This month on Back in Quarters, Dustin and Stephanie sit down with the St. Mary’s Stroke Team to uncover what really happens behind the scenes when a stroke patient hits the door—and why EMS is the spark that sets the whole system in motion.

From FAST-ED scores to “glorified plumbers,” we explore how field impressions shape hospital pathways, why a 20‑gauge IV above the wrist can change everything, and how advanced imaging (and even AI) is redefining stroke care.

We also tackle the transport conundrum: nearest hospital or highest capability? rural vs. urban? snowstorm vs. sunshine?

If you’ve ever wondered how your scene impression becomes a real-time surgical decision—or why over‑calling a stroke is basically a love language—this episode is for you.

(Link for continuing education credit coming soon!)