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Implications for practice and research
■ Rapid assessment of patients with potential stroke is imperative for triage nurses.
■ The Recognition of Stroke in the Emergency Room (ROSIER) scale may help triage nurses rapidly recognise stroke and differentiate between potential stroke and common stroke mimics.
■ The following guidelines are recommended for patients with ischaemic stroke1:
■ Administration of recombinant tissue plasminogen activator (rt-PA) within 3 h of ischaemic stroke and up to 4.5 h in a select subgroup of patients.
■ Evaluation of stroke symptoms by a physician within 10 min of arrival.
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