Table 1. Elements of the stroke care bundle versus ‘usual care’ for patients presenting to the Accident and Emergency unit with acute stroke.

	Stroke bundle	Usual care
1	Rapid initial stroke screen (ROSIER)	Seen as per availability of a clinician
2	ABCD assessment when TIA is suspected	Not done
3	Brain CT scan in <24 hours	Done as per availability of funds
4	NPO till bed side swallow screen is done in <24 hours	Not done
5	Aspirin within 48 hours if hemorrhagic stroke excluded	Depends on when brain CT scan is done
6	Physiological monitoring and management of Neuro status, blood sugar, blood pressure, hydration status for 72 hours	Not routine