This pathway is currently under intense review in the current Covid crisis. The below Covid pathway is not finalised and will be updated as soon as is possible. Until then:
please consider discussing with Geriatrician of the Day on the Silver phone 01872 252161
we have to publish both the pre-Covid advice, as well as the developing Covid pathway
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