In this discussion, Dr. Evie Marcolini, an emergency medicine and neurocritical care physician, sheds light on the intricate world of stroke management in community hospitals. She shares insights on the advancements in stroke care, including endovascular therapies like mechanical thrombectomy. Dr. Marcolini also delves into the complexities of administering TPA, emphasizing collaboration with neurologists. She highlights the significance of the NIH Stroke Scale in treatment decisions and reinforces the importance of patient education for informed consent in stroke management.