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The Ontario Acute Stroke Medical Redirect Paramedic Protocol (ASMRPP) was revised to allow paramedics to bypass to designated stroke centers if total transport time would be &lt;2 hours and total time from symptom onset &lt;3.5 hours. We sought to evaluate the impact and safety of implementing the Revised ASMRPP.

Impact of Expanding the Prehospital Stroke Bypass Time Window in a Large Geographic Region