Since the initial publication of primary stroke center recommendations in 2000, there have been significant advancements in the standard of care for stroke patients in terms of diagnosis and treatment. To that end, the Brain Attack Coalition (BAC) has recently issued revised recommendations for primary stroke centers.
The updated guidelines take into account the efficacy and importance of stroke teams, stroke units, the use of intravenous tissue plasminogen activator (tPA), and imaging advances. Primary stroke centers (PSCs), proficient in providing acute care for stroke patients and administering the clot busting drug IV-tPA, can be distinguished from their counterpart comprehensive stroke centers (CSCs), which cater to more complex stroke cases and offer advanced interventional treatments.
The revised recommendations, based on extensive literature review and experience of PSCs, encompass numerous aspects of stroke care, with the key points summarized below.
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