
Acute stroke emergency department (ED) management prioritizes rapid identification and treatment within the "golden hour" to maximize neurological recovery. Key actions include immediate brain imaging (non-contrast CT) to rule out hemorrhage, blood pressure management (\(<185/110\) mmHg for thrombolytics), intravenous thrombolysis (alteplase/tenecteplase) within 4.5 hours of symptom onset, and mechanical thrombectomy for large vessel occlusions.