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Instructions Scale Definition Score
https://www.stroke.nih.gov/documents/NIH_Stroke_Scale.pdf
The intubated patient should be asked to write. The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a score for the patient with stupor or limited cooperation, but a score of 3 should be used only if the patient is mute and follows no one-step commands. 0 = No aphasia;
DA: 11 PA: 49 MOZ Rank: 52
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NIH Stroke Scale/Score (NIHSS) - MDCalc
https://www.mdcalc.com/nih-stroke-scale-score-nihss
The NIH Stroke Scale has many caveats buried within it. If your patient has prior known neurologic deficits e.g. prior weakness, hemi- or quadriplegia, blindness, etc. or is intubated, has a language barrier, etc., it becomes especially complicated. In those cases, consult the NIH Stroke Scale website. MDCalc's version is an attempt to clarify many of these confusing caveats, but cannot and should not be substituted for the official protocol.
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NIH Stroke Scale
https://www.ninds.nih.gov/sites/default/files/nih_stroke_scale_booklet_508c.pdf
intubated patient should be asked to write. The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a score for the patient with stupor or limited cooperation, but a score of 3 should be used only if the patient is mute and follows no one-step commands. Best Language . Scale Definition . Score . 0. No ...
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NIH Stroke Scale (NIHSS) – Doctor Guidelines
https://doctorguidelines.com/2017/02/09/nih-stroke-scale-nihss/
If the patient has severe aphasia, the clarity of articulation of spontaneous speech can be rated. Only if the patient is intubated or has other physical barrier to producing speech may the item be scored as untestable (UN), and the examiner must clearly write an explanation for not scoring. Do not tell the patient why he/she is being tested.
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NINDS Know Stroke Campaign - NIH Stroke Scale
https://www.stroke.nih.gov/resources/scale.htm
The intubated patient should be asked to write. The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a score for the patient with stupor or limited cooperation, but a score of 3 should be used only if the patient is mute and follows no one-step commands.
DA: 98 PA: 93 MOZ Rank: 15
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NIH STROKE SCALE (NIHSS)
http://lern.la.gov/wp-content/uploads/Stroke-Reference-Cards-Final-4-10-2017.pdf
NIHSS (continued) 12. Dysarthria. Use simple word list and ask “Read or Repeat these words.” (Mama, Tip -Top, Fifty-Fifty, Thanks, Huckleberry, Baseball Player) 0 = Normal articulation. 1 = Mild to moderate dysarthria . 2 = Severe dysarthria (
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NIH Stroke Scale
https://www.bmc.org/sites/default/files/For_Medical_Professionals/Pediatric_Resources/Pediatrics__MA_Center_for_Sudden_Infant_Death_Syndrome__SIDS_/National-Institute-of-Health-Stroke-Scale-NIHSS.pdf
produce speech. The intubated patient should be asked to write. The patient in coma (question 1a=3) will arbitrarily score 3 on this item. The examiner must choose a score in the patient with stupor or limited cooperation but a score of 3 should be used only if the patient is mute and follows no one step commands.
DA: 9 PA: 15 MOZ Rank: 2
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NIH Stroke Scale
https://nihstrokescale.org/
The NIHSS can be used as a clinical stroke assessment tool to evaluate and document neurological status in acute stroke patients. The stroke scale is valid for predicting lesion size and can serve as a measure of stroke severity. The NIHSS has been shown to be a predictor of both short and long term outcome of stroke patients.
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NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS)
https://www.uab.edu/medicine/intermacs/images/protocol-5-appendices/NIH_Stroke_Scale_Clean__Version_05-09-16.pdf
The NIH Stroke Scale (NIHSS) is a standardized neurological examination intended to describe the neurological deficits found in large groups of stroke patients participating in treatment trials. Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do . not go back and change scores.
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