In this paper, we propose ReactVAU, a Slow-Fast Decoupled Framework for real-time streaming Video Anomaly Understanding (VAU). Existing VAU methods rely on offline inference with global temporal sampling, which violates causality and prevents deployment in live surveillance streams. Conversely, general streaming video models satisfy causal access but dilute rare transient anomalies during memory compression and often invoke heavyweight MLLMs uniformly over long normal intervals. React VAU addresses this gap with three synergistic components: a lightweight Fast Detection Module based on Spatial