Is a neurologist needed to diagnose stroke?

Patients presenting to an emergency department with suspected acute ischaemic stroke shouldn’t need to be seen by a neurologist before treatment, according to a US expert.

Dr Jagannadha Avasarala, himself a practising neurologist at a number of hospitals in North Carolina, evokes the stroke care mantra that “time is brain” to argue that time spent seeking a clinical diagnosis from a neurologist is usually time wasted.