In the first decades of the twentieth century Maggie Lena Walker repeatedly challenged her contemporaries to "make history as Negro women." Yet she and her colleagues in the Independent Order of Saint Luke, like most black and other women of color, have been virtually invisible in women's history and women's studies. Although recent books and articles have begun to redress this, the years of exclusion have had an impact more significant than just the invisibility of black women, for the exclusion of black women has meant that the concepts, perspectives, methods, and pedagogies of

The DtoCT pathway was successful in reducing delays to thrombolysis and should be implemented routinely. The call to door and CT to needle times were not improved by our interventions and further work is required to streamline these. Factors beyond the control of most hospitals may play a role in delaying treatment, but local changes can be implemented to mitigate this.

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