First Aid for Stroke – Signs & What to Do

  • 5 min reading time

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.

Organisations should consider:

  • Staff awareness of FAST signs
  • Clear emergency procedures
  • Access routes for emergency services

Risk-based planning is explained in Workplace First Aid Risk Assessment (UK).

Stroke considerations by environment

Environment Typical concern First aid priority
Home Delay in recognising symptoms Immediate emergency call
Workplace Public visibility and coordination Clear procedure and emergency access
Public space Unknown medical history Rapid recognition and response
Events Crowds and noise Quick escalation to emergency services

Recording stroke incidents

Where stroke incidents occur in workplaces or organised environments, they should be recorded in line with internal procedures.

Recording supports review and preparedness. Guidance is available in Accident Reporting & First Aid Records (UK).

Common myths about stroke

  • Stroke only affects older people
  • If symptoms improve, it is not serious
  • You should wait to see if it passes
  • Stroke always causes severe pain

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.

 


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