The flagship,听Daily, Weekday, 鈥極ne-Stop鈥� RASP service听for patients in our catchment area with suspected TIAs operates under the co-direction of Prof. Dominick McCabe and Dr. Dan Ryan, in collaboration with our RASP service colleagues.
Please ensure that you include your听patient鈥檚 name and DOB in the 鈥榮ubject information box鈥� of the email referral听and attach the latest听compulsory听鈥�RASP Service e-mail referral proforma鈥櫶�The form must include your own contact details, and the patient鈥檚 details and contact number(s). The proforma has been slightly modified to make the 鈥�urgent admission criteria鈥�听even clearer, to allow you to type in the information on the proforma which can be saved and sent as an attachment, or to print the proforma as before, handwrite in relevant information, scan and attach the completed scanned document to your email.
The referral will be urgently prioritised by the attending Consultant Neurologist or Stroke Physician who is covering the service. An urgent appointment will be offered, if deemed appropriate for the RASP service based on the information on the RASP referral proforma and any attached documentation which you may decide to send. We aim to allocate an appointment within 24 hours to urgently assess these patients. You will be contacted by our team if an alternative referral pathway is advisable for your patient. Prof Dominick McCabe / Dr Allan McCarthy (Vascular Neurology) will run the clinic service one week, and Dr Dan Ryan / Prof R贸n谩n Collins / Prof Tara Coughlan / Prof Des O鈥橬eill / Dr James Mahon (ARHC/Stroke Service) will run the service the following week.
All TIA patients听飞颈迟丑听鈥榟igh risk鈥� clinical features听should be referred to ED for urgent assessment with a view to admission with the revised TUH RASP referral proforma听regardless of their ABCD2听厂肠辞谤别, as should all suspected TIA patients with an听ABCD2听厂肠辞谤别 of 鈮� 4. 鈥楲ower risk TIA patients鈥櫶�who do not fulfil any of the high risk admission criteria, and who have an听ABCD2听厂肠辞谤别 of 0-3, should be referred by听e-mailing听the web-based email-RASP referral proforma to听[email protected]听each day from听Monday at 9am to Friday at 12pm.
This email account听will not be checked听after 12pm on Fridays听or at weekends. Therefore, because TIAs are medical emergencies, all suspected TIA patients in the catchment area seen by their GP / Emergency Department (ED) staff at the weekend from听12pm on Friday to 9am on Monday, regardless of their ABCD2听厂肠辞谤别, also need to be referred to the ED听that day听for assessment and possible admission under the听medical team on call听if a TIA is confirmed (a low threshold for referral to the medical team is recommended). The ED / medical team will initially investigate, treat and subsequently refer patients to the RASP / Stroke Service, as appropriate, on Monday am. Specific arrangements for Bank Holidays will be posted on the website in advance. Following assessment by RASP service staff, urgent decisions re management and secondary prevention, including anti-thrombotic therapy, will be made and communicated to the referring doctor.听
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