This guideline covers interventions in the acute stage of a stroke or transient ischaemic attack (TIA). It offers the best clinical advice on the diagnosis and acute management of stroke and TIA in the 48 hours after onset of symptoms.
Recommendations
In May 2019, we reviewed the evidence and made new recommendations on:
- initial management of suspected and confirmed TIA
- imaging for people with suspected TIA
- thrombectomy for people with acute ischaemic stroke
- blood pressure control for people with acute intracerebral haemorrhage
- optimal positioning and early mobilisation for people with acute stroke
- decompressive hemicraniectomy for people with acute stroke
These supplement the existing recommendations on:
- rapid recognition of symptoms and diagnosis
- imaging
- specialist care, pharmacological treatments and surgery for people with acute stroke
- maintenance or restoration of homeostasis
- nutrition and hydration
Who is it for?
- Healthcare professionals in primary and secondary NHS healthcare settings
- Commissioners and providers of services
- People aged over 16 who have had a stroke or TIA, their families and carers