NIH Stroke Scale (NIHSS) Calculator
Score the 15-item NIH Stroke Scale for acute ischemic stroke severity. Used at admission, post-thrombolysis, and every 24h on stroke units. Drives tPA and thrombectomy decisions.
NIHSS Total
0/42
No stroke symptoms
Recommendation
No stroke deficit detected on exam. If symptom history is convincing, still pursue NCCT + MRI to exclude TIA / posterior circulation stroke.
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DoctorScribe's Code Stroke template auto-timestamps arrival, NCCT, NIHSS, tPA decision, and infusion start. Audit-ready timestamps for JCI accreditation.
Clinical Disclaimer: NIHSS is for acute ischemic stroke. It under-scores posterior circulation strokes (vertebrobasilar) and right-hemisphere strokes (where neglect dominates over weakness). Always combine with NCCT/CTA, ABCD² for TIA, and onset time. Always verify against your local prescribing reference and apply clinical judgment.
Run the entire stroke pathway from one chart
DoctorScribe logs NIHSS at admission, 2h, 24h and discharge, auto-pulls last value into your progress note, and triggers door-to-needle timers — the way AIIMS, NIMHANS, and SCTIMST already do it.
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