Thanks to Dr. Joanna Middleton for leading the discussions this month
Edited by Dr David Lewis
Discussion Topics
- When is a pregnancy not a pregnancy? (see part 1)
- Caustic Ingestions (see part 1)
- Transient Ischemic Attack – ED Questions
Transient Ischemic Attack – ED Questions
Transient Ischemic Attack (TIA): A brief episode of neurological dysfunction caused by focal brain, spinal cord or retinal ischemia, with clinical symptoms and without imaging evidence of acute infarction. Transient ischemic attack and minor stroke are the mildest form of acute ischemic stroke in a continuum that cannot be differentiated by symptom duration alone, but the former typically resolves within one hour.
https://www.strokebestpractices.ca/
Dual Anti-Platelet Therapy (DAPT)?
Patients who present within 48 hours of a suspected transient ischemic attack are at the highest risk for recurrent stroke
Uptodate – DAPT for high-risk TIA, defined as an ABCD2 score of ≥4
For CVA – ASA only unless already on ASA, then DAPT. For minor CVA/TIA – DAPT
Hold Birth Control?
Admission?
Of all ischemic strokes during the 30 days after a first TIA, 42 percent occurred within the first 24 hours.
Stroke Assessment Pocket Cards
Saskatchewan TIA Referral Pathway
Saskatchewan TIA Patient Information Leaflet
