Guideline decision tool · Neurology
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Acute Ischemic Stroke IV Thrombolysis Decision — free guideline decision tool

Screen acute ischemic stroke for IV thrombolysis from the time window and the absolute contraindications, with the alteplase/tenecteplase dose. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Common questions

What does Acute Ischemic Stroke IV Thrombolysis Decision do?

Rapid bedside screening of IV thrombolysis indication and contraindications in acute ischemic stroke.

How is the result calculated?

Time window ≤ 3 h or 3–4.5 h is potentially eligible; > 4.5 h or unknown is outside the standard window. Any one absolute contraindication (intracranial hemorrhage/structural lesion, recent stroke/trauma/intracranial surgery, active bleeding/recent surgery, coagulopathy/anticoagulant, BP > 185/110 uncontrolled, glucose < 2.8 or > 22.2) makes thrombolysis inappropriate.

Is this a substitute for clinical judgement?

No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.

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Run Acute Ischemic Stroke IV Thrombolysis Decision now

Screen acute ischemic stroke for IV thrombolysis from the time window and the absolute contraindications, with the alteplase/tenecteplase dose. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.