When seconds decide whether someone walks out of the hospital or never speaks again, your EMS stroke assessment has to be fast, accurate, and repeatable. In this episode of The Erik and Matt Show (EMS) with Erik Axene and Matt Ball, an emergency physician and a firefighter/paramedic break down how to recognize a stroke in the field, why "last known well" is the single most important question you can ask the family, and how to spot a Large Vessel Occlusion before you ever leave the driveway. Erik and Matt walk through Cincinnati, LAMS, and FAST, then dig into the subtle presentations that get missed: Bell's palsy mimics, posterior strokes, dizziness, and the wake-up stroke.