Duke, good question. The general principal is access to earlier neuro diagnostic info where there are no other alternatives.
In the use case you are describing it would be about transferring more of the right patients directly to a stroke centre ie skipping the nearest hospital and directly to an angiogram suite. They will still have advanced imaging (CTA CTP) to guide the clot removal surgery if suitable. At large hospitals there are then ICU and neuro ward monitoring opportunities (as you mentioned). All of this can be seen in the presentation slide below.
Interestingly you may be aware that today Plain CT is the front line tool in acute stroke, however it can rarely detect acute ischemia (let alone core vs penumbra). https://www.nuemblog.com/blog/2018/4/20/stroke-neuroimaging . PS - I am not doctor and always DYOR.
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