The role of most GPs in acute stroke management lies in prior patient education and formulating triage systems that minimise time from the acute stroke event to patient arrival at a hospital with the capacity to deliver thrombolysis.
- Care in a specialised stroke unit and thrombolysis with recombinant tissue plasminogen activator (rt-PA) both reduce mortality and disability in patients with acute stroke.
- Thrombolysis requires administration of rt-PA within three hours of stroke onset for maximal efficacy.
- GPs should expedite prompt ambulance transport of patients with acute stroke to a hospital with the capacity to deliver thrombolysis.
- Patient and staff education regarding the symptomatology of stroke may play a role in facilitating this prompt access to thrombolysis.