Les... be careful with aspirin in strokes. If you're having a bleed, you've almost signed a death warrant by taking it. However, most (about 85-90% of strokes) are NOT hemorrhagic...
When should we give sublingual aspirin in a suspected cardiac event?
First, it's not sublingual - just chew it and swallow. Sublingual is nitroglycerin
Without getting too technical, if you think you're having a heart attack, you're better off just taking the aspirin. Supposedly people with stomach ulcers shouldn't, but we can deal with an ulcer. Dead is a lot harder to cure. Aspirin isn't a cure-all! You're still going to need to go to the hospital, via EMS preferably. If anyone has ever had a heart attack, they can probably tell you they got way more than just aspirin.
If you're thinking stroke, I wouldn't recommend blindly taking an aspirin. Like I said, most are a clot, but some aren't. If you choose to play the odds, that's on you. Best thing to do is get to an ER (preferably accredited as a stroke center) ASAP - the meds have a 90 minute window from symptom onset.
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