You're talking to someone, and suddenly they fall silent, their face sags, or their speech is slurred. It's frightening—but it's what you do after that can save their life.

A stroke occurs when blood flow to the brain is cut off or disrupted. Without oxygen, brain cells start to die within a matter of minutes. Immediate action can become the difference between a full recovery and disability, or even death.

Stroke is one of the major causes of death and disability worldwide. However, many people don't know what to do during those important initial moments. Here are five lifesaving steps you should take if someone close to you is having a stroke.

1. Act FAST to Recognize the Signs

The simplest way to identify a stroke is to remember FAST:

F – Face: Is one side of the face drooping when smiling?

A – Arms: Is one arm sagging when raised?

S – Speech: Is one’s speech slurring or abnormal?

T – Time: Time to call emergency services right away.

Other symptoms can be sudden vision loss, confusion, dizziness, or a bad headache.

2. Call Emergency Services Immediately

The moment someone notices these symptoms, it is very important to call for an ambulance. Don't take the person yourself—paramedics can start treatment en route and notify the hospital to have stroke care ready.

Early treatment is essential, particularly if clot-dissolving medication is administered within a small window (usually 3–4.5 hours after the attack).

3. Write Down the Time of Symptom Onset

Doctors will need to know exactly when symptoms started. This determines which treatments are possible.

If you don't know, note the last time the person was seen "normal." Save the time on your phone or write it down. Every minute counts.

4. Keep the Person Safe and Still

  • Place them on their side if they're vomiting or unconscious.
  • Unbutton and loosen tight clothing.
  • Do not give food, water, or medication—swallowing could be compromised, leading to choking.

5. Don't Assume

Don't assume it is low blood sugar or a seizure. And don't ever administer NSAID’s unless told to by a doctor—it can make the situation worse with a bleeding stroke.

Even if the symptoms immediately go away (like in the case of a mini-stroke or TIA), call emergency services. It may be an early warning of a more imminent stroke to come.

Strokes can happen at a moment's notice, but your reaction does not have to be. Recognizing the symptoms and moving quickly can save a life or spare the person from lifelong disability. Learn the FAST signs and share them with others.

Disclaimer: The views expressed in this article are of the author and not of Health Dialogues. The Editorial/Content team of Health Dialogues has not contributed to the writing/editing/packaging of this article.
Dr Balaji B S
Dr Balaji B S

Dr Balaji B S (MBBS, MD (General Medicine), DM (Neurology), Post Doctoral Fellow in Epilepsy (SCTIMST)) is a Consultant - Neurology & Epileptology at Aster Whitefield Hospital, Bengaluru. with 7 years of experience in the field of Neurology and 16 years in the field of Medicine. Dr Balaji specializes in the management of a wide range of neurological conditions. He has extensive expertise in the treatment of epilepsy, including both adult and childhood epileptic disorders, with a special focus on women with epilepsy (WWE). He is also skilled in acute stroke management, offering advanced treatments like IV thrombolysis and comprehensive rehabilitation. Additionally, he treats various types of headaches, including migraines, and is experienced in managing neuromuscular disorders such as peripheral neuropathy, radiculopathy, myopathies, and myasthenia gravis. His expertise extends to movement disorders, including Parkinson's disease, tremors, dystonia, and tics. Dr Balaji is also well-versed in memory disorders, including Alzheimer's disease, frontotemporal dementia, and vascular dementia. With a focus on acute neurological care, he ensures timely and effective treatment for patients with urgent neurological conditions. He completed his MBBS from Mahadevappa Rampure Medical College, Gulbarga. Following this, he pursued MD in General Medicine from Darbhanga Medical College, Bihar, and further pursued DM in Neurology from Madras Medical College, Chennai. Subsequently, he underwent one-year Epilepsy fellowship from the reputed R. Madhavan Nair Centre for Comprehensive Epilepsy Care (RMNCCEC) in Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST) Trivandrum.