Abstract
Out-of-hospital systems of care for emergent large vessel occlusion (ELVO) stroke have evolved in recent years. There has been a shift from transporting all stroke patients to the closest stroke center for potential intravenous thrombolysis (IVT) to preferentially transporting patients with a suspected ELVO directly to thrombectomy capable stroke centers (TSCs), potentially bypassing closer primary stroke centers (PSCs). Numerous recent publications have compared transporting patients to PSCs for potential IVT followed by an interfacility transfer to a TSC (Drip-and-Ship) versus bypassing a PSC in favor of a TSC (Direct Triage).
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