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Hospital La Paz Institute for Health Research IdiPAZ (La Paz University Hospital Universidad Autnoma de Madrid), Madrid, Spain, 2 Stroke Code Coordination Center, Servicio de Emergencias Mdicas SUMMA-112, Madrid, Spain, 3 Department of Neurology, Hospital Universitario Clnico San Carlos, Universidad Complutense de Madrid, Madrid, Spain, 4 Department of Neurology and Stroke Center, Hospital Universitario 12 de Octubre, Instituto de Investigacin Hospital 12 de Octubre (i+12), Madrid, Spain, 5 Department of Neurology, University Hospital Puerta de Hierro, Universidad Autonoma de Madrid, Madrid, Spain Background and Aims: In our stroke network, direct transfer to mechanical thrombectomy (MT) center (MT-C) instead of nearest non-MT-capable stroke unit (NSU) is determined by an M-DIRECT score 2
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Observe and Document Relentlessly: Every change, every observationpositive or negativemust be meticulously recorded
The glycine and B12 rationale applies equally to both medications