How quickly should a patient with suspected stroke be assessed when arriving in the ER?

• A. Within 60 minutes
• B. Within 10 minutes
• C. Within 2 hours
• D. Within 4 hours

Answer: (B)

Time is brain. When a patient with suspected stroke arrives, the ER must begin a rapid assessment within minutes to determine stroke type and trigger urgent imaging and treatment decisions. The best target is within about 10 minutes of arrival. This quick evaluation includes a focused neurological exam (often using a stroke scale), immediate checks of airway, breathing, and circulation, quick blood glucose, and prompt decision to obtain emergent noncontrast CT to distinguish hemorrhagic from ischemic stroke. Early identification and activation of the stroke pathway allow faster consideration of reperfusion therapy and reduce time to treatment, which is crucial for minimizing brain injury. Waiting longer—60 minutes, 2 hours, or 4 hours—would delay imaging and potential treatment, worsening outcomes.