TIA Approach

TIA Approach is a fast, evidence-based clinical reference for the assessment and management of transient ischaemic attack (TIA) and minor stroke. Designed for doctors, nurses, paramedics and medical students, it puts the whole TIA pathway — from first contact to secondary prevention — one tap away at the bedside.

WHAT'S INSIDE
- Definition and risk scores — tissue- vs time-based definition, with interactive ABCD2, ABCD3-I and CHA₂DS₂-VASc calculators
- Immediate assessment — history, examination and first-line investigations
- Urgent imaging — CT, MRI/DWI, carotid Doppler and cardiac workup
- Acute treatment — antiplatelet and anticoagulation regimens, DAPT loading, POINT/CHANCE/THALES, blood pressure and statins
- Risk stratification — high-risk features, crescendo TIA and admission criteria
- TIA mimics — practical differential diagnosis
- Carotid disease — stenosis thresholds and timing of CEA/CAS
- AF detection — monitoring strategy and DOAC timing
- Secondary prevention — antiplatelets, lipids, blood pressure and lifestyle
- Clinic pathway — same-day assessment, SOS-TIA model and admission criteria

EVIDENCE-BASED AND REFERENCED
Content is built on NICE NG128, ESO 2021 and AHA/ASA guidance, alongside landmark trials (EXPRESS, POINT, CHANCE, THALES, NASCET, CRYSTAL-AF and more). Every section links to its original source — tap any reference to open the guideline or paper.

BUILT FOR THE WARD
- Works fully offline — no signal needed
- Fast search across all content
- Bookmarks and clinical notes
- Light and dark modes
- Adjustable text size

FREE AND FULL ACCESS
Core sections — definitions, risk scores, immediate assessment and the full reference list — are free. A single one-time purchase unlocks the complete pathway (imaging, treatment, risk, carotid, AF, secondary prevention and clinic pathway). No subscription, no ads, works offline.

ABOUT
Developed by Dr Atif Elnil MBBS MRCP, Senior Neurology & Stroke Fellow, St George's University Hospital, London, UK.

DISCLAIMER
TIA Approach is an educational and clinical-reference tool for use by qualified healthcare professionals. It is not a substitute for clinical judgement, formal training or local protocols, and must not be used as sole guidance for patient care or for self-diagnosis. Always assess each patient individually and follow your local pathways.

Recent changes:
Updated for Android 16 with improved display on the latest devices.