Haemorrhagic Stroke Clerking

ICH Clerking is a clinical decision-support tool designed for use by neurologists, stroke physicians, and junior doctors managing acute intracerebral haemorrhage (ICH) presentations.
The app provides a structured, evidence-based clerking framework covering all stages of the acute haemorrhagic stroke pathway - from initial assessment through to anticoagulation reversal, BP management, neurosurgical referral, and management planning.
Features include:

Structured patient assessment with pre-morbid functional status (modified Rankin Scale)
Symptom checklist with 16 ICH-specific symptoms and clinical prompts
Full history including ICH-specific risk factors, anticoagulant type and last dose
NIHSS calculator (all 15 items) with automatic severity grading
Vital signs with real-time clinical alerts (BP target less than 140, INR, platelets, temperature)
CT/CTA imaging with ABC/2 ICH volume calculator, location-specific alerts, IVH, spot sign
ICH Score calculator (Hemphill 2001) with automatic 30-day mortality prediction
Anticoagulation reversal guidance - Warfarin (auto PCC dose by INR and weight), idarucizumab, andexanet alfa, protamine - with haematology referral prompt
BP management - SBP target less than 140 mmHg within 1 hour per INTERACT2/ATACH-2
Neurosurgical referral criteria including cerebellar ICH, hydrocephalus, EVD/ICP criteria, and STICH evidence summary
Acute management plan checklist with select all function
Time target stopwatch with one-tap checkpoints
Auto-generated clinical summary of all positive findings for consultant handover with copy to clipboard
Fully cited references (AHA/ASA 2022, NICE NG128, INTERACT2, ATACH-2, STICH I/II, PATCH trial, Hemphill 2001)

Important: This app is intended for use by licensed and registered healthcare professionals only. It does not replace clinical judgement, local protocols, or consultant review. No patient data is collected, stored, or transmitted.