A hospital here admitted someone last year with Left hemiplegia which had
resolved completely by the next morning. He was discharged home as a classic
TIA.
A week later this patient was involved in a serious RTA where another person
was killed.
This has made us all think again about our role in giving advice about
driving after a TIA or stroke or other medical emergencies.
The regulations say that a person should not drive for a month after a TIA
and a year after an established stroke.
Rather sad story I am afraid but relating it by this means may just prevent
a similar tragedy in future
JohnC
-----Original Message-----
From: Craig Ellis [mailto:[log in to unmask]]
Sent: Sunday, December 31, 2000 2:14 AM
To: [log in to unmask]
Subject: TIA's
Having had several unscheduled returns of patients who had been discharged
with TIA's recently and having also read the article on the natural history
of TIA's in the JAMA of a couple of weeks ago, I have been pondering how we
manage TIA"s locally, Id be interested to see how others on the list are
dealing with this issue
How many units are admitting patients presenting with TIA's for further
investigations ?
If not, why not ?
Would you do it differently if they were in slow AF ?
What do believe the current standard of care is for TIA management and how
would you want your mum treated if she had a TIA ?
Interested in your thoughts
Craig
Dr Craig Ellis
Registrar in Emergency Medicine
Wellington Hospital
Wellington, New Zealand
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