FAST-ED 4 or Greater
An elevated score increases concern for a possible large-vessel occlusion. Apply the full clinical picture, current protocol, regional destination plan, and Medical Control guidance.
← Back to Resources
GrumpyMedic Clinical Resource Hub
Stroke Resources
FAST-ED scoring, Last Known Well documentation, Stroke Alert handoff support, large-vessel-occlusion reminders, and Massachusetts protocol-focused references.
Interactive Tool
FAST-ED Calculator
Score all five FAST-ED elements, calculate the total, and create a documentation summary.
Open Resource →
Clinical Reference
FAST-ED Stroke Scale
Review scoring criteria, assessment guidance, and examples for each FAST-ED category.
Open Resource →
Full Course
Stroke Recognition Course
Review stroke recognition, Last Known Well, mimics, Stroke Alert communication, destination considerations, and documentation.
Open Resource →
Assessment
Stroke Course Quiz
Complete the stroke assessment and earn a printable course-completion certificate after passing.
Open Resource →
Section 01
Last Known Well Helper
Keep Last Known Well separate from the time symptoms were discovered.
Timeline Reminder
Last Known Well is the last time the patient was observed at their neurologic baseline. It is not automatically the time symptoms were discovered. For wake-up symptoms, document both the last observed normal time and the discovery time.
Section 02
Stroke Alert Documentation Helper
Enter available information to create a concise prearrival or PCR summary.
Generated Summary
STROKE ALERT Patient age: Not entered Last Known Well: Not entered Symptom discovery time: Not entered FAST-ED score: Not entered Blood glucose: Not entered Blood pressure: Not entered Anticoagulants: Not entered ETA: Not entered FAST-ED interpretation: Score not entered.
Section 03
Large-Vessel-Occlusion Guide
Use FAST-ED as a severity and communication tool—not as a stand-alone diagnosis.
FAST-ED Below 4
A lower score does not exclude stroke. Posterior-circulation stroke and other disabling stroke presentations may not produce a high FAST-ED score.
Section 04
Destination Decision Reminder
Destination decisions depend on time, capability, regional planning, and the patient’s complete presentation.
✓Determine exact Last Known Well.
✓Calculate and communicate FAST-ED.
✓Check blood glucose.
✓Identify anticoagulant use.
✓Consider symptom onset plus transport time.
✓Follow the current Department-approved regional stroke plan.
✓Contact Medical Control when required or clinically appropriate.
✓Do not delay transport for avoidable interventions.
Educational and Clinical-Use Notice
These tools support education, scoring, communication, and documentation. They do not diagnose stroke, exclude stroke, independently determine destination, or replace current Massachusetts protocols, regional stroke plans, service policy, Medical Control, or clinical judgment.