The role of Stroke Physicians in performing carotid ultrasound is critical for the timely assessment and screening of carotid stenosis in patients presenting with Transient Ischemic Attack (TIA) or acute ischemic stroke

Academic essay – A 3,000 word Literature Review.
Background: Carotid artery stenosis is a major etiological factor in ischemic stroke and transient ischemic attacks (TIA). Timely identification of significant carotid disease is essential to prevent recurrent cerebrovascular events. While vascular imaging is a core component of stroke assessment, access to formal imaging services may be delayed in some settings.
Objective of this essay: To highlight the importance of carotid ultrasound performed by Stroke Physicians in the rapid evaluation and screening for carotid stenosis in patients presenting with TIA or acute ischemic stroke.
Core concept and literature review for this essay should involve: Review of current evidence and clinical guidelines supporting the use of bedside carotid ultrasound in acute stroke care. Exploring current guidelines involving carotid scans in TIA and Stroke (NICE guideline, Stroke guidelines). Discuss that Stroke Physicians trained in carotid ultrasonography can effectively perform bedside imaging, enabling faster diagnosis, risk stratification, and referral for revascularization procedures such as carotid endarterectomy. Point-of-care ultrasound facilitates immediate decision-making, particularly in high-risk patients, and reduces dependence on radiology departments. Clinical integration by stroke specialists enhances the interpretation of findings in context, improving both efficiency and outcomes.