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A Citywide Prehospital Protocol Increases Access to Stroke Thrombolysis in Toronto
Stroke, 11/10/09

Gladstone DJ et al. – This prehospital triage was immediately successful in improving tissue plasminogen activator access for patients with ischemic stroke, enabling the center to achieve one of the highest tissue plasminogen activator treatment rates in North America and underscoring the need for coordinated systems of acute stroke care. Sustainability of such an initiative will be dependent on interdisciplinary teamwork, ongoing paramedic training, adequate hospital staffing, bed availability, and repatriation agreements with community hospitals.