Medical365 stroke management software automates Code Stroke alerts, NIHSS calculation, tPA dosing & door-to-needle time tracking for Indian hospitals.
Stroke management software is an emergency acute clinical workflow system designed for emergency departments and acute stroke units. It tracks door-to-needle time, automates National Institutes of Health Stroke Scale (NIHSS) calculations, checks intravenous thrombolysis (tPA / Tenecteplase) eligibility, supports mechanical thrombectomy referrals, and ensures comprehensive secondary stroke prevention documentation.
Addressing high-volume OPD congestion, diagnostic fragmentation, and statutory healthcare regulations.
Stroke is the second leading cause of mortality and the single largest cause of long-term adult physical disability in India. With nearly 1.8 million new stroke cases diagnosed annually across the country, rapid, coordinated acute intervention is paramount. In acute ischemic stroke, 'time is brain': every minute of delayed reperfusion leads to the destruction of nearly two million neurons.
In many Indian emergency rooms, acute stroke care is hindered by communication delays between casualty medical officers, on-call neurologists, radiographers, and ICU nurses. Calculating the 11-item NIHSS score manually on paper is slow, checking against dozens of tPA contraindications is error-prone, and calculating accurate intravenous thrombolysis dosages under emergency stress introduces medication calculation hazards.
Medical365's Acute Stroke Management module powers hospital 'Code Stroke' protocols. Activated with a single emergency tap, the software starts an automated door-to-needle countdown timer, coordinates urgent neuroimaging, automates weight-based thrombolysis dosage calculations, and enforces the clinical documentation required for comprehensive NABH stroke center accreditation.
Engineered with medical sub-specialists to eliminate manual charting friction and enforce clinical protocol rigor.
Instantly alerts the on-duty stroke team (neurologist, radiologist, ER physician, and cath lab team) via priority push notifications and automated SMS with patient ETA.
Rapid 11-item National Institutes of Health Stroke Scale calculator (Level of consciousness, eye gaze, visual fields, facial palsy, motor drift, ataxia, sensory, language, dysarthria, extinction) auto-computing total score (0 to 42).
Real-time visual clock tracking critical emergency benchmarks: Door-to-Doctor (<10 min), Door-to-CT (<25 min), Door-to-Interpretation (<45 min), and Door-to-Needle (<60 min).
Interactive contraindication screening (active bleeding, recent surgery, platelet count <100,000, INR >1.7) with automated Tenecteplase and Alteplase weight-based dosing calculators.
Tracks Large Vessel Occlusion (LVO) screening, ASPECTS scores on non-contrast CT, CT Angiography findings, and coordinates rapid transfer to the neuro-interventional cath lab.
Standardized neuro-vital checks: blood pressure, neurological checks every 15 minutes during infusion, and rapid protocols for symptomatic intracranial hemorrhage (sICH).
High-resolution data flow architecture connecting point-of-care capture, diagnostic instruments, and national health registries.
A transparent 5-stage digital pathway standardizing patient care from initial requisition to longitudinal review.
Patient arrives within 4.5-hour window; triage nurse activates Code Stroke; door-to-needle stopwatch begins.
Emergency physician calculates NIHSS on mobile tablet; patient wheeled directly to CT scanner to rule out hemorrhage.
Software verifies time of onset (last known normal), checks exclusion criteria, and computes exact Tenecteplase dose (0.25 mg/kg).
Bolus administered; system logs exact Door-to-Needle time and initiates mandatory 24-hour neuro-ICU observation orders.
If CTA demonstrates carotid or M1 occlusion, software generates 1-click cath lab activation for mechanical thrombectomy.
Medical365 Acute Stroke Management adheres to the Indian Stroke Association (ISA) guidelines, World Stroke Organization (WSO) roadmap, and NABH stroke center accreditation standards.
All emergency timestamps, medication dosage logs, and neurological clinical records are encrypted via AES-256 compliant with the DPDP Act 2023. Final stroke registries link seamlessly with ABDM health records.
See how automated digital intelligence transforms efficiency, reduces diagnostic turnaround times, and protects clinical revenue.
| Feature / Requirement | Conventional Manual Practice | Medical365 EMR Solution ★ |
|---|---|---|
| Code Stroke Activation |
✕ Manual Method: Calling individual doctor phone numbers; delayed responses |
✓ Medical365 Solution: 1-tap simultaneous broadcast alert to neurologist, ER, CT, and ICU |
| NIHSS Scoring Speed |
✕ Manual Method: Flipping through paper booklet and manual addition (5-8 min) |
✓ Medical365 Solution: Interactive digital touch calculator completed in under 90 seconds |
| Door-to-Needle Tracking |
✕ Manual Method: Estimated retrospectively from casualty registers with missing times |
✓ Medical365 Solution: Automated real-time countdown timer tracking hospital benchmark adherence |
| Thrombolysis Dosage |
✕ Manual Method: Manual calculation of mg/kg under emergency stress; risk of overdose |
✓ Medical365 Solution: Automated weight-based dosage calculator with maximum dose capping |
| Registry & Audit |
✕ Manual Method: Weeks of manual chart reviews to compile annual stroke statistics |
✓ Medical365 Solution: Automated stroke registry reporting door-to-needle averages and outcomes |
Seamless bidirectional data sharing across all hospital clinical departments and diagnostics.
Clinical, technical, and regulatory answers for hospital directors and medical specialists.
By initiating a prominent, visual stopwatch the instant a stroke patient is registered, Medical365 keeps the entire emergency team focused on key time gates: CT completion within 25 minutes, lab review within 45 minutes, and thrombolysis initiation before 60 minutes.
Yes. Clinicians can select either standard Alteplase (0.9 mg/kg, 10% bolus, remainder over 60 mins, max 90 mg) or Tenecteplase (0.25 mg/kg single bolus, max 25 mg), with automatic dosage safety capping.
The intake screen features a mandatory field for Last Known Normal (LKN) time and Wake-Up Stroke status, calculating the exact therapeutic window remaining (up to 4.5 hours for IV thrombolysis and up to 24 hours for thrombectomy).
Yes. Dedicated interventional neuroradiology fields capture arterial puncture time, TICI reperfusion score (0 to 3), number of stent-retriever passes, and complication logs.
The module auto-populates ICU nursing flows: blood pressure and neurological checks every 15 minutes for 2 hours, every 30 minutes for 6 hours, and hourly for 16 hours, alerting if systolic BP exceeds 180 mmHg.
Yes. Hospital stroke coordinators can export comprehensive, de-identified stroke registry datasets tracking thrombolysis rates, median door-to-needle times, and 90-day modified Rankin Scale (mRS) outcomes.
