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Published on August 03, 2023

How to Spot a Stroke

Be Fast Acronym If you notice these signs, here’s what you need to do and why you need to act quickly.

When someone has a stroke, recovery can be greatly impacted by how quickly medical treatment is received. That's why it's important to know what the symptoms of stroke look like so you can better determine when someone needs help.

“If a person's stroke is due to an obstruction in a vessel supplying blood to the brain, also known as an ischemic stroke, a clot-busting drug (tPA) may improve the chances of recovery if administered quickly enough,” says Adrian Burgos MD, PIH Health neurologist. “Studies show when tPA is given within 1½ hours, up to 20% of patients show significant improvement 90 days later; if within 3 hours, about 10% show improvement.”

Recent studies have also shown that after being evaluated at the hospital, some patients may benefit from being transferred to specialized stroke centers for clot retrieval procedures that can increase the chances of symptom improvement. Time is also critical in performing these procedures as soon as possible.

“Time is of the essence when it comes to treating a stroke. That's why it's best to remember BE FAST when trying to determine if someone is having a stroke,” says Dr. Burgos. This acronym helps you identify stroke warning signs:

B = Balance: Trouble walking, dizziness, loss of balance or coordination

E = Eyes: Trouble seeing in one or both eyes including double or blurred vision.

F = Facial drooping: Ask the person to smile. Is one side of the face drooping or hard to move?

A = Arm weakness: Ask the person to raise both arms. Does one arm drift down?

S = Speech difficulties: Ask the person to repeat a simple phrase. Do you notice slurred speech or trouble forming words?

T = Time: Time lost is brain lost. If you notice any of the above symptoms, call 911 right away.

Other symptoms of stroke include a sudden severe headache with no known cause, sudden numbness on one side of the body, and arm or leg weakness.

If something seems “off” with someone and you suspect it’s due to a stroke, call 911 immediately. The sooner a person having a stroke gets to a hospital, the better the odds of recovery. The single most important factor in the successful treatment of stroke is getting treatment as quickly as possible.

If you suspect a stroke, always call 911. Remember, it’s important to BE FAST.

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Photo of Adrian Burgos MD

Adrian Burgos MD

Adrian Burgos MD, chose his specialty of neurology because he has always been intrigued by the complex, yet delicate, structure of the nervous system. “The human brain determines how we experience the world around us,” he explains. “The study of the human brain remains a vast and uncharted territory with countless opportunities to expand our understanding. With advanced technology, we now have tools to explore the brain, which will hopefully lead to new and improved treatments.” Dr. Burgos was chief resident at USC’s Department of Neurology and later served as a board member for the Out SMART Stroke Foundation. He earned several scholarships and grants in his medical studies for community service and academic merit. Dr. Burgos enjoys travel and has visited several countries. Growing up, he enjoyed playing soccer and still loves to follow professional soccer, football and basketball. In his free time, he enjoys exercising, listening to music, dancing and trying new restaurants.

View Dr. Burgos's Profile

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