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at www.gitfreed.a.i. Hello, med students. My name is Zach Olson. Thank you for downloading this

episode of the EM Clerkship Podcast. I want you to close your eyes and imagine. You're halfway

through your shift. Department's really busy. You've had a few chest pain patients, a nausea,

vomiting, a seizure, nothing too crazy so far. When you overhear a call on the radio about an

incoming stroke.

University Hospital's Amulance 48 coming to ALS with a stroke alert.

We have a 55-year-old female found on the floor by family.

She is ulcered.

She is positive for Cincinnati stroke scale.

Last known normal was 1430 hours, 1430 hours. Currently vital signs, 200 over 110. Pulse of 88 any regular. She is cold and clammy. It's on unknown meds for hypertension. We're approximately seven minutes out.

What is your approach?

The most important thing to remember about stroke, time is brain.

The American Stroke Association guidelines really emphasize this, and hospitals are now judged

by this whole list of time-based cutoffs that they have to hit, just like we had to do with

stemmy, because time is brain. Here's what this means. If you ever have a patient that looks like a

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