Tag: FAST

One symptom of FAST is enough to act on stroke, warns charity

Act FAST on the first sign of stroke, the Stroke Association says. The charity is concerned people are waiting for all three of the ‘FAST’ stroke symptoms to appear before raising the alarm.

In fact, the public should be treating stroke as a medical emergency when any one stroke symptom appears. – most commonly these are Face (F) or Arm (A), or Speech (S). The moment a stroke is suspected, is Time (T) to dial 999.

Face weakness: Can the person smile? Has their mouth or eye drooped?

Arm weakness: Can the person raise both arms?

Speech problems: Can the person speak clearly and understand what you say?

Adam Henderson, 24 from Broxburn had a stroke at the age of 23, which initially only presented as one symptom. At the time his stroke began, he was in the hairdresser’s and noticed that as people were talking to him, he had started to grunt, and couldn’t speak properly.

Even though he only had one of the ‘FAST’ symptoms at the time, the customers realised something was seriously wrong with Adam. At this point, Adam’s arms and face were unaffected. They called his partner’s mum – a nurse, who immediately knew it was a stroke. Everyone acted quickly to get Adam the treatment he needed.

Adam said: “When I got to hospital, I couldn’t walk. My head was shaking and the need to fall asleep was overwhelming.”

John Watson, Associate Director Scotland of the Stroke Association, said: “There are amazing treatments for stroke which can prevent death and disability. However, there is a short time period to receive treatment.

“That is why immediate action is needed for any one symptom of stroke. Time lost is brain lost. A typical patient loses 1.9 million neurons each minute in which stroke is untreated, which can lead to death or disability.

“As soon as you notice any one symptom of stroke, it is time to take action. Very few people get all three of the FAST symptoms. Dial 999.”

Although Adam initially only had one FAST symptom (Speech), the inability to walk that he later developed can also be a sign of stroke:

The FAST test helps spot the three most common symptoms of stroke. But there are other signs that you should always take seriously. These include:

  • Sudden weakness or numbness on one side of the body, including legs, hands or feet.
  • Difficulty finding words or speaking in clear sentences.
  • Sudden blurred vision or loss of sight in one or both eyes.
  • Sudden memory loss or confusion, and dizziness or a sudden fall.
  • A sudden, severe headache.

When Adam got to hospital, he was quickly wheeled in for a brain scan. The doctors decided that given the seriousness of the stroke, the type of stroke and where it was in the brain that he would be a suitable candidate for clot removal surgery, mechanical thrombectomy.

Adam was a fortunate candidate for thrombectomy, because of the speed people had in spotting his stroke, getting to hospital and receiving a diagnosis quickly. At first, Adam was displaying only one sign of stroke using the FAST test, but thankfully that was enough for those who were with him to raise the alarm.

He was put to sleep and the procedure took 20 minutes. Within ten minutes of coming round, Adam was able to walk again. Having been completely unable to do anything physically before the procedure was performed, the first thing Adam wanted and was able to do, was go and have a shower by himself.

Around one in every three people who receive a thrombectomy following their stroke will be less disabled than they otherwise would have been as a result. Around one in five will be able to function completely independently afterwards.

Thrombectomy is a suitable treatment to save lives and reduce disability for around one in every ten people who have a stroke.

John Watson, Associate Director Scotland of the Stroke Association, said: “Strokes and TIAs [aka mini-strokes] are medical emergencies even if the symptoms appear to get better or go away.

“Treatments for stroke become less suitable over time, so calling 999 as soon as possible leads to the best chance of survival and the best recovery.  Look out for any one sign of stroke using the FAST test and take immediate action. 

“No matter what festivities are happening around you, at this time of the year, or at any other time, do not delay.”

Any symptom of FAST – take action

Do not wait for all three signs to appear. Any of these signs – even one sign – means you need to take immediate action. Time to call 999.

Adam feels very fortunate that his stroke was recognised and treated as a medical emergency. He is now back at work, driving and has returned to his hobbies.

Now he is urging the public to learn how to recognise the signs of a stroke and take immediate action on should they suspect stroke.

“I was very lucky. I got to hospital fast and received this incredible treatment. Not everyone receives that treatment – one reason being the speed of a person able to identify any of the signs of stroke and taking immediate action.

“I know the people with me at the time are glad they recognised my stroke; they would have felt dreadful should it have been missed. “

John concluded: “Knowing the signs and symptoms of stroke needs to be reinforced on a regular basis to the public.

“That is why we are pleased to see a commitment from The Scottish Government in their Stroke Action Plan, to invest in the Act FAST campaign, and continue to raise awareness of the symptoms of stroke. We look forward to seeing this carried out in Scotland as soon as possible.”

Stroke Association warns number of untreated strokes likely to rise due to rise in Omicron cases

The UK’s largest stroke charity is warning people not to delay seeking treatment for stroke due to fear of Omicron

The Stroke Association is concerned that public fear of increasing COVID-19 rates, due to the Omicron variant, is likely to see a similar drop in stroke admissions seen in Scotland at the start of the pandemic. 

During the first wave of the pandemic there was a significant decrease in admissions to stroke wards, when the COVID-19 infection rate rose rapidly. The Stroke Association’s Recoveries at Risk report found this was due to patient worries over catching COVID-19 or being a burden on the NHS. Nearly a third (32%) of people who survived a stroke between March and June 2020 said they delayed seeking medical attention due to COVID-19.

This year, with the added impact of reported ambulance delays, this is likely to intensify feelings of being a burden on the NHS, causing people to delay seeking medical treatment.

To add to this potential crisis, new data shows that this year, more people are living with unmanaged hypertension (high blood pressure) and other major stroke risk factors due to fewer regular in-person appointments where cardiovascular conditions (like high blood pressure) are spotted.

Hypertension is the biggest risk factor for stroke, contributing to 55.4% of stroke cases. This means that the stroke rate could rise this Christmas as more people live with unmanaged hypertension than in previous years.

In Scotland there are almost 10,000 strokes a year and 128,000 stroke survivors. A stroke is a medical emergency which is caused by a blockage or bleed in the brain cutting off blood supply. Stroke is fatal in over one in seven (15 %) patients.

The main treatments for stroke, thrombolysis and thrombectomy, must be delivered as soon as possible within four and a half hours of symptoms starting, which is why is it vital to call 999 as soon as any sign of stroke appears. Stroke is the UK’s fourth biggest killer and the leading cause of adult disability.

Key stats:

  • Of those who delayed seeking emergency medical attention, 42% hadn’t wanted to burden emergency services
  • And 34% of those who delayed seeking emergency medical attention were afraid of catching COVID-19 in hospital.

John Watson, Associate Director Scotland of the Stroke Association said: “When COVID cases rise as quickly as they are doing now, that sets off alarm bells at our charity and everyone involved in the treatment of stroke. More Omicron cases is likely to mean more preventable deaths and disability due to stroke, as people delay seeking emergency medical attention.

“We know that people get scared to go to hospital when cases rise but stroke is a life-threatening condition. Fear of catching COVID and feeling like a burden on the NHS stopped people calling 999 in the past. This is likely to be even worse this Christmas due to the news about ambulance delays. Stroke is an emergency medical condition and should be treated as an emergency from the moment you ring 999.

“You have to remember that stroke is a brain attack and when you see any of the FAST signs of stroke in someone, this means that their brain is dying. You must raise the alarm; you must call 999 immediately.

“After nearly two years in the pandemic we know that many people haven’t had their high blood pressure diagnosed because there haven’t been as many regular, in-person appointments with medical professionals such as GPs. That means more people are living with undetected high blood pressure and are at high risk of stroke. As a result, we could see even more people having a stroke this Christmas than in previous years.”

John continues: “Stroke clinicians and nurses as well as paramedics and therapists have worked tirelessly throughout the pandemic to maintain stroke services. Everyone at our charity is thankful for their hard work and support.”

Signs of stroke (FAST test)

Face – Can the person smile? Has their face fallen on one side?
Arms – Can the person raise both arms and keep them there?
Speech problems – Can the person speak clearly and understand what you say? Is their speech slurred?
Time – If you see any single one of these signs, it’s time to call 999

Stroke Association responds to Improvent Programme report

The Stroke Association has responded to Public Health Scotland’s Scottish Stroke Improvement Programme report 2021 which was published this week.

John Watson, Director Scotland of the Stroke Association said: “Two things leapt out to me in reading “The Scottish Stroke Improvement Programme annual report 2021″ launched today.

“First of all I am struck by how well stroke care teams around Scotland have managed to maintain specialist care and treatment to patients, in the face of unprecedented challenges.  Those teams deserve our thanks and respect.

“Of more concern was the reduction in the number of people coming into hospital with the signs of stroke. Although we are not fully sure why this is the case, it is presumed in this report that it has been due to a fear of hospital admission – likely due to hesitancy and fear of contracting COVID-19.

“This is a concern to us because stroke is a medical emergency and it’s essential to call 999 straight away if you suspect you or someone around you is having a stroke.  

“We continue to urge the public to use the world-famous stroke acronym, “FAST”, to familiarise themselves with the signs and symptoms of a stroke: Face, Arms, Speech and Time (to call an ambulance) – Act FAST.  

“FAST remains an important message that both we and others continue to promote.  

“The Scottish Government recognised pre-pandemic that stroke needed significant improvement and made welcome commitments towards that.  We are pleased to see increasing awareness of the signs of a stroke is included, alongside commitments relating to improved hospital care. We look forward to seeing further progress on those commitments in the coming months.”

For more information on FAST, go to: https://www.stroke.org.uk/what-is-stroke/what-are-the-symptoms-of-stroke

A link to the summary and full report:

https://publichealthscotland.scot/publications/scottish-stroke-improvement-programme/scottish-stroke-improvement-programme-2021-national-report/

Getting help FAST

“This second wave is far, far worse than the first, because we now know what is coming” – anonymous health worker, who along with her team, and thousands of other NHS workers are questioning if they can do it again.

When friends and family on the NHS frontline began suffering severely with COVID-related stress and trauma earlier in the year, a group of over 30 professional complementary practitioners came together to set up FAST (Frontline Assistance for Stress and Trauma).

This voluntary team have worked selflessly through lockdown and now beyond into the second wave, providing a free, online support service to help all UK based healthcare and emergency workers overcome pandemic stress. Their confidential service uses EFT (Emotional Freedom Technique) ‘tapping’ therapy – a powerful, cutting edge tool you can use anywhere, at any time.

For many of the healthcare workers, it was the first time they had tried any complementary therapy, but the results with EFT have been transformative (and eye-opening for many of the nurses and doctors). So far, FAST has provided over 300 sessions across the UK, with wholly positive results. 

Up to now the FAST team have volunteered their time, skills, and expertise, raising simply for their basic set up and ongoing running costs.  However, now FAST needs to fundraise so they can continue to offer their free service to every UK healthcare worker who needs their support.

As an anonymous hospital GP explains: “Before my FAST experience I was off the rating out of 10. It was 1000. In my first session I saw a change down to 3/10 and it has not gone back up.

“I find the techniques very functional, with real life relevance and applicable, which results in a positive impact in my ability to cope. I wanted to thank you for your incredible compassion and professionalism with me. All of you are so kind to donate your time and expertise to people like us and of course we can never thank you enough for this”.

EFT is not offered on the NHS – yet. Once considered a fringe therapy, EFT now has an impressive amount of scientific research to back it up. FAST believes it’s a matter of time until EFT is NICE recognised, but until then the team is committed to making EFT accessible by continuing to offer their service free of charge to our selfless front-liners for as long as they need to reach out to access  support.

“We are now seeing evidence of ongoing mental health challenges, including emerging signs of PTSD amongst NHS workers, and demand for our FAST service is growing. With the predicted second wave upon us, the impact of COVID on our brilliant healthcare workers is only going to increase” says Wendy Power Stoten, founder of FAST.

“For six months FAST has proven its super efficiency, EFTs incredible effectiveness, and we, the voluntary FAST team, have grown our expertise in Covid-19 related issues”, continues Wendy.

FAST needs to be here for as long as the devastation and destruction to mental health that Covid-19 has created remains and has launched a fundraising campaign to raise £8000 to keep this vital service going.

FAST work: Craigroyston families graduate from pioneering programme

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Sixteen families from Craigroyston Primary ‘graduated’ from a pioneering education programme this week, proven to help children achieve more in schools and strengthen their relationships with their families.

Parents and carers and their children aged three to eight, who attend Craigroyston Primary School, have successfully completed an eight week Families and School Together (FAST) programme. This is the second time the local primary School has run the programme.

The FAST programme, backed by Save the Children, supports families by working with parents and children in schools and has been endorsed by the United Nations.

Originally developed in the US by Professor Lynn McDonald, FAST now runs throughout the UK. It is entirely voluntary, open to all and is designed to give all children the chance to succeed at school.

Typical activities include singing, family games such as emotional charades and special play, sitting down together to eat a family meal and supporting parents in setting boundaries.

FAST aims to provide a fun and relaxed space for families to experience a mixture of play and learning activities, hands on coaching and support for parents and carers. Each week families can win a resource hamper to help support children’s learning in the home. The programme has high success rates in improving family relationships and links between home, school and the local community.

Save the Children say: “FAST has been so successful and the feedback we get from schools and parents is always so positive. The programme has been a great success in schools. Parents have the biggest influence on their children’s learning and development and FAST gives families the opportunity to build on this.

“We believe that every child should have a fair chance to do the best they can at school and that every family should have access to proper support in their local area.”

Total Craigroyston CLD worker Sarah Neal added: “The FAST programme was a great success. Our families got a lot out of the programme and there was a real buzz about the sessions. I’ve no doubt that they will go on to build on what they have achieved and learned together over the last few weeks.”

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