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Updated: Apr 24, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Stroke services
In London and Greater Manchester, two slightly different models of centralised stroke service have been adopted. In London, anyone who appears to be having a stroke is taken directly to one of eight hyperacute stroke units. In Manchester, only patients whose stroke symptoms became apparent over the previous four hours are taken directly to stroke centres; all other patients with such symptoms are taken to one of ten district hospitals that provide stroke services.
In London and Greater Manchester, two slightly different models of centralised stroke service have been adopted. In London, anyone who appears to be having a stroke is taken directly to one of eight hyperacute stroke units. In Manchester, only patients whose stroke symptoms became apparent over the previous four hours are taken directly to stroke centres; all other patients with such symptoms are taken to one of ten district hospitals that provide stroke services.
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