STROKE Telephone Signposting Toolkit

Triage Symptoms First


FAST acronym

  • Face – the face may have dropped on 1 side, the person may not be able to smile, or their mouth or eye may have drooped.
  • Arms – the person may not be able to lift both arms and keep them there because of weakness or numbness in 1 arm.
  • Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake; they may also have problems understanding what you’re saying to them.
  • Time – it’s time to dial 999 immediately if you notice any of these signs or symptoms.

Other signs of a stroke may include....

  • Complete paralysis of 1 side of the body
  • Ask the person to stick out their tongue. If the tongue is crooked’ if it goes to one side or the other
  • Sudden loss or blurring of vision
  • Dizziness
  • Confusion
  • Difficulty understanding what others are saying
  • Problems with balance and co-ordination
  • Difficulty swallowing (dysphagia)
  • A sudden and very severe headache resulting in a blinding pain unlike anything experienced before.
  • Loss of consciousness

If any of the answers are YES

If anyone is with the patient at home ask them to call 999 immediately.

Send a task message to the clinical team advising them of the patient situation.

If no one is at home with the patient, ask a colleague to call 999 for you whilst you remain on the phone with the patient.

Bring the call to the attention of your supervisor.


If all of the answers are NO

Book face to face red appointment.