A stroke is a serious medical emergency that requires immediate action. Rapid recognition and a quick response can significantly improve outcomes.
This guide explains how stroke is approached in UK first aid, how to recognise the warning signs, and what to do while waiting for emergency services. It applies to homes, workplaces, schools and public environments.
The information below is general first aid guidance and does not replace medical diagnosis or treatment.
What is a stroke?
A stroke happens when the blood supply to part of the brain is suddenly interrupted. This can be caused by a blockage or a bleed in the brain.
When brain cells are deprived of oxygen, they can become damaged very quickly. Early emergency treatment is critical.
The FAST test – recognising stroke quickly
In the UK, the FAST test is widely used to identify common stroke symptoms.
Letter
What to check
Possible sign
F – Face
Ask the person to smile
One side of the face may droop
A – Arms
Ask them to raise both arms
One arm may drift downward
S – Speech
Ask them to speak clearly
Speech may be slurred or confused
T – Time
If you notice any of these signs
Call 999 immediately
Even if symptoms seem mild or temporary, urgent action is essential.
Other possible warning signs
Not all strokes present in the same way. Other symptoms may include:
Sudden severe headache
Sudden dizziness or loss of balance
Blurred or lost vision
Confusion or difficulty understanding speech
Any sudden neurological change should be treated seriously.
What to do if you suspect a stroke
Call 999 immediately
Note the time symptoms started
Help the person sit or lie down safely
Stay with them and monitor breathing
Offer reassurance and keep them calm
Do not give food or drink. Do not delay calling emergency services.
If the person becomes unconscious
If the person loses consciousness but is breathing normally:
Place them on their side
Ensure their airway remains open
Continue monitoring until help arrives
If breathing stops, emergency services will provide instructions over the phone. Guidance on unconscious casualties is explained in First Aid for Seizures and other emergency response guides across this site.
Stroke in workplaces and public places
Strokes can occur anywhere, including offices, shops, factories and public venues.
Strokes can affect people of different ages and may not always involve pain.
Why early action matters
Rapid treatment significantly improves the chance of recovery. Recognising FAST signs and calling 999 without delay can save brain function and, in some cases, lives.
Stroke — First Aid FAQ
Should you always call 999 if you suspect a stroke?
Yes. A stroke is a medical emergency and requires immediate assessment.
What does FAST stand for?
Face drooping, Arm weakness, Speech difficulty and Time to call emergency services.
Can stroke symptoms come and go?
Yes. Even temporary symptoms require urgent medical attention.
Should you give food or drink during a suspected stroke?
No. Swallowing may be affected and could increase risk.
Should stroke incidents be recorded at work?
Yes. Recording supports review and organisational preparedness.