Table 3.

Stroke Chain of Survival

DetectionPatient or bystander recognition of stroke signs and symptoms
DispatchImmediate activation of 9-1-1 and priority EMS dispatch
DeliveryPrompt triage and transport to most appropriate stroke hospital and prehospital notification
DoorImmediate ED triage to high-acuity area
DataPrompt ED evaluation, stroke team activation, laboratory studies, and brain imaging
DecisionDiagnosis and determination of most appropriate therapy; discussion with patient and family
DrugAdministration of appropriate drugs or other interventions
DispositionTimely admission to stroke unit, intensive care unit, or transfer
  • ED indicates emergency department; and EMS, emergency medical services.