to detect for potential stroke signs will speed up the process that the patient gets to the hospital, and potentially saving precious lives.

Jonathan Lui

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