There’s New Guidance to Help You Identify Symptoms of Stroke
Why might this change be needed?, M.D., Ph.D., stroke neurologist and director of the Stroke and Neurovascular Center for Pacific Neuroscience Institute at Providence Saint John’s Health Center in Santa Monica, Calif.
Strokes in the back of the brain “are very severe strokes,” says Justin A. Singer, M.D., director of neurovascular surgery at Corewell Health in Grand Rapids, Mich., making it especially important to detect them and get treatment ASAP. “While these symptoms are less common, including them in the acronym could help people better understand what is happening and seek medical attention sooner,” he adds.
But using BE FAST can also raise the risk of false alarms, Dr. Tarpley says. “A lot of times, problems with balance and eyes is not a stroke,” he says. “If you use BE FAST, you’re going to devote a lot of resources to testing people, thinking that they have strokes, who did not have a stroke.”“We have really powerful treatments for stroke—they are highly effective and beneficial, but they’re also highly time-dependent,” he says. “That’s why it’s worth accepting some false positives.
“I think this is something that will be adopted by more organizations,” says Robert Eisenstein, M.D., associate professor and chair of the Department of Emergency Medicine at Rutgers Robert Wood Johnson Medical School. “Stroke is a very time sensitive situation. Sometimes when people arrive at hospitals, it’s not recognized right away. Adding balance and eye changes can help.”Next moves are simple, Dr. Tarpley says: Call 911. “Don’t bring your loved one to the hospital,” he says.
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