Intended for healthcare professionals

Letters Is it a stroke?

The FAST tool is effective but not for posterior fossa stroke

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h994 (Published 24 February 2015) Cite this as: BMJ 2015;350:h994
  1. Farhad Umer Huwez, consultant physician and geriatrician1
  1. 1Southend University Hospital NHS Trust, Westcliff on Sea SS0 0RY, UK
  1. farhad.huwez{at}southend.nhs.uk

Hankey and Blacker’s article provides a practical approach to the diagnosis and management of stroke.1 However, an important issue is the failure of the FAST (face, arm, speech, and time) tool to detect posterior fossa strokes in some patients, who might then not be triaged …

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