Stroke code · bedside workflow | Bedside workflow

Stroke code · bedside workflow

Calculate NIHSS → ROSIER/LVO screens → IV thrombolysis on this page; scores auto-fill the note. Short link /r/stroke_code opens the same local workflow.

Guideline AHA/ASA AIS; national stroke guidance (see tool pages for exact version notes)Reviewed 2026-09-05

One-line positioning

Stroke code: NIHSS→recognition/LVO screen→IV thrombolysis — calculate locally, nothing uploaded.

CN vs international guidelines

China

Chinese Guidelines for Diagnosis and Treatment of Acute Ischemic Stroke

2023 (as cited on thrombolysis tool; other steps per tool pages)

IV thrombolysis window, contraindication screen, and dosing aligned with this site’s stroke thrombolysis tool.

International

AHA/ASA early management of acute ischemic stroke

See tool-page version notes (commonly 2019 and later updates)

International frame for NIHSS severity, prehospital/ED recognition, and reperfusion pathways.

Where they align

Both emphasize timely reperfusion assessment within the window, standardized deficit scoring (NIHSS), and imaging to exclude hemorrhage.

Where they diverge

CN thrombolysis tool follows the 2023 Chinese AIS guideline for eligibility/contraindication screen; AHA/ASA details and update cadence may differ — defer to institutional protocol and on-page versions.

Guideline version · changelog

2026-09-05Shipped stroke-code trust layer: CN/intl dual guidelines, named reviewer, correction entry, short-link share.
2026-09-05When NIHSS/screen scores exist, progress preview prepends pasteable code-stroke sentences.
2026-09-04Step order: NIHSS first, then ROSIER/FAST-ED/LAMS and thrombolysis decision.
2026-09-03Thrombolysis tool uses Chinese AIS 2023 guideline for eligibility/contraindication screen.

Doctor claim

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💬 Peer discussion

Licensed clinicians only — about this Scene · Stroke code · bedside workflow

Peer square

Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

NIHSSNIHSS
Quantify neurological deficit severity in acute stroke (0–42).
Full details →
ROSIERROSIER
Recognition of stroke in the emergency room.
Full details →
FAST-EDFAST-ED
Field assessment for large-vessel occlusion stroke.
Full details →
LAMSAlternate branchLAMS
Pre-hospital screen for large-vessel occlusion.
Full details →
Stroke IV ThrombolysisAlternate branch
Judge whether acute ischemic stroke is suitable for alteplase/tenecteplase IV thrombolysis by time window and contraind…
Full details →

Progress note preview

[Stroke code · bedside workflow]
NIHSS：not calculated
ROSIER：not calculated
FAST-ED：not calculated
LAMS：not calculated
Stroke IV Thrombolysis：not calculated
Guideline：AHA/ASA AIS; national stroke guidance (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Save the PNG and share — /r/stroke_code opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Step tools

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