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The FAST-ED scale and its correspondence to the NIHSS

The FAST-ED scale and its correspondence to the NIHSS
Item FAST-ED score NIHSS score source
Facial palsy
Normal or minor paralysis 0 0 to 1
Partial or complete paralysis 1 2 to 3
Arm weakness
No drift 0 0
Drift or some effort against gravity 1 1 to 2
No effort against gravity or no movement 2 3 to 4
Speech changes
Absent 0 0
Mild to moderate 1 1
Severe, global aphasia, or mute 2 2 to 3
Eye deviation
Absent 0 0
Partial 1 1
Forced deviation 2 2
Denial/neglect
Absent 0 0
Extinction to bilateral simultaneous stimulation in only 1 sensory modality 1 1
Does not recognize own hand or orients only to one side of the body 2 2
FAST-ED: Field Assessment Stroke Triage for Emergency Destination; NIHSS: National Institutes of Health Stroke Scale.
From: 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; 47:1997. DOI: 10.1161/STROKEAHA.116.013301. Copyright © 2016 American Heart Association. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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