10
Stroke Systems of Care
and Prehospital Management
2.7. Emergency Evaluation of Patients With Suspected Stroke
(Including ED and Stroke Teams)
COR LOE
Recommendations
1 B-NR
1. Patients of all ages, including pediatric patients, with acute
neurological deficits should benefit from an organized
protocol for the emergent evaluation of their symptoms in
terms of early recognition and treatment.
1 C-EO
2. In pediatric patients with sudden onset and ongoing focal
neurological deficits, including first-time seizure, acute stroke
should be suspected to provide timely diagnosis.
1 B-NR
3. Patients with suspected stroke should benefit from
designation of an acute stroke team, including clinicians,
nurses, and laboratory/radiolog y personnel to ensure careful
clinical assessment, including neurological examination.
1 A
4. Patients with suspected stroke should benefit from the
development and education of multidisciplinary stroke teams
with access to stroke expertise to safely increase the rate of
IVT treatment.
1 A
5. Thrombolytic-eligible patients and EVT-eligible patients
should benefit from stroke teams to ensure the fastest
achievable onset-to-treatment time and best clinical outcomes.
