1. Understanding Stroke Slideshow Pictures
2. Take the Stroke Quiz
3. Slideshow: Atrial Fibrillation Causes, Tests, and Treatment

Medical Author:

Benjamin Wedro, MD, FACEP, FAAEM

Benjamin Wedro, MD, FACEP, FAAEM

Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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A stroke is a medical emergency. When a stroke is suspected, emergency medical services should be activated (911 should be called  in the US). With the inability to predict the future, there is no way of knowing whether the symptoms will resolve. If the symptoms persist and a stroke situation exists, there is a narrow window of time to intervene and potentially use TPA (a clot-busting drug) to restore blood supply to the brain and reverse the neurologic deficits. Depending on the hospital and its capabilities, there may be only three to four and a half hours from the onset of symptoms in which to administer the drugs. In that time, the patient needs to be examined, blood tests need to be drawn, a CT scan of the head needs to be performed to insure that a hemorrhagic stroke (bleeding into the brain) is not the cause, and a neurologist needs to be contacted.

If EMS is not activated and the symptoms resolve so that the patient, family, or friends suspect that a TIA has occurred, there is still a need to seek care urgently. It may be reasonable to contact the primary care provider to help coordinate the evaluation.

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