I know how I would like my mum managed!
TIA is the equivalent of cerebral unstable angina. Surely it should mandate
admission - at very least to arrange/perform duplex etc and assess the need
for surgical intervention.
These patients could be assessed by 'us' in a 'Clinical Decision Unit'.
Such a CDU is being set up at St James in Leeds.
It will be interesting to see the effect of such a 'unit' on the number of
carotid endarterectomy performed, before and after opening!
Other problems to be dealt with on the CDU will include
Pleuritic chestpain
Swollen legs
Headache.
Has anyone on the list any experience of a CDU?
Regards
Adrian Kerner
SpR
A&E St. James Leeds
|