“…In fact, the guides recommend a door-to-needle time of no more than 60 min. 12 This approach has recently and aptly been suggested by Rodríguez-Martín et al 13 Although these authors define fibrinolysis in the first hospital as being useful in late detection of ischemic stroke, the same concept is applicable to any case of stroke detected in the hyperacute phase, for improving the results obtained. Many experiences both within and outside Spain warrant the effectiveness and safety of ICT in district or general hospitals lacking a stroke unit, with specialized unit support and supervision via telemedicine technology, 11 telephone contact, or simply activation of the stroke code, involving written protocols developed by well trained, 2173-5727/$ -see front matter © 2012 Elsevier España, S.L.…”