Paucis Verbis card: NIH Stroke Scale

Posted by Michelle Lin, MD on

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


Go to 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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