The widely used FAST acronym remains the best tool for helping bystanders recognize stroke symptoms, despite efforts to expand it to BE-FAST.
A new study showed that adding Balance and Eye changes to FAST — Face drooping, Arm weakness, Speech difficulty, and Time to call 911 — does not significantly increase the likelihood of bystanders immediately calling emergency services when a stroke is suspected.
Many stroke neurologists were under the impression that because BE-FAST includes more symptoms, it would be better at triggering emergency action by the general public. After viewing the video, the likelihood of calling 911 if a stroke was suspected increased in both groups . For awareness of stroke signs and symptoms, “that’s where I think BE-FAST loses ground relative to FAST,” he said.
The study’s findings suggest that FAST is the more effective approach for the general public, said Adeoye. However, the researcher noted that retaining BE-FAST may still be a reasonable choice for healthcare professionals, even though the study did not specifically assess that outcome., William “B.J.” Hicks, MD, vice president, Neurosciences, Ohio Health, Columbus, Ohio, and American Stroke Association national volunteer expert, said the study provides useful information for stroke neurologists.
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