Question

1. Explain the difference between a TIA and RIND. Is there a difference from the

Answer 1

The main difference between a TIA (transient ischemic attack) and RIND (Reversible ischemic neurologic deficit) is the time duration taken for reversal of symptoms.

Explanation:

The symptoms of TIA can last for about 24 hours and settle within a day. RIND lasts for more than 24 hours and clears within a week or few weeks. This means that RIND is actually a mini version of TIA.  

Perspective of the paramedic:

Since both the conditions exhibits acute mini stroke-like conditions with reversal of symptoms, the perspective of the paramedic will be the same for both TIA and RIND.  

The paramedics in the field should conduct GCS and FAST tests, detect stroke and its damage caused, should obtain other basic information at the field, and administer basic neuroprotective treatment modalities to save the patient from further damage.

In the hospital, for both TIA and RIND, the primary stroke management is to restore the blood supply to the brain through anticlotting agents like tPA injections or endovascular procedures . The treatment can vary later according to the severity of the stroke.