Dear Scottish Ambulance Service,

Could you please provide me with any clinical guidelines, policies, procedures, protocols or similar that you have in place for the use by paramedics (including specialist/senior/advanced paramedics etc.) for the identification of posterior-circulation CVAs (strokes).

Further, could you provide me with any clinical guidelines, policies, procedures, protocols or similar that you have in place for the use by paramedics (including specialist/senior/advanced paramedics etc.) for the assessment and management of patients presenting with "vertigo" or "dizziness" as their primary symptom.

Yours faithfully,

Malcolm Macgregor