Thyroid Storm Recognition & Management (BWPS) — free guideline decision tool
This tool applies the Burch-Wartofsky Point Scale (BWPS) to estimate the likelihood of thyroid storm and lays out a strictly sequenced treatment plan.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Thyroid Storm Recognition & Management (BWPS) do?
Use when thyrotoxicosis is severe: a BWPS ≥ 45 suggests storm, 25–44 is impending, and < 25 is unsupportive — but treatment is driven by clinical judgment, not by waiting for a threshold.
How is the result calculated?
BWPS sums temperature, heart rate, atrial fibrillation, heart failure, CNS, GI-hepatic, and precipitant points. Storm management order: PTU → iodine (≥ 1 h later) → glucocorticoid → β-blocker → supportive care; plasma exchange if refractory.
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.
Run Thyroid Storm Recognition & Management (BWPS) now
This tool applies the Burch-Wartofsky Point Scale (BWPS) to estimate the likelihood of thyroid storm and lays out a strictly sequenced treatment plan.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.