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Updated: Jun 20, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

The National Stroke Strategy - is it achievable?

T D Reid1, L J Finney, A R Hedges

  • 1Department of General Surgery, Princess of Wales Hospital, Coity Road, Bridgend CF31 1RQ, UK. tomreid74@gmail.com

Annals of the Royal College of Surgeons of England
|August 19, 2009
PubMed
Summary
This summary is machine-generated.

Many ignore transient ischaemic attack (TIA) symptoms, and a third consult opticians first. Public and healthcare education is vital to meet the 48-hour stroke intervention target.

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

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Last Updated: Jun 20, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

  • Neurology
  • Public Health
  • Vascular Surgery

Background:

  • Symptomatic carotid disease requires timely intervention.
  • UK guidelines recommend carotid intervention within 48 hours for TIA, amaurosis fugax, or minor stroke.
  • Current practice rarely achieves this target, with delays exceeding two weeks.

Purpose of the Study:

  • To assess public response to TIA symptoms.
  • To evaluate primary care response to TIA symptoms.
  • To determine the feasibility of a 48-hour intervention target.

Main Methods:

  • 402 men completed a questionnaire on their likely response to amaurosis fugax or TIA.
  • 45 GP practices were surveyed on their response protocols for these symptoms.

Main Results:

  • 1 in 6 individuals would ignore TIA symptoms unless recurrent.
  • Approximately 50% would contact a GP, while 33% would see an optician for amaurosis fugax.
  • GP appointment wait times were 2 days (routine) to 24 hours (emergency).

Conclusions:

  • A significant portion of the population ignores initial TIA symptoms.
  • Opticians are a common first point of contact for amaurosis fugax.
  • Achieving the 48-hour target necessitates public and healthcare professional education, emphasizing the emergency nature of these symptoms.