In recent years, telestroke services have transformed stroke care delivery, especially in rural or underserved areas. Using technology to connect stroke specialists with local health care providers, telestroke services have helped fill the gap in accessing timely and expert stroke care. Telestroke services utilize remote stroke specialists who help guide local emergency physicians in reviewing imaging, diagnosing, treating, or transferring patients appropriately. These services have been important because, for ischemic stroke, the window to administer intravenous tissue plasminogen activator (tPA) or perform a mechanical thrombectomy is patient-specific and time-sensitive.