The First 60 Minutes of a Stroke: A Step-by- Step Guide for Families*
Intro
When someone you love suddenly shows signs of a stroke, panic can take over quickly. But knowing what to do in those first moments can help you respond faster and more effectively.
This guide walks you through the first hour—from recognising possible warning signs to getting the person to emergency medical care.
Use the FAST method:
F Face
Ask the person to smile.
- Does one side of the face droop?
- Does the smile look uneven?
A Arm
Ask the person to raise both arms.
- Does one arm drift downward?
- Is one arm suddenly weak or numb?
S Speech
Ask the person to repeat a simple sentence.
- Is their speech slurred?
- Are they struggling to find words?
- Do they seem unable to understand you?
T Time
Time is critical.
If you notice any of these signs, seek emergency medical help immediately.
Also note:
- When the symptoms started, if known
- The last time the person was seen normal
Do not wait to see if the symptoms improve.
When speaking to emergency responders, clearly explain:
- The symptoms you noticed
- When they began
- The person's age
- Any known medical conditions
- Any medicines they are currently taking
While waiting for medical help:
- Keep the person in a safe, comfortable position
- Stay with them
- Avoid unnecessary movement
- Keep the environment calm
- Monitor changes in their responsiveness or breathing
Do not force the person to walk or move around.
Avoid:
- Giving food or water without medical advice
- Giving medicines unless instructed by a qualified medical professional
- Assuming the symptoms will simply go away
- Allowing the person to “sleep it off”
- Delaying emergency care because the symptoms appear mild
Even if symptoms improve, urgent medical evaluation may still be needed.
If possible, prepare:
- A list of current medications
- Known allergies
- Previous medical conditions
- Recent medical reports
- Emergency contact information
Most importantly, try to confirm:
When was the person last known to be completely normal?
This information may be important for the medical team.
Call emergency services and follow the instructions provided by the emergency dispatcher.
If you are trained in CPR and it becomes necessary, follow your training and the guidance of emergency professionals.
THE MOST IMPORTANT THING TO REMEMBER*
You do not need to diagnose the stroke yourself.
You simply need to:
HOW AROHA CARES CAN SUPPORT AFTER A STROKE
The emergency may be over, but the recovery journey can bring new challenges for both the patient and the family.
From daily routines and mobility assistance to companionship and post-hospital care support, Aroha Cares can help families navigate the recovery journey at home with greater confidence and comfort.
Because recovery is not something a family should have to navigate alone.