In the case of a possible stroke, the first three hours can make a critical difference – in the quality of recovery, and even between life and death. Martha's Vineyard Hospital's stroke protocol program is certified by the Massachusetts Dept. of Public Health and the American Stroke Association, making the Hospital a primary stroke service center. Our Emergency Department staff works closely with neurologists and radiologists at Massachusetts General Hospital. Brain images from the Island CT scanner can be instantly sent to Boston and MGH physicians can interview patients via webcam in real time, a critical aid in establishing the nature of the stroke and in guiding such decisions as the use of clot-busting drugs.