Why you should read this article:

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To remind yourself of the signs and symptoms of stroke and transient ischaemic attack

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To enhance your knowledge of the principles of care in an emergency

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To explore the structured approach required in the immediate care of patients with suspected stroke

In recent years, the risk of stroke-related mortality has decreased but stroke remains a medical emergency. Rapid identification and prompt transfer to emergency or specialist teams can maximise patients’ chances of survival and reduce the risk and severity of any long-term disability. Nurses who find themselves responsible for the care of a person who is experiencing a suspected stroke need to provide optimal immediate care aimed at preserving life and preventing deterioration. This article focuses on how to recognise a suspected stroke at first presentation, whether in an inpatient or community setting, and how to provide immediate care before the arrival of emergency practitioners or stroke specialists.