%0 Journal Article %T Delayed Recognition of Acute Stroke by Emergency Department Staff Following Failure to Activate Stroke by Emergency Medical Services %A Joseph C. Tennyson %A Marguerite N. Youngren %A Martin A. Reznek %A Sean S. Michael %J Archive of "Western Journal of Emergency Medicine". %D 2019 %R 10.5811/westjem.2018.12.40577 %X Early recognition and pre-notification by emergency medical services (EMS) improves the timeliness of emergency department (ED) stroke care; however, little is known regarding the effects on care should EMS providers fail to pre-notify. We sought to determine if potential stroke patients transported by EMS, but for whom EMS did not provide pre-notification, suffer delays in ED door-to-stroke-team activation (DTA) as compared to the other available cohort of patients for whom the ED is not pre-notified¨Cthose arriving by private vehicle %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404724/