Act Fast to Stop a Stroke

Know the BE FAST stroke warning signs

BE FAST is acronym for balance issues, eyesight changes, face drooping, arm weakness, speech difficulty and time to call 911.

Know the BE FAST stroke warning signs

A stroke happens when blood flow to the brain is stopped. This can occur if a blood vessel is blocked or bursts. That is why it is very important to act fast. Every second matters when stopping a stroke.   


Getting medical help quickly during a stroke is very important. It can reduce brain damage and improve recovery chances.   


“The best way to treat strokes is to respond rapidly,” says Mary Kalafut, MD, stroke medical director at Scripps and a neurologist at Scripps Clinic. “We need to move fast because every minute can cost brain recovery. The emergency room team must recognize a stroke and alert the stroke team, including the neurologist.” 

 

Stroke is the fifth leading cause of death in the United States. It is also the top cause of serious long-term disability. According to the American Heart Association, about 800,000 people have a stroke each year in the U.S.

How to spot a stroke: BE FAST  

How can you tell if someone is having a stroke? The American Heart Association and the American Stroke Association recommend using the acronym BEFAST to help you remember the signs of a stroke. 


BE FAST stands for:


Balance: Sudden loss of balance or coordination. 


Eyes: Sudden trouble seeing in one or both eyes.  


Face drooping: One side of the face drooping or feeling numb. Ask the person to smile and see if the smile is uneven.  


Arm weakness: Sudden weakness or numbness in one arm. Ask the person to raise both arms and see if one drifts downward.  


Speech difficulty: Slurred speech or difficulty speaking. Ask the person to repeat a simple sentence to check.  


Time to call 911: If you notice any of these signs, even if they disappear, call 911 right away. 

Can stroke be prevented? 

You can prevent many strokes by making healthy lifestyle changes. Work with your health care team to manage health conditions that increase your stroke risk, including: 


High blood pressure: It is the leading cause of stroke. Regularly monitor your blood pressure and keep it under control with lifestyle changes and medication if needed.  


High cholesterol: Excess cholesterol can clog blood vessels, increasing the risk of stroke. A healthy diet and medication can help manage cholesterol levels.  


Atrial fibrillation: This irregular heartbeat condition can lead to blood clots, increasing the risk of stroke. Treatments include medication and medical procedures.  


Diabetes: This metabolic condition affects your body’s ability to process glucose (sugar), increasing stroke risk. Managing blood sugar levels is crucial.  


Sickle cell disease: This genetic blood disorder increases the risk of stroke, especially in children and young adults. Early detection and regular care are important to lower this risk.   


Obesity: Excess weight contributes to other risk factors like high blood pressure and diabetes. Healthy eating and regular exercise can help maintain a healthy weight.   


Smoking: Smoking damages blood vessels and raises stroke risk. Quitting can significantly improve your health.  


Heavy alcohol use: Drinking too much alcohol can raise blood pressure and stroke risk. Moderation is key. 

Risk factors beyond our control 

Some factors that affect your risk for atrial fibrillation (AFib) and stroke are beyond your control. However, being aware of them can help you manage your health. 


Age: Aging increases AFib risk but staying active can help. 


Family history: A family history of stroke raises your risk; being informed can lead to better health choices. 


Gender: Women have a higher lifetime stroke risk than men, highlighting the need for regular check-ups. 


Race and ethnicity: Some groups, such as African Americans, Hispanics and Asian Americans, have a higher risk of stroke, highlighting the need for preventive care.

Remember every second counts

To help you spot the signs of a stroke, we made this infographic. Remember the key signs to look for. 

Infographic with BEFAST stroke acronym tips to detect signs of stroke.

Watch the video and podcast on stroke prevention

Watch the San Diego Health video or listen to the podcast with host Susan Taylor and Dr. Kalafut discussing the causes, symptoms and treatments for stroke.