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Stroke care is extremely time sensitive, hence the quote “time is brain.” This axiom refers to the approximately 2 million neurons that are lost every minute in an ischemic stroke. Over 130,000 deaths in the United States are attributable to strokes, and nearly 87% of yearly strokes in the United States are ischemic strokes. Ischemic strokes occur when a vessel supplying blood to the brain is obstructed. In patients with suspected acute ischemic stroke, immediate brain imaging with computed tomography (CT) is essential to treat and distinguish between a hemorrhage or ischemic lesion. Timely treatment for ischemic stroke patients with intravenous tissue plasminogen activator (rtPA), which is placed through an IV in the arm, dissolving the clot and improving blood flow to the part of the brain that is being deprived, provides substantial clinical improvement. The treatment is very time dependent, there is a 5% decrease in mortality from stroke associated with every 15-minute reduction in door-to-needle times². A very small proportion of stroke patients receive the early treatment of rtPA in time, as most arrive at the stroke center or hospital too late to receive the therapy.