Local guideline<\/strong><\/a> and arrangements for Acute Stroke\/TIA assessment<\/strong><\/strong><\/p>\n\n\n\n In Hours:<\/strong> Out of Hours:<\/strong> Clinics<\/strong><\/p>\n\n\n\n These clinics offer a specialist assessment with same day CT brain and carotid scanning. We also have urgent access to MRI head, echocardiogram and 5 day ECG monitors. It will not always be possible to offer patients an appointment in their most local hospital.<\/p>\n\n\n\n A letter will normally be sent within 3 days and will include the final diagnosis and results of investigations.<\/p>\n\n\n\n For all clinics – if the patient is found to have an important abnormality on brain scan or carotid Doppler or unusual test results we will contact them directly by phone. A results letter will be sent to the GP a few weeks after their appointment for tests which are less readily available, e.g. E<\/p>\n\n\n\n We do not routinely follow up patients in the Stroke\/TIA clinic unless the diagnosis was unclear and needs further clarification or when the patient has recurrent problems.<\/p>\n\n\n\n Thursday Afternoon OPD7 RIE<\/p>\n\n\n\n Referral should be made by e mail to the following address: lifeafterstroke@nhslothian.scot.nhs.uk<\/a><\/p>\n\n\n\n ‘The Life after Stroke clinic’ is suitable for people who have ongoing problems post-stroke or TIA e.g. fatigue, emotional distress, cognitive impairment, of for new problems that develop over time e.g. neuropathic pain, or where the diagnosis is uncertain and requires review.<\/p>\n\n\n\n Community Services for Stroke Patients<\/strong><\/p>\n\n\n\n The Lothian Managed Clinical Network (MCN) Community Services<\/a> page contains information about the many services available throughout Lothian for both stroke patients and their carers.<\/p>\n\n\n\n One of these services is the Edinburgh Community Stroke Service (ECSS). Details, links to leaflets and referral criteria can all be found nhslothian.scot Stroke-community Pages<\/a>.<\/p>\n\n\n\n We are happy to discuss any patient who has had a recen<\/strong>t TIA or stroke, not only those who you see during the acute event.<\/strong><\/p>\n\n\n\n If you wish to make a referral to this service<\/p>\n\n\n\n First phone the hotline number as outline above to discuss the patient<\/p>\n\n\n\n Then ASAP send a referral via Sci-gateway;<\/p>\n\n\n\n [RIE>GEN MED>LI STROKE TIA]<\/p>\n\n\n\n Information we require<\/strong>:<\/p>\n\n\n\n The proforma indicates those pieces of information which are important for us to know. <\/p>\n\n\n\n We are happy to discuss any patient who has had a recent TIA or stroke, not only those who you see during the acute event.<\/strong><\/p>\n\n\n\n The specialist will advise on immediate assessment and treatment including admission, or where appropriate, arrange an appointment in the next available Stroke\/TIA clinic. Appointment details will be given to the GP at the time of this phone call so you can inform the patient. This will also ensure patients receive immediate treatment before their appointment in the clinic.<\/p>\n<\/div><\/div>\n\n\n\n Chest Heart and Stroke Scotland Nurses<\/p>\n\n\n\n Stroke.Nurses<\/strong><\/a><\/p>\n\n\n\n Services Local guideline and arrangements for Acute Stroke\/TIA assessment In Hours:For Stroke\/TIA Hotline contact please see: Secure intranet page Out of Hours: Stroke\/TIA Advice: Neurology Registrar via SwitchboardThrombolysis Advice: Stroke Consultant via Switchboard Clinics These clinics offer a specialist assessment with same day CT brain and carotid scanning. We also have urgent access to MRI head,<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4173,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[447],"class_list":["post-4480","page","type-page","status-publish","hentry","category-transientischaemicattacktiaandstroke"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" Transient Ischaemic Attack (TIA) and Stroke<\/a>","rttpg_excerpt":"Services Local guideline and arrangements for Acute Stroke\/TIA assessment In Hours:For Stroke\/TIA Hotline contact please see: Secure intranet page Out of Hours: Stroke\/TIA Advice: Neurology Registrar via SwitchboardThrombolysis Advice: Stroke Consultant via Switchboard Clinics These clinics offer a specialist assessment with same day CT brain and carotid scanning. We also have urgent access to MRI head,","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4480","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4480"}],"version-history":[{"count":18,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4480\/revisions"}],"predecessor-version":[{"id":27966,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4480\/revisions\/27966"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4173"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4480"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4480"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
For Stroke\/TIA Hotline contact please see: Secure intranet page<\/a><\/p>\n\n\n\n
Stroke\/TIA Advice: Neurology Registrar via Switchboard
Thrombolysis Advice: Stroke Consultant via Switchboard<\/p>\n\n\n\n\n
Communication<\/h4>\n\n\n\n
Follow up<\/h4>\n\n\n\n
Life after Stroke Clinic<\/h4>\n\n\n\n
<\/ul>\n
Who to refer:<\/h4>\n\n\n\n
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Who not to refer:<\/h4>\n\n\n\n
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How to refer:<\/h4>\n\n\n\n
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