Explore the latest developments in acute ischemic stroke management in this 30-minute presentation from the 32nd Annual EM & Acute Care Course. Delve into a comprehensive update covering hypertension management, blood pressure control, and the role of medications like candesartan. Learn about the importance of stroke teams and the use of Lytx in stroke care. Examine the effectiveness and safety of ultra-early TPA administration, including insights from paired papers and efficacy trials. Analyze the largest recent trial outcomes and discuss the underutilization of TPA in stroke treatment. Investigate specific stroke types, including basilar artery stroke and carotid artery dissection. Gain valuable insights from Emergency Medical Abstracts (EMA) database and expert faculty synthesis, providing practical recommendations for diagnosis and therapy in emergency stroke care.