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This tool is educational and informational. It does not replace clinical judgment. Verify pediatric IVT/EVT eligibility, weight-based dosing against the cited source before acting.

Not prospectively validated. No clinical tool replaces bedside assessment.

This tool qualifies as non-device clinical decision support under the January 2026 FDA CDS guidance (21st Century Cures Act §3060). It does not acquire or analyze patient data, it displays the basis for its recommendations, it enables independent clinician review, and it is intended for use by trained healthcare professionals.

This runs entirely in your browser; we store nothing. Even so, enter only clinical data (age, vitals, exam findings) -- not names, MRNs, or other identifiers.

Tarvinder Singh, MD -- Vascular Neurologist. March 2026.

Pediatric

Pediatric Stroke

IVT and EVT review for pediatric acute ischemic stroke age 2-17.

Pediatric Stroke Advisory

Pediatric stroke is rare. These recommendations are based on 2026 inaugural pediatric guidelines. Adult trial populations may not generalize to children. Always involve pediatric neurology and neurosurgery.

Step 1: Core Case Intake

Age, weight, NIHSS, onset time, and BP status for the initial IVT screen.

Age (2-17)

Weight (kg)

NIHSS (0-42)

Onset time (min)

BP < 185/110 After Treatment Attempt?

This is the only BP question the IVT gate needs here. Use Yes once the pressure is below threshold after treatment or clearly controllable with IV antihypertensives.

EVT And Evidence Refinement

Pre-stroke mRS, ASPECTS, vessel imaging, and CT result for EVT candidacy.

Pre-stroke mRS (0-5)

ASPECTS (0-10)

Vessel occlusion (CTA/MRA)

Initial CT head result

Triage Fork: Known Etiology?

Standard Triage

Select specific etiology if known. High-risk pathways (SCD, CSVT) override standard IVT logic.

Recommendations, dosing, and matched trial evidence appear after intake data.