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10,44,47,57,74 Once stroke is proven, doctor nurse uses these approaches and protocols that outline who contacts doctor acute stroke team or correct neurological advisor. Emergency nurses keep in mind that time is critical and are knowledgeable in rapid comparison and remedy of stroke patients. Studies have shown that doctor sooner thrombolytic therapy is started, doctor better doctor benefit. 23,44,46,75 It is critical that every one emergency nurses and other emergency expert staff know that doctor NIH National Institute of Neurological Disorders and Stroke NINDS benchmark treatment time for AIS with intravenous rtPA is within 60 minutes of arrival in doctor ED46 Table 5. In some cases, scientific help time will need medical be shortened clinical effectively initiate thrombolytic treatment within 3 hours of stroke onset, even though there is becoming evidence of safety and effectiveness beyond doctor 3 hour window from stroke onset. 76,77 doctor AHA AIS Writing Committee has issued a Science Advisory declaring that some eligible sufferers may be treated among doctor 3 and 4.