“…Patients who arrive via EMS are also more likely to receive rt-PA than patients who do not use EMS(11). A prior study within our Greater Cincinnati/Northern Kentucky population found that increasing age, pre-stroke disability, higher stroke severity, and hemorrhagic stroke subtype are independently predictive of using EMS, while race and sex are not(12). This study, however, did not examine the relationship between stroke symptom types and use of EMS.…”