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Section 1: ED Referring Sites

All referring centres should have 24/7 access to CTA to accurately identify potential EVT candidates.

Identified referral sites (only sites that deliver tPA) should contact CritiCall Ontario to request a consultation for EVT, with the Stroke Endovascular Team.

Sites that use Telestroke for tPA consultation will contact CritiCall Ontario to request a consultation with the Telestroke Neurologist prior to requesting consultation for EVT.

If after consultation, the patient is confirmed “Life or Limb”, the CritiCall Ontario agent will facilitate transport coordination by contacting Ornge or the Central Ambulance Communication Centre (CACC).

It is recommended that Land Transfer is utilized whenever possible to support the timely management of these patients.