Does it make sense for some EMS systems to request a helicopter to fly a potential stroke patient to a comprehensive stroke center? Does it matter if a local community hospital is a stroke-ready or primary stroke center? Strokes are a true time-sensitive emergency, unfortunately not all stroke patients are eligible for emergent intervention. Come join Kevin in a review of the current literature to help review when transport directly to a comprehensive stroke center might benefit your patients. Stroke patients have the potential to benefit from air medical transport, and are at increased risk for over triage; is it possible to determine which patients to fly? Walk away from this presentation with best-practices to help advocate for the appropriate use of rapid transport for patients at increased risk for large-vessel occlusion, and the tools to help reduce the risk of over triage.