Patients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w
In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet.
| Score 0 | No stroke |
| Score 1-4 | Minor stroke |
| Score 5-15 | Moderate stroke |
| Score 16-20 | Moderate-severe stroke |
| Score 21+ | Severe stroke |
PV Card: NIH Stroke Scale
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ALiEM (PV) Cards for more resources.
Author information
ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco
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