Assess 4 quadrants of visual field by having patient locate your index finger. Does the patient have trouble seeing out of one or both eyes or sudden double vision? Ask the patient to smile or show …

The Field Assessment Stroke Triage for Emergency Destination (FAST-ED) identifies large vessel occlusion stroke (LVOS) in the pre-hospital setting.

The Fast-ED scale is a scale used to calculate the severity of the stroke and is based on items of the National Institutes of Health Stroke Scale (NIHSS) with higher predictive value for large vessel …

Facial Ask the patient to show their teeth or smile. Ask the patient to extend both arms with palms up out in front of them, close their eyes, and hold them there for a count of 10. Dysarthria - Ask the patient …

The FAST-ED scale has the advantage of providing three distinct groups for the likelihood of LVOS: score 0-1: <15%, 2-3: ~30%, and ≥4: ~60% or higher. This allows for better adjustments in triage …

Refers to a numerical scale used to determine the severity of the neurologic deficits once a stroke is suspected in order to identify patients with severe symptoms due to LVO that may benefit from EVT. …

FAST-ED scores 1 point for facial weakness while RACE scores up to 2 points. FAST-ED does not score any points for leg weakness while RACE scores up to 2 points.

BEFORE you request a stroke alert, obtain a FAST-ED score to see if the patient is having symptoms indicative of a large-vessel occlusion. Ask if the patient is on any anticoagulant medications, such as: …

Sep 13, 2025 · This guide decodes the FAST-ED scale, revealing how this simple assessment empowers paramedics to save lives by getting the right patient to the right destination, fast.

Eyes deviated to one side and do not move 2 Denial/Neglect Questions (Q1) Hold up weaker arm and ask, “Whose arm is this?” (Q2) With patient’s eyes closed, touch each arm individually, then bo.