A 68-year-old man is brought to the Emergency Department after suddenly developing slurred speech and left-arm weakness while eating lunch.
He arrived within 25 minutes of symptom onset.
He is alert, able to follow commands, and has no headache or seizure activity.
Vitals:
RR 18/min, SpO₂ 97% RA, HR 92 bpm, BP 166/96 mmHg, Temp 36.6°C
Capillary glucose: 6.2 mmol/L
Examination confirms mild facial asymmetry and reduced left upper-limb power.
The ambulance crew performed a brief screening tool pre-hospital.
You now need to establish the diagnosis rapidly inside the ED using a validated assessment tool recommended by NICE.
Which tool is most appropriate to use in the emergency department?