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Some common synonyms of fast are expeditious, fleet, hasty, quick, rapid, speedy, and swift. While all these words mean "moving, proceeding, or acting with celerity," fast and rapid are very close in meaning, but fast applies particularly to the thing that moves.

When can expeditious be used instead of fast?

The words expeditious and fast are synonyms, but do differ in nuance. Specifically, expeditious suggests efficiency together with rapidity of accomplishment.

the expeditious handling of an order

When is it sensible to use fleet instead of fast?

While the synonyms fleet and fast are close in meaning, fleet adds the implication of lightness and nimbleness.

In what contexts can hasty take the place of fast?

Although the words hasty and fast have much in common, hasty suggests hurry and precipitousness and often connotes carelessness.

When would quick be a good substitute for fast?

In some situations, the words quick and fast are roughly equivalent. However, quick suggests promptness and the taking of little time.

When might rapid be a better fit than fast?

The meanings of rapid and fast largely overlap; however, rapid applies to the movement itself, rather than to the thing that moves.

When is speedy a more appropriate choice than fast?

The words speedy and fast can be used in similar contexts, but speedy implies quickness of successful accomplishment and may also suggest unusual velocity.

When could swift be used to replace fast?

While in some cases nearly identical to fast, swift suggests great rapidity coupled with ease of movement.

BE FAST is an acronym used as a mnemonic to help detect and enhance responsiveness to the needs of a person having a stroke (a change NOT caused by physical trauma to motor or sensory nerves). The acronym stands for "B"alance difficulty, "E"ye-sight degradation, Facial drooping, Arm (or leg) weakness, Speech difficulties and Time to call emergency services.

  • B - balance degradation - increase in difficulty of maintaining balance while walking (especially when using stairs or changing direction), or standing (especially when standing on one foot); now needing assistance using a hand on something such as a hand-rail or cane.
  • E - eyesight degradation within a continuous period of consciousness (less than 12 hours), such as greater difficulty focusing on detail of an object or discerning low-contrast detail.
  • F - Facial drooping - A section of the face, usually only on one side, that is drooping and hard to move. This can be recognized by a crooked smile, or difficulty preventing saliva from leaking at a corner of the mouth.
  • A - Arm (or leg) weakness - The inability to raise one's arm fully, or the inability to hold or squeeze something i.e. someone's hand. A new reduction of strength of a leg when raising/supporting an extra weight (such as new difficulty of carrying/lifting a typical object, or raising one's body from squatting/sitting position).
  • S - Speech difficulties - An inability or difficulty to understand or produce speech, slurred speech or having difficulty repeating even a basic sentence such as "The sky is blue".
  • T - Time - If any of the symptoms above are showing, time is of the essence; call the emergency services and/or go to a hospital immediately if possible. It is also important to note the time the symptoms first started appearing to pass on the information ("Time is brain.").

History[edit]

The FAST acronym was developed in the UK in 1998 by a group of stroke physicians, ambulance personnel, and an emergency department physician and was designed to be an integral part of a training package for ambulance staff. The acronym was created to expedite administration of intravenous tissue plasminogen activator to patients within 3 hours of acute stroke symptom onset. The instruments at this time with most evidence of validity were the Cincinnati Prehospital Stroke Scale (CPSS) and the Los Angeles Prehospital Stroke Screen (LAPSS).

Studies using FAST have demonstrated variable diagnostic accuracy of strokes by paramedics and emergency medical technicians with positive predictive values between 64% and 77%.

Other acronyms such as BE-FAST has shown promise by capturing >95% of ischemic strokes, however adding coordination and diplopia assessment did not improve stroke detection in the prehospital setting.

Alternative versions[edit]

BE-FAST has shown promise and is currently being studied as an alternative method to the FAST acronym.

  • B - Balance
  • E - Eyes
  • F - Face
  • A - Arm
  • S - Speech
  • T - Time

NEWFAST (c) is an additional stroke identification tool available for use. Copyrighted by Deborah Stabell Tran in 2017, (and created in 2016) as part of a DNP project, it was created to identify all types of strokes - anterior or posterior ischemic, and hemorrhagic strokes. It gives more definition to testing dizziness and balance, hallmark signs of posterior strokes. NEWFAST also addresses the sudden onset of a severe headache and vomiting that often accompany bleeds in the head.

  • NEW - means a NEW onset of symptoms (generally within the past 24 hours, but a sudden onset in general).
  • N - Nausea/Vomiting - sudden onset
  • E - Eyes - Double vision, field cut, neglect (can't see or notice what is going on, on one side of the body), and/or nystagmus(eyes involuntarily shifting back and forth)
  • W - Walking - If you suddenly can not walk due to dizziness, or your try to walk and you shift to one side.
  • F - Facial droop - one side of the face is droopy
  • A - Arm Weakness - especially one side being weak
  • S - Speech - slurred, confused, and/or absent speech
  • T - Terrible Headache/Dizziness (often described as thunderclap headache or dizziness regardless of position of body - sitting, standing, or laying down)

FASTER is used by Beaumont Health.

  • F - Face - Facial drooping or numbness on one side of the face
  • A - Arms - Arm weakness on one side of the body
  • S - Stability - Inability to maintain balance and stay steady on one's feet; dizziness
  • T - Talking - Slurred speech, inability to respond coherently, or other speech difficulty
  • E - Eyes - Changes in vision, including seeing double, or partial or complete blindness in one or both eyes
  • R - React - Call emergency services immediately if you see any of these symptoms, even if symptoms go away

References[edit]

  • ^ "Stroke Warning Signs and Symptoms". www.strokeassociation.org. Retrieved 2017-01-03.
  • Saver Jeffrey L. (2006-01-01). "Time Is Brain—Quantified". Stroke. 37 (1): 263–266. doi:10.1161/01.STR.0000196957.55928.ab. PMID 16339467.
  • Harbison, Joseph; Hossain, Omar; Jenkinson, Damian; Davis, John; Louw, Stephen J.; Ford, Gary A. (January 1, 2003). "Diagnostic Accuracy of Stroke Referrals From Primary Care, Emergency Room Physicians, and Ambulance Staff Using the Face Arm Speech Test". Stroke. 34 (1): 71–76. doi:10.1161/01.STR.0000044170.46643.5E. PMID 12511753.
  • Harbison Joseph; Hossain Omar; Jenkinson Damian; Davis John; Louw Stephen J.; Ford Gary A. (2003-01-01). "Diagnostic Accuracy of Stroke Referrals From Primary Care, Emergency Room Physicians, and Ambulance Staff Using the Face Arm Speech Test". Stroke. 34 (1): 71–76. doi:10.1161/01.STR.0000044170.46643.5E. PMID 12511753.
  • ^ Aroor Sushanth; Singh Rajpreet; Goldstein Larry B. (2017-02-01). "BE-FAST (Balance, Eyes, Face, Arm, Speech, Time)". Stroke. 48 (2): 479–481. doi:10.1161/STROKEAHA.116.015169. PMID 28082668.
  • Pickham, David; Valdez, André; Demeestere, Jelle; Lemmens, Robin; Diaz, Linda; Hopper, Sherril; de la Cuesta, Karen; Rackover, Fannie; Miller, Kenneth; Lansberg, Maarten G. (March 2019). "Prognostic Value of BEFAST vs. FAST to Identify Stroke in a Prehospital Setting". Prehospital Emergency Care. 23 (2): 195–200. doi:10.1080/10903127.2018.1490837. ISSN 1545-0066. PMID 30118372. Tran, D.S. (2017). NEWFAST: A New Stroke Identification Tool. [Poster]. AANN Stroke conference. Chicago, IL

What is the other meaning of fast?

fast, rapid, swift, fleet, quick, speedy, hasty, expeditious mean moving, proceeding, or acting with celerity. fast and rapid are very close in meaning, but fast applies particularly to the thing that moves. fast horses. and rapid to the movement itself.

What does being fast mean?

characterized by unrestrained conduct or lack of moral conventions, especially in sexual relations; wanton; loose: Some young people in that era were considered fast, if not downright promiscuous.

What is the meaning of fast speed?

(fɑːst , fæst ) adjective. Fast means happening, moving, or doing something at great speed. You also use fast in questions or statements about speed. Fast is also an adverb.

Is fast a noun verb or adjective?

Fast is both an adjective and an adverb. Quick is an adjective and the adverb form is quickly. It was a fast train.