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Comment & Response
February 2018

Emergency Department Stroke Care—Reply

Author Affiliations
  • 1Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
JAMA Neurol. 2018;75(2):258. doi:10.1001/jamaneurol.2017.3820

In Reply I agree with Meurer et al that the optimal management of patients who present to emergency departments with suspected strokes is best managed by a dedicated team of emergency physicians, trained and experienced stroke neurologists, and nurses. These teams are capable of thinking about what is wrong with the patient and the best management rather than blindly following recipes and guidelines.

In response to Little and Bukata, the term used in the Editorial1 was inexperienced physicians. I meant to be critical of the process of blindly following guidelines and not thinking about what was wrong with the individual patient. Often the history and examination are done cursorily. I was not criticizing any one physician subspecialty.

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