People have strokes at work, as well as at home it is caused by a portion of the brain being starved of oxygen. This can be due to:
- a burst blood vessel
- a clot blocking a blood vessel.
The lack of oxygen causes damage to the brain. The long-term effects of a stroke depend on what part of the brain and how much tissue is affected.
Recognition
- Sudden and severe headache that doesn’t go away
- Confusion and emotional instability
- Deterioration in the level of consciousness (this may be sudden or progressive)
- Signs of weakness or paralysis usually affecting one side of the body
- Slurring or loss of speech
- Unequal pupils
- Possible loss of bladder control.
To help with the recognition of a stroke, the FAST test can be used.
- Facial weakness Look at the casualty’s face. Can they smile? Is the face uneven?
- Arm weakness Can the casualty raise both of their arms?
- Speech problems Can the casualty speak clearly? Do they understand what you say?
- Time to dial 999 or 112 for an ambulance.
Treatment
Aims: To protect and monitor the casualty and to get medical help. Conscious casualty
- Ask the casualty to lie down. Keep their head and shoulders raised and supported with a pillow or rolled-up blanket. Turn their head to one side if they are dribbling. Place an absorbent pad or towel under the casualty’s chin, if necessary
- Dial 999 or 112 for an ambulance
- Loosen any tight clothing and continue to reassure the casualty
- Monitor the casualty’s level of response and breathing until the paramedics arrive. Be prepared to perform CPR.

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