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FAST BEE (Keeping FAST First): A Public Stroke Education Design to Drive EMS Activation
Renyu Liu1,2, Jing Zhao3, Siju V Abraham4
1Department of Anesthesiology and Critical Care, and Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
CNS Neuroscience & Therapeutics
|June 29, 2026
Summary
FAST BEE is a new mnemonic to improve stroke recognition and prehospital care. It builds on FAST and BE FAST, adding an "E" for Emergency Medical Services (EMS) call to encourage faster action.
Area of Science:
- Neurology
- Emergency Medicine
- Public Health Education
Background:
- Prehospital stroke recognition is crucial for timely treatment.
- The FAST mnemonic is widely used but misses posterior circulation strokes.
- BE FAST improved detection but reduced recall of common FAST symptoms.
Purpose of the Study:
- To develop an improved stroke recognition mnemonic.
- To enhance both stroke symptom detection and immediate Emergency Medical Services (EMS) activation.
- To create a memorable and globally adaptable educational tool.
Main Methods:
- Proposed the FAST BEE mnemonic: Face, Arm, Speech, Time, Balance, Eye, and "E" for EMS call.
- Introduced a novel FAST BEE cartoon as a visual learning aid.
- Designed the mnemonic to reinforce urgency and action.
Main Results:
- FAST BEE aims to improve recall of common and less common stroke symptoms.
- The mnemonic structure prioritizes FAST elements and emphasizes EMS activation.
- A cartoon visual tool is proposed to enhance learning and engagement.
Conclusions:
- FAST BEE offers a potentially more effective stroke recognition and action framework.
- The mnemonic builds on existing knowledge while addressing limitations of previous versions.
- Further evaluation is needed to confirm effectiveness in diverse English-speaking populations.
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