Patients should be transported to the closest certified primary or comprehensive stroke center or, when such an institution is not available, the closest facility offering emergency stroke care.

应将病人转运到最近的认证的初级或高级脑卒中中心。如没有这样的机构，要送到能够提供紧急脑卒中处理的医院。

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And with the closest health facility some 30km (18 miles) away, Pitala village now has its own bicycle ambulance to ferry patients to hospital.

BBC: NEWS | Africa | Malawi: A mother's race against time