Ischaemic Stroke Clerking

Description:

Ischaemic Stroke Clerking is a clinical decision-support tool designed for use by neurologists, stroke physicians, and junior doctors managing acute ischaemic stroke presentations.

The app provides a structured, evidence-based clerking framework that covers all stages of the acute stroke pathway, from initial assessment through to treatment decisions and management planning.

Features include:

— Structured patient assessment with pre-morbid functional status (modified Rankin Scale)

— Arrival and onset time calculator with automatic treatment window determination (4.5h / 6h / 24h)

— BE-FAST screen with 21-symptom checklist and clinical prompts

— Full history including vascular risk factors, medications, and social history

— NIHSS calculator (all 15 items) with automatic severity grading

— Vital signs with real-time clinical alerts (BP, glucose, INR, SpO₂)

— CT/CTA/CTP imaging documentation with ASPECTS interpretation

— IVT eligibility checklist with Alteplase and Tenecteplase dose calculator

— EVT eligibility including DAWN and DEFUSE-3 extended window criteria

— Acute management plan checklist

— Time target stopwatch with one-tap checkpoints (door, CT, IVT, groin, stroke unit)

— Auto-generated clinical summary of positive findings for consultant handover

— Fully cited references (ESO, NICE, AHA/ASA, DAWN, DEFUSE-3)

— DVLA driving guidance

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.