First 30 seconds
- 1FAST + last seen well
- 2ABC, O₂ if SpO₂ <94%
- 3Glucose
- 4Activate stroke pathway
Sudden focal neurological deficit due to vascular cause (>24 h or imaging confirmed).
A
Airway
- • Aspiration risk — NBM
B
Breathing
- • SpO₂
C
Circulation
- • BP — do NOT lower unless >220/120 or for thrombolysis
D
Disability
- • NIHSS, GCS, pupils, glucose
E
Exposure
- • AF on ECG, temp
