To the Editor We read with interest the Viewpoint by Avasarala.1 The author suggested that the diagnosis of acute stroke can, and should, be made without a neurologist, as acute stroke management is a “cookbook” easily performed by nonneurologists, with little downside to treating “false-positives.” We propose that complete stroke diagnosis is not a cookbook algorithm and that stroke care goes beyond the initial diagnosis. The neurologist plays a prominent role in both.
Siegel JL, Pizzi MA, Freeman WD. Stroke Diagnosis and Treatment in the Emergency Department. JAMA Neurol. 2017;74(3):362. doi:10.1001/jamaneurol.2016.5561