Practical Steps to Improve Timeliness of Acute Stroke Thrombolysis

Helsinki University Central Hospital achieved a median door-to-needle time of 20 minutes for acute stroke patients arriving by ambulance, by implementing 12 separate interventions (NEJM JW Emerg Med Aug 17 2012). In May 2012, a hospital in Australia implemented three Helsinki interventions during weekday office hours — stroke team activation based on …