FAST-ED (field LVO triage)

Field Assessment Stroke Triage for Emergency Destination (Lima 2016).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Facial palsy
Partial or complete paralysis (1)
Arm weakness
No effort against gravity / no movement (2)
Speech changes
Severe, global aphasia, or mute (2)
Eye deviation
Absent (0)
Neglect
Absent (0)

Result: FAST-ED 5/9: a total >= 4 predicts a large-vessel occlusion -- supports comprehensive-stroke-center triage per protocol.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Threshold
a total of 4 or more predicts a large-vessel occlusion and supports comprehensive-center triage (sensitivity ~0.60, specificity ~0.89, PPV ~0.72).

What you enter

  • Facial palsy
  • Arm weakness
  • Speech changes
  • Eye deviation
  • Neglect
How this is calculated
Components
Facial palsy (0-1), Arm weakness (0-2), Speech changes (0-2), Eye deviation (0-2), Denial/Neglect (0-2); total 0-9.

Lima FO, Silva GS, Furie KL, et al. Field Assessment Stroke Triage for Emergency Destination: a simple and accurate prehospital scale to detect large vessel occlusion strokes. Stroke. 2016;47(8):1997-2002. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.