What is the primary management for a patient with suspected stroke?

The primary management for a patient with suspected stroke involves obtaining a CT scan. This imaging test is critical because it allows for the rapid identification of whether the stroke is ischemic (caused by a blockage of blood flow) or hemorrhagic (caused by bleeding in the brain). CT scans are typically the first-line imaging modality in acute stroke assessment due to their speed and availability in most emergency departments.

Quick identification of the type of stroke can significantly impact treatment decisions. For instance, if the stroke is ischemic, there may be an opportunity to administer thrombolytic therapy, which can dissolve the clot and restore blood flow if given within a specific time frame. In contrast, if the CT shows a hemorrhagic stroke, immediate surgical intervention may be necessary, and thrombolytics would be contraindicated.

While an MRI scan provides more detailed images and may be useful in certain scenarios, it is not typically performed first in the acute setting due to longer acquisition times and less immediate availability. Calling a neurologist is important for further management but does not replace the initial imaging essential for determining the appropriate treatment path. Immediate surgery might be necessary in specific cases of hemorrhagic stroke but is not the primary management step for assessment.

Therefore, obtaining a