Stroke Ready

Stroke Ready is an offline quick-reference decision-support tool for clinicians and prehospital providers caring for patients with suspected acute stroke — ISCHEMIC and HEMORRHAGIC. It starts at the first fork (the non-contrast CT that separates blood from no-blood), localizes ischemic strokes, and carries you through the hemorrhagic pathways — all on-device, with no account and no network.

Built on the 2026 AHA/ASA acute ischemic stroke guideline, the 2022 AHA/ASA intracerebral hemorrhage guideline, and the 2023 AHA/ASA aneurysmal subarachnoid hemorrhage guideline.

FIRST FORK
• The non-contrast CT decides: blood → hemorrhagic (ICH / SAH) pathway; no blood + deficit → ischemic.

LOCALIZE (ISCHEMIC)
• Symptom & risk-factor checker — tick the deficits on exam (aphasia, neglect, gaze, motor/sensory pattern, posterior-fossa and brainstem signs) plus risk factors (atrial fibrillation, small-vessel disease, dissection, carotid disease). A weighted engine ranks the most likely vascular territory and shows the runner-up candidates with scores.
• Nine localized syndromes: Large-Vessel Occlusion (carotid-T / proximal MCA), dominant and non-dominant MCA, ACA, PCA, brainstem/basilar, lateral medullary (Wallenberg), cerebellar, and lacunar — each with hallmark, culprit vessel, signs, localizing pearls, recommended workup, and mimics.
• NIHSS calculator — score all 15 items with a live total, severity band, and large-vessel-occlusion flag.

HEMORRHAGIC
• Intracerebral hemorrhage (ICH) — early BP control (130–150), emergent anticoagulation reversal (PCC + vitamin K, idarucizumab, andexanet alfa), neurosurgery/EVD triggers, and ICU monitoring.
• Subarachnoid hemorrhage (SAH) — confirm (CT / LP / CTA), secure the aneurysm early, nimodipine 60 mg q4h × 21 days, and delayed-cerebral-ischemia surveillance.
• Grading scales — ICH Score (interactive), Hunt-Hess, WFNS, and modified Fisher.

WORK UP
• Testing & diagnostics — imaging (NCCT, CTA, CT perfusion, MRI-DWI), labs, point-of-care glucose, ECG/telemetry, peripheral pulse and access-site checks, and bedside dysphagia screening, each with when-to-order and rationale.

PROTOCOLS
• EMS / prehospital — BE-FAST, LVO severity screening, routing/bypass, and pre-notification.
• In-hospital stroke code — the parallel-processing workflow and door-to-needle time targets.
• IV thrombolysis (tenecteplase or alteplase) — window, key exclusions, weight-based dosing, and the pre/during/post checklist.
• Mechanical thrombectomy — selection criteria (time window, ASPECTS, NIHSS, basilar occlusion, large core) and peri-procedural care.

QUICK REFERENCE
• Medications & dosing — thrombolytics, blood-pressure control, glucose management, antiplatelet/DAPT, reversal agents, seizure and osmotherapy — each with dose, route, and frequency.
• Monitoring & neurochecks — the post-thrombolysis q15/q30/q1h schedule, blood-pressure and glucose targets, and post-thrombectomy access-site and distal-pulse checks.

EVERY recommendation cites its source. The app is fully offline, collects no data, and makes no network calls.

IMPORTANT — please read
StrokeReady is decision-support for licensed healthcare professionals. It is NOT a diagnostic device, NOT a substitute for clinical judgment, your stroke team / neurology consultation, current guidelines, or facility-specific protocols, and NOT for use by the general public. The localization wizard suggests likelihoods from the findings you enter; it does not diagnose, image, or confirm a stroke or its location. Always verify dosing against current references and pharmacist review before administration. In an emergency, activate your facility Stroke Code or call 911.

Developer: BlackFox Media LLC.

Recent changes:
Stroke Ready covers ISCHEMIC and HEMORRHAGIC stroke.

• CT-first triage: ischemic vs. hemorrhagic
• Symptom & risk-factor localizer → likely vascular territory (9 syndromes)
• ICH & SAH pathways: BP targets, reversal agents, nimodipine, neurosurgery
• Calculators: NIHSS, ICH Score, Hunt-Hess, WFNS, modified Fisher
• Dosing, neurocheck schedules, EMS / thrombolysis / thrombectomy protocols

Offline. Source-cited to the 2026 AHA/ASA, 2022 ICH, and 2023 SAH guidelines.