Oh My Guard
First Aid

Stroke: signs and what to do

How to recognise a stroke and why every minute before hospital matters.

Call 108Ambulance

Because clot-busting treatment only works within a few hours of the first symptom.

Do this now

  1. 01Check three things, fast. Face: ask them to smile — does one side droop? Arms: ask them to raise both — does one drift down? Speech: ask them to repeat a sentence — is it slurred?
  2. 02If any one of those is wrong, ring 108 immediately.
  3. 03Note the exact time symptoms started, or the last time they were definitely normal. The hospital will ask, and treatment eligibility depends on it.
  4. 04Lie them down with the head and shoulders slightly raised.
  5. 05Give nothing to eat or drink — swallowing is often affected and they can choke.
  6. 06Go to a hospital with a CT scanner and a stroke unit. Ring ahead.

Do not

  • Do not wait to see if it improves. Time lost is brain lost.
  • Do not give aspirin. A stroke may be a bleed, and aspirin makes a bleed worse. This is the opposite of the heart-attack advice, and the difference matters.
  • Do not give food, water or medicine by mouth.
  • Do not let them sleep it off.

What to tell the operator

  • That you suspect a stroke
  • The exact time symptoms started, or when they were last normal
  • Which of face, arm or speech is affected
  • Their age and whether they take blood thinners

Find help near you

See the nearest places with distance, whether they are open, a phone number and directions.

What this page cannot tell you

  • Whether it is a clot or a bleed — only a CT scan can, and the treatments are opposite
  • Symptoms that ease off can still be a stroke warning and still need the same urgency