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hello everyone my name is Jessica breezy and I am a nurse practitioner working in the stroke prevention clinic at the Royal Victoria Regional Health Centre the 10 minute video is intended to introduce you to the changes in the stroke prevention clinic referral form and the related changes to best practice first Id like to review important evidence regarding ti As and provide you with the reasons for updating the referral form there is clear evidence that TI As or minor strokes are unstable conditions that warned of high future risk of stroke the risk of recurrent stroke after a TI a is ten to twenty percent within 90 days and the risk is front-loaded with half of the strokes occurring in the first two days following initial symptom onset timely initiation of secondary prevention medical therapy and carotid endarterectomy has been shown to docHubly reduce the risk of major stroke after an initial TI a or non disabling stroke this is the referral form you would all be used to and