What does the FAST mnemonic help you identify in a stroke assessment, and what action should you take if stroke is suspected in the wilderness?

• A. Face droop, Arm weakness, Speech difficulty; Time to call for help; Evacuate promptly for definitive care.
• B. Sweating and chest pain; wait and monitor brief symptoms.
• C. Nausea, dizziness when standing; rest and fluids.
• D. Confusion, dizziness, and ringing in the ears; avoid exertion.

Answer: (A)

FAST helps you quickly screen for a possible stroke by looking for Face droop, Arm weakness, and Speech difficulty, with Time to call for help as the critical next step. If any of these signs are present, treat it as a potential stroke and act fast because every minute counts for brain tissue. In a wilderness setting, the appropriate action is to evacuate promptly for definitive care—get the patient to a facility capable of imaging and reperfusion therapy as quickly as possible, while coordinating emergency transport. While organizing evacuation, support basic care: ensure airway and breathing, monitor circulation, keep the person safe, and avoid giving food, drink, or medications unless directed. If possible, note when the symptoms started, as that time information guides urgent treatment decisions.