[Pitfalls of Emergency Management for Stroke Patients]

Emergency management of acute stroke involves various clinical scenarios, and determining the optimal treatment can sometimes be challenging. However, rapid diagnosis and timely intervention are essential to achieve favorable outcomes. Therefore, a structured summary of emergency evaluation and management of patients with stroke is necessary to support physicians. At the same time, recent advances in stroke research have significantly changed management strategy. In brain hemorrhage, reversal agents have become available, and the concept of door-to-needle time is also adapted to brain hemorrhage. In cerebral infarction, the ischemic core is now recognized as heterogeneous, and new concepts for evaluating viable regions have emerged. Accordingly, it is important to integrate these evolving concepts into clinical practice. This article reviews current strategies for emergency stroke management, highlights common pitfalls in critical care, and illustrates practical approaches through representative clinical cases.