BE FAST is a new acronym for stroke symptoms.
B: Balance, E: Eyes, F: Face, A: Arms, S: Speech, T: Time to call 911
Call 911 if you see signs of a stroke. Do not get into a car to drive yourself or be driven.
Each treatment saves part of the brain from damage.
When it comes to stroke, every minute means your brain is depleting valuable resources before you can see a doctor.
But how do you know someone has had a stroke? Sometimes it’s not obvious.
This month’s Healthy Action medical experts Dr. Susana Bowling, the medical director of Summa Health Neuroscience Institute in akron and smears Comprehensive Stroke Center .
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This is an edited version of the interview. Bowling provides valuable information, especially in his May, which is National Stroke Awareness Month.
There is also a video, Check out our interview on our podcast.
Can you tell us about Summa’s stroke program?
I am the director of the Suma Health System Comprehensive Stroke Center, primarily at Akron City Hospital. This program has long been dedicated to the care of patients with acute stroke, general stroke, and TIA (transient ischemic attack). . Recently, our hospital was accredited as a Comprehensive Stroke Center, which not only effectively treats ischemic stroke, but also extends treatment to hemorrhagic stroke.
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What are the common signs and symptoms of stroke? What is fast?
Many years ago, the stroke community used the acronym FAST. It was catchy and easy to remember, helping patients and community members to recognize stroke symptoms. “F” stands for face. Is there any drooping or weakness to one side? Can the person smile? “A” is a weapon. Sudden weakness in one arm? The “S” is for speech. Do you have trouble speaking or are slurred? Do people have a hard time understanding you? The “T” represents the time to call 911. Time is brains. Therefore, you need to act very quickly.
What are other common signs of stroke? And what is BE FAST?
We used the FAST acronym for many years until recently. The stroke community wanted to expand education to make the public aware that there are other strokes. Symptoms That May Suggest a Stroke . “BE FAST” is now complete. “B” stands for balance. Has anyone suddenly lost their balance? This is not necessarily someone who has balance problems due to ear problems, or who already knows they have balance problems. This indicates a sudden loss of walking or balance, and eventually a fall or no fall. Such patients may not seek help in a timely manner. “E” is the eye. Are you blind in one or both eyes?
In summary:
B. for balance E. for eyes F. for face a for arm S. for speech T. It’s time to call 911
While it’s impossible to have one acronym for all the symptoms of stroke, it can be said to represent more than 90% of typical stroke symptoms.
A major symptom is sudden onset. One moment I was fine, the next moment I was not. Some examples are: I went to bed quite normally, but when I woke up, the symptoms appeared. I’m talking on the phone and suddenly I’m speechless. It is very important to consider everything that happens suddenly as a symptom of a stroke, regardless of where the weakness is.
Do strokes only happen to older people and men?
Stroke is thought to be a disease of the elderly, but this is not true. According to Ohio data, 60% of his strokes occur when he’s under 65. They are still working in their communities, supporting their families, and having a very nice life. Stroke now affects young people, and over time the typical triggers or risk factors for stroke have become more prevalent among young people.
For many years it was thought that stroke occurred in men and not in women. Women are hesitant to seek help when they have symptoms. They tend to ignore their symptoms.
In fact, women have more strokes. When it does occur, it tends to be in a slightly older age group with more serious consequences and effects.
The impact of a stroke on a woman is usually more devastating because women tend to be the caregiver, not the caregiver.
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Do people in their 20s and even teens have strokes?
Yes, children have strokes too. It happens at any age. Drug use may also accompany it, as it increases the chance of having a stroke. With the increasing prevalence of obesity among young people is also the presence of diabetes, hypertension and high cholesterol. These are all risk factors for stroke at any age.
Do you have any tips for preventing strokes?
The number one tip is to take holistic care of yourself. Please get medical treatment as soon as possible. I have a thorough check-up with my family doctor. When people are diagnosed with diabetes, high blood pressure, high cholesterol, etc., all of these diagnoses are harmless, and people say, “I don’t feel like I have high blood pressure, so why should I treat it?” don’t ask for help. ? I feel that there is no problem at all. ”
If you get these diagnoses, you should pay attention to their treatment because we call them silent killers. These are chronic symptoms that do not go away and should be treated consistently. Understand that treatment can prevent lifestyle-altering illnesses such as stroke and heart disease.
What types of stroke are there? What is a TIA?
I believe a TIA, or transient ischemic attack, is a precursor to a stroke. The stroke hasn’t happened yet, but it will. About 17% of patients who usually had a major stroke had a TIA seven days before he had a stroke. This means that a temporary symptom of the BE FAST acronym has occurred. But the symptoms he tends to end in 5 or 10 minutes instead of lasting more than an hour, which is why the patient doesn’t think it’s a serious problem and doesn’t seek help. “Oh my arm was weak for 5 minutes and it’s back to normal. Why bother?”
It’s temporary, has the same symptoms, and goes away before it damages the brain, but it portends an event that can eventually cause permanent damage.
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Is there an important time frame with regards to strokes?
More than 80% of patients may have already had a stroke if symptoms last longer than an hour. It takes him five minutes before the neurons in his brain start dying. Improvements in technology and imagination have made it possible to identify strokes in patients who had symptoms for as little as 5 to 10 minutes.
Call 911 if you have symptoms of BE FAST. If you have any of these symptoms, this is what life has given you one chance to act before it stops you from doing so.
Should I call 911, drive myself, or have a loved one drive me to the ER?
Specifically our system requires you to call 911. Our community paramedics are very good and very well trained. They know what information to get, but they also know how to treat patients during their trip to the ER. They know what to do if a patient becomes ill during transport. I will call you before you come, so I am waiting.
Patients can receive treatment more quickly. Patient care begins when the first medical professional is involved. That is, the patient’s EMS at home or where the stroke occurred.
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What does “time is the brain” mean?
Because every minute counts, the longer you wait to call for help, the more deficits you accumulate and the worse the consequences. In addition, the longer you wait to see us, the fewer treatments we can assist you with. Not only can treatment be less effective, it can also be more dangerous. As brain damage accumulates, so does the risk of complications from treatment. So we can think about time in different ways. You need immediate medical attention to get prompt medical attention and the best possible treatment options before you get hurt.
What is the most common type of stroke?
There are two types of strokes. Blood vessels become hardened and blood cannot flow through them, and the tissue on the other side of the blood vessels dries up and dies. Imagine not watering your lawn for a week. Therefore, the longer it takes to water the lawn, the more grass it loses. In this case, he has 5 minutes before he starts losing grass in his brain.
Another type of stroke is when a blood vessel breaks and blood comes out of the vessel and bleeds. We call it hemorrhagic stroke. In this case, instead of not watering, you can keep your lawn full of water by basking in an outdoor hose. That’s exactly what happens in the brain.
The most common types are ischemic stroke, about 80%, and hemorrhagic stroke, about 20%.
What should the patient or family expect upon arrival at the ER?
Emergency services usually call in advance, so there are many people waiting for patients. We have processes in place to ensure everything happens quickly.
The patient is immediately brought to the CT scanner. By taking the images quickly and going through an artificial intelligence process, we are very much able to tell which areas of the brain are affected, how much they are affected, and what treatments can be offered. you can find out quickly.
They are briefed on their options and usually also given a probability of the risks of treatment. All of these treatments carry some degree of risk, and we want patients to be aware of those risks once they are able to communicate and understand them. When patients are unable to communicate (which unfortunately happens very often), we use guidelines to help us make decisions to treat them with appropriate interventions. They either administer drugs or take them to the vascular unit, where my colleagues and the vascular team go inside the blood vessel to remove the clot from the brain and help restore function.
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How long does it take to recover from a stroke?
A stroke begins the day it occurs, but it actually ends at the end of life. Recovering from a stroke is a lifelong endeavor. It is important to address treatment such as speech therapy, physical therapy, and occupational therapy early. In some cases, patients need to learn to walk again.
It’s hard, so having strong family support is very important. This person may have been independent two days ago, but now he is dependent on everyone. In some cases, behavioral health support may be needed to treat depression that may result from stroke.
healthy behavior Discuss medical topics of interest with local experts. To see previous columns, visit www.tinyurl.com/BettyHealthyActions
Beacon Journal Staff Writer Betty Lin-Fisher can be reached at 330-996-3724 or blinfisher@thebeaconjournal.com.
Follow her @blinfisherABJ on Twitter or www.facebook.com/BettyLinFisherABJ. To read her latest articles and columns, visit www.tinyurl.com/bettylinfisher.
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