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AHA/ASA Early Management of Acute Ischemic Stroke 2026

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5 2.1. Stroke Awareness (Population Level) COR LOE Recommendations 1 B-R 1. For the general public, implementation of educational programs on stroke recognition in patients of all ages and the need to seek emergency care (calling 9-1-1) is recommended and should be implemented by public health and community leaders and medical professionals to reduce gaps in knowledge about stroke warning signs and to improve stroke preparedness. 1 B-NR 2. For the general public, educational programs on stroke recognition should be designed to reach diverse communities and populations (ie, diversity by age, race and ethnicity, sex and gender, and other social determinants of health such as education, income, and neighborhood) to reduce knowledge gaps in stroke warning signs and improve stroke preparedness across all demographics. 1 B-NR 3. For the general public, educational programs on stroke recognition should be sustained over time to improve long-term knowledge of stroke warning signs and stroke preparedness. 1 B-NR 4. In addition to the general public, emergency medical services (EMS) professionals, physicians (including primary care professionals), and other health care personnel should receive targeted stroke educational programs to reduce prehospital delays and maximize eligibility for acute treatment of ischemic stroke (eg , thrombolysis). Note: The numbering of the following tables may differ from that of the Clinical Practice Guideline. Colors in tables and figures correspond to Class of Recommendations and Level of Evidence tables on pages 56–57. Stroke Systems of Care and Prehospital Management

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