Blood Clots / Stroke – They Now Have a Fourth Indicator, the Tongue

Hello administrators!

I just thought of sharing this article that was sent to me by a colleague through e-mail as this could be helpful to us nurses in saving lives.

STROKE: Remember the 1st Three Letters.. ..S. T. R.


During a BBQ, a friend stumbled and took a little fall – she assured everyone that she was fine (they offered to call paramedics). She said she had just tripped over a brick because of her new shoes.

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

Ingrid’s husband called later telling everyone that his wife had been taken to the hospital – (at 6:00 pm Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don’t die. They end up in a helpless, hopeless condition instead.

It only takes a minute to read this…

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke…totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.


Thank God for the sense to remember the ‘3’ steps, STR.

Read and Learn!

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

Now doctors say a bystander can recognize a stroke by asking three simple questions:

S *Ask the individual to SMILE.

T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently – i.e. It is sunny out today.)

R *Ask him or her to RAISE BOTH ARMS.

If he or she has trouble with ANY ONE of these tasks, call emergency number immediately and describe the symptoms to the dispatcher.

New Sign of a Stroke ——– Stick out Your Tongue

NOTE: Another ‘sign’ of a stroke is this: Ask the person to ‘stick’ out his tongue.. If the tongue is ‘crooked’, if it goes to one side or the other, that is also an indication of a stroke.

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  • katkat G

    wow now I know my STR and tongue thank you so much for sharing 🙂

  • fides joy n. pabua

    thank you so much for the info…it is such a great help to me as a college nurse.

  • ejpopotit

    thank you so much for sharing ^_^ it has been a great help for us.

  • gina u agustin

    thats enlightening..wish u could post more of health warning signs… thanks

  • rodrigo n. sorongon

    let’s keep on posting helpful information such as this even non medical folks gets to learn and know how things are and easily applied by even persons like me that has no medical background. thanks

  • islayzan

    thanks for sharing this article.. =)

  • jeda

    thanks for this reminder…it will help a lot…thank you

  • jhames

    thak you… it has a great help to me,, thank you agen.. hope that i will spread the word..

  • joel



  • sdfs

    Now have a fourth indicator? I’ve known since godknowwhen. I am not a nurse, btw.

  • gina

    thanks for the info re: STR and tongue as an indicators regarding stroke.
    im not a nurse but a teacher turned caregiver.
    our duty being an in house caregiver is somewhat like a nurse working in the emergency department of a hospital..



  • jing

    thanks for the info.GOD BLESS YOU ALL.

  • Sunita dharel

    Thankx for your great information,it help us..i hope more information related to health will publish up coming day..

  • Joel

    Now aside from the face,arms,speech and telephone(FAST) we also need to observe leg weakness and loss of vision as yet another indications of stroke..
    We also be wary about we call a TIA(transient ischaemic attack) or a mini stroke… has the same signs n symptoms of a stroke but this one doesnt involve a permanent neurological(brain) damage…most symptoms would usually resolved within a few minutes to 24 hours but you still need to seek medical advice if you suspect one..
    Just for everyones info….thank you

  • Thanks sa info…it’s really helpful

  • rickyv

    keep on posting guys,it will helps a lot to our kababayan abroad,

  • mark john

    this is very helpful for us registered nurses this will help us a lot to save more lives =)

  • Geoffey Sepillo

    Thank you for sharing…

    Yes, the STR and tongue method will help a person to identify from stroke. My mother is a stroke victim for 6 years. We are lucky that the incident didn’t happen again. Why? because of our awareness and quick response every time she got a high BP.WE usually monitor her BP. My sister a nursing graduate, she usually do those routines to my mother to see that she is conscious like the our last experience when she rush to the hospital while traveling my sister keep on performing those steps.
    At present, she recovered from stroke.

    • Geoffey Sepillo

      My sister is a nursing graduate,

  • got scared. kasi nasa picture ung tongue e makati tongue koh i thought candidate na ako. both sides kasi sosyal ha sakit, sakit sa puso. katakot pwo informative. anyway nice article very helpful. kea dapat tandaan.

  • intelligentguest

    I believe that the letter T has covered this fourth indicator already. The inability to talk can be suggestive of an impairment of the nerve innervating the tongue. The nerve is impaired due to the clogged arteries in the brain thay then deprives the nervous system of oxygen. And we all should know that with not enough oxygen in our system, it can malfunction or shut down.

    I am not saying that this fourth indicator is wrong, but rather it’s NOT NEW.
    And i tell you… from experience… that person having an attack wont have even the time to stick his tongue out

  • intelligentguest

    And i suggest that the authot should replace that picture with a proper picture that demonatrates what the abnormality should look like in contrast wiyh the normal. You are informing people. so inform them properly.

  • marcus

    very helpful among nurses!!! but when i was still a nursing student (years 2001-2005, deviation of the tongue is already mentioned in some literature and books among one of the signs to assess for patients having stroke.

  • not new.

  • jinkybernal

    thanks for sharing your knowledge.

  • simple but very important information… thanks for sharing

  • nathie

    thanks for the info..its a big useful esp for me.god bless to all

  • vic

    very informative….but

    Be on alert, if your in a medication of hypertensive for a long period of time, its better to look for an alternative treatment rather traditional western way, because most synthetic meds is not a treatment of the root cause of hypertension, it gives you more problem because of side effects, while treating hypertension damaging the liver and kidneys. This is based on personal experience of an hypertensive wife.

    Treat the root of the problem rather than symptoms.

    Happy Healing…..

  • Rafael

    cool post! i just want to share something, i have this friend who experienced stroke and made him helpless after the incident. he was introduced with this food supplement that is already approved by the FDA and BFAD and as i researched this brand, it has been receiving awards regarding it’s quality. this supplements are also for preventive purposes [if you agree with me that prevention is far better that cure]. they have products for post stroke patients, diabetic, patients who has increased LDL or bad cholesterol and a lot more specific for other parts of the organ, also cancer [prevention]. anyway, there’s a lot of things to say about it but if you’re interested, you can just contact me at 09158130459 and i can share it to you. my friend is stronger now than he could ever be after that incident.

  • Susan -. Dy

    Thanks for sharing this article. It may not be new to your colleagues in the medical profession, but it is certainly appreciated by laymen like me. God bless you for sharing & giving of yourself via your website!

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