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seriousWhole body

Stroke (FAST)

Every minute counts in a stroke — but you've already done the most important thing by recognizing it. Call 911 now and note the time.
Serious — call 911 if in doubt

What to do now

  1. 1.Run FAST: Face, Arm, Speech
  2. 2.Call 911 — note the exact time symptoms began
  3. 3.Sit them up, head and shoulders raised
  4. 4.No food, drink, or aspirin
  5. 5.Stay with them until paramedics arrive

For children:

  • Step 5Stay with them until paramedics arrive: Strokes in children are rare but possible. Same FAST signs apply. Sudden severe headache, sudden weakness, or sudden speech change in a child = call 911.
Steps

5 steps

  1. 1

    Run the FAST check

    Face: ask them to smile — does one side droop? Arms: ask them to raise both arms — does one drift down? Speech: ask them to repeat a simple sentence — is it slurred? Time: if any are abnormal, call 911 immediately.

  2. 2

    Call 911 — note the exact time symptoms started

    Clot-busting drugs only work within a narrow window from symptom onset. The time of onset is the single most important fact you can give the ER.

  3. 3

    Keep them still and comfortable

    Help them sit or lie down with the head and shoulders slightly elevated. Loosen tight clothing.

    Important: Do NOT give food, drink, or medication — including aspirin. A stroke can be a bleed, and aspirin can make it worse. Swallowing can also be impaired.
  4. 4

    Monitor breathing and consciousness

    If they become unresponsive and stop breathing, begin CPR. If they vomit, turn them onto their side (recovery position) to keep the airway clear.

  5. 5

    Stay with them until paramedics arrive

    Reassure calmly. Do not let them drive themselves or be driven by family — paramedics can begin treatment en route.

Kit

What you'll need

  • Phone for 911
  • Clock or phone to note time
  • Pillow
Related

Whole body

Guidance only — in any emergency, call 911.