Suspected stroke
Also called stroke, lakwa, brain attack, face droop, slurred speech
What you are dealing with
Sudden weakness or drooping on one side, or sudden trouble speaking. Treatment that reverses a stroke only works within a few hours, so time is the whole battle.
Do this, in this order
- Check FAST. Face, ask them to smile and look for drooping. Arms, ask them to raise both and see if one drifts down. Speech, ask them to repeat a sentence. Time, act immediately if any of these fail.
- Note the exact clock time they were last completely normal. The hospital will ask, and the answer decides the treatment.
- Call 112 or 108 and say the word stroke, so they take the person to a hospital that can treat it.
- Lay them on their side with the head slightly raised, and keep them still and reassured.
- Loosen tight clothing and stay with them until the ambulance arrives.
Never do this
- Do not give food, water or any tablet by mouth. Swallowing is often unsafe after a stroke.
- Do not wait to see if it passes. Symptoms that clear up within minutes still need emergency assessment the same day.
- Do not give aspirin, because some strokes are caused by bleeding and aspirin makes those worse.
- Do not massage the limbs or try any home remedy.
Call an ambulance if
- Any single FAST sign is enough. Call immediately, even at night, even if they insist they are fine.
After the emergency
Get it looked at properly
First aid buys time, it does not finish the job. Most of these situations need a doctor to check what happened, prevent infection, and decide whether anything more is needed.