Acute Stroke Assessment

Acute Stroke Assessment is a comprehensive clinical reference tool for healthcare professionals managing acute stroke. Designed by a neurologist at St George's London, this app covers the full acute stroke pathway from recognition to secondary prevention.

CLINICAL CONTENT:

• BE-FAST Recognition — Rapid stroke identification guide with the full BE-FAST mnemonic and immediate action steps

• NIHSS Scoring — Complete National Institutes of Health Stroke Scale with all 15 items, scoring criteria, and severity interpretation table

• Stroke Mimics — Ten common mimics including hypoglycaemia, Todd paresis, hemiplegic migraine, and functional neurological disorder with distinguishing features

• Stroke Syndromes — Anterior circulation (TACS, PACS, MCA, ACA), posterior circulation (Wallenberg, basilar, cerebellar, PCA), and lacunar syndromes with full clinical features

• Thrombolysis (IVT) — Alteplase protocol (0.9 mg/kg), inclusion and exclusion criteria, monitoring schedule, and complications. Tenecteplase 0.25 mg/kg based on TRACE-2 2023 trial.

• Mechanical Thrombectomy — Patient selection criteria, ASPECTS scoring, LVO recognition, extended window evidence (DAWN, DEFUSE-3), basilar artery occlusion (ATTENTION trial)

• Haemorrhagic Stroke — ICH Score with 30-day mortality table, BP management (INTERACT2, ATACH-2), anticoagulation reversal agents with doses, surgical indications including cerebellar haemorrhage criteria

• TIA Assessment — ABCD2 scoring and interpretation, high-risk features requiring admission, same-day investigation pathway, dual antiplatelet therapy (POINT 2018, CHANCE 2013)

• Stroke Unit Care — BP targets by stroke type, glucose management, temperature, swallowing assessment, DVT prevention (CLOTS 3), oxygen use

• Secondary Prevention — Antiplatelet therapy (dual then monotherapy), anticoagulation for AF with timing guidance (TIMING trial), statins (SPARCL), BP control (PROGRESS), carotid endarterectomy, PFO closure

FEATURES:
• Adjustable font size (A-/A+) for use at the bedside
• Tab-based navigation within each section
• All references tappable — links to PubMed and NICE guidelines
• Works fully offline — no internet connection required
• No advertisements

Based on NICE NG128 (2023), ESO Guidelines 2021, TRACE-2 2023, HERMES 2016, DAWN 2018, DEFUSE-3 2017, POINT 2018, INTERACT2 2013, SPARCL 2006, PROGRESS 2001, CLOTS 3.

FOR QUALIFIED HEALTHCARE PROFESSIONALS ONLY. This app is intended as a clinical reference tool for use by doctors, nurses, and allied health professionals. It is not intended for use by patients or the general public. It does not replace clinical judgement or local protocols. Not a regulated medical device — exempt under MHRA Software Guidance 2020, EU MDR Article 2(1), and FDA 21st Century Cures Act Section 3060.
Dr Atif Elnil MBBS MRCP Neurology Department St George's Hospital London UK