• William Bonadio, Christina Beck, and Aaron Mueller.
• Mount Sinai St. Luke's Medical Center, New York, NY, United States of America. Electronic address: william.bonadio@mountsinai.org.
• Am J Emerg Med. 2020 Feb 1; 38 (2): 309-310.

Background And ObjectivesStroke is a potentially serious condition commonly diagnosed in the ED. Time to diagnosis can be crucial to maximizing outcome in a majority of ischemic stroke cases amenable to thrombolytic therapy.MethodsAn analysis of 148 consecutive adults transported by EMS to an urban emergency department with a diagnosis of cerebro-vascular accident during a 12 month period was performed to determine the impact of CT scanner location on door-to-head CT [DTCT] scan time. The CT scanner was relocated from an upper floor of the hospital to within the ER department midway through the study period.ResultsThe rate of DTCT scan time ≤20 min increased significantly from 47% [pre-relocation] to 74% [post-relocation]; and the rate of DTCT ultra-rapid scan time ≤10 min more than doubled.ConclusionsHospitals providing ED care for stroke patients can expedite management by ensuring CT scanner location is in closest possible proximity to the ED.Copyright © 2019 Elsevier Inc. All rights reserved.

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