Acute GP service
This is a site intended for clinicians - all guidelines must be interpreted in the context of clinical risk assessment
The operational latest Stroke pathway in the Covid era is below. If any problems, please consider discussing with Geriatrician of the Day on the Silver phone 01872 252161. Far below is the now replaced pre-Covid pathway, for reference.
Patients with ongoing stroke symptoms, onset within 6 hours, should be admitted to the emergency department via 999 ambulance.
If patients have had a symptoms suggestive of a TIA they should be referred to the TIA clinic and should be started on Aspirin 300mg as long as their symptoms have completely resolved(1).
The TIA clinic will see patients with recent onset ongoing symptoms which have resulted in a minor disability, for example slurred speech or minor limb weakness. These patients should not be started on Aspirin unless they have had a CT scan confirming that there is not a bleed and must be safe at home pending their appointment.
1. Email correspondence with Stroke Physician, 20/8/2015