TY - JOUR T1 - Time is brain: An online controlling of traffic lights can save lives JF - Emergency Medicine Journal JO - Emerg Med J DO - 10.1136/emermed-2017-206888 SP - emermed-2017-206888 AU - Amin Amiri AU - Reza Vafaeinezhad AU - Mahmoud R Azarpazhooh Y1 - 2017/11/24 UR - http://emj.bmj.com/content/early/2017/11/24/emermed-2017-206888.abstract N2 - Recently, we showed an extremely low rate of thrombolytic therapy in patients suffering acute ischaemic strokes in Mashhad, in Northeast Iran.1 During the 12-month study period (starting from September 2011), the overall rate of intravenous tissue plasminogen activator was 1.2% (n=1144 ischaemic strokes). The mean onset-to-needle and door-to-needle times were 172 and 58 min, respectively.1 A similar problem can be expected for other emergency conditions in our region, such as acute coronary disease, in which the time-to-needle duration is a life-saving criterion. Such a low rate of thrombolytic therapy can be explained in several ways—from patients’ health-seeking behaviours during the emergency conditions to prehospital/in-hospital infrastructures and facilities.1Any delay in the golden minutes of emergency conditions, starting immediately after the … ER -