Ischaemic Stroke Clerking

About Ischaemic Stroke Clerking

A fast, structured clerking proforma for acute ischaemic stroke, built for clinicians by a stroke and neurology specialist. Walk the whole admission from door to decision, or jump straight to the calculator you need at the bedside.
Sections:

• BE-FAST screen and a full NIHSS calculator with live scoring and severity.

• Patient details, arrival and onset timing, history of presenting illness, and past medical / drug / social / family history.

• Vitals and bedside tests: GCS, BP, glucose, INR, SpO₂, weight.

• Imaging: CT head, ASPECTS scoring, CTA, and CTP core/penumbra mismatch.

• IVT eligibility with an alteplase / tenecteplase weight-based dose calculator.

• EVT eligibility: LVO, ASPECTS, and extended-window criteria.

• Acute management plan, post-EVT management, and door-to-needle time targets.

• An auto-built clinical summary you can read back to your consultant.
Every recommendation is referenced to the evidence base (NICE NG128, RCP 2023, ESO guidance, NIHSS/Brott 1989, and the major thrombolysis and thrombectomy trials).
The NIHSS calculator and BE-FAST screen are free to use. A single one-time purchase unlocks the complete clerking workflow — no subscription.
Do not enter patient-identifiable information. No data is stored or transmitted. For qualified healthcare professionals only. This app is for education, training and clinical decision support and is not a substitute for clinical judgement, local protocols, or senior advice.