NIHSS Calculator

NIH Stroke Scale Scoring

$1.99 · Designed for iPad. Not verified for macOS.

Fast, evidence-based NIHSS scoring for stroke clinicians. Now with adjustable text size, severity-graded colour coding, and full peer-reviewed references built in. NIHSS Calculator is a fast, accurate, and beautifully designed NIH Stroke Scale scoring tool — built for neurologists, stroke physicians, emergency doctors, and nursing staff working in acute stroke care. Designed by Dr Atif Elnil (MBBS MRCP), this app brings the complete 15-item NIHSS to your pocket with a clean, intuitive interface optimised for use at the bedside, in the emergency department, and on the stroke ward. WHAT'S INCLUDED All 15 NIHSS items scored in full: • 1a — Level of consciousness • 1b — LOC questions (month and age) • 1c — LOC commands (eyes and hand) • 2 — Best gaze • 3 — Visual fields • 4 — Facial palsy • 5a/5b — Motor arm (left and right, scored separately) • 6a/6b — Motor leg (left and right, scored separately) • 7 — Limb ataxia • 8 — Sensory • 9 — Best language (aphasia) • 10 — Dysarthria • 11 — Extinction and inattention INSTANT SEVERITY GRADING The total score updates in real time as you score each item, with immediate severity classification: • 0 — No stroke symptoms • 1–4 — Minor stroke • 5–10 — Moderate stroke • 11–15 — Moderate-severe stroke • 16–20 — Severe stroke • 21–42 — Very severe stroke DESIGNED FOR CLINICAL USE • Large, touch-friendly response buttons optimised for use with gloves or in a hurry • Progress indicator shows how many items have been scored • One-tap reset to start a new patient assessment • Works fully offline — no internet connection required • No login, no account, no data collected WHO IS THIS FOR? • Stroke physicians and neurologists • Emergency medicine doctors • Acute stroke nursing staff • Stroke specialist nurses and ANPs • Medical students on neurology and emergency placements • Paramedics and pre-hospital teams IMPORTANT NOTICE NIHSS Calculator is a clinical decision-support tool for use by qualified healthcare professionals. It does not recommend for or against thrombolysis or thrombectomy. All clinical decisions must be made by a qualified clinician using full clinical assessment and local guidelines. This application is intended for educational and informational purposes only. It is not a substitute for professional clinical judgment, local guidelines, or specialist advice. Always follow institutional protocols and consult appropriate medical professionals when making treatment decisions.

  • This app hasn’t received enough ratings or reviews to display an overview.

Version 1.0.1 What's new: - Adjustable font size. New +/− controls in the header let you scale all text between 85% and 135% across six steps, for clearer reading in any clinical setting. - Severity-graded colour coding, Selected scores now display in colours that reflect clinical severity (green for normal, olive for minor, amber for moderate, orange for moderate-severe, red for severe), giving an at-a-glance visual gradient of deficit distribution. - Bolder, clearer typography, Increased font weights across NIHSS item titles, score badges, references and headings for improved legibility on Retina displays and at all font sizes. - Enhanced visual feedback, Subtle press animations on buttons, gradient progress bar, and brighter borders on scored items for a more responsive and tactile experience. - Refined interface polish, Version indicator in the header and consistent typographic rhythm across all sections. All NIHSS scoring criteria, severity thresholds (0–42 range) and peer-reviewed references remain unchanged and fully validated against AHA/ASA, NINDS and RCP 2023 guidelines. Thank you for your feedback, keep it coming.

The developer, ATIF ELNIL, indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy .

  • Data Not Collected

    The developer does not collect any data from this app.

    Privacy practices may vary, for example, based on the features you use or your age. Learn More

    The developer has not yet indicated which accessibility features this app supports. Learn More

    Seller
    • ATIF ELNIL
    Size
    • 1.1 MB
    Category
    • Medical
    Compatibility
    Requires iOS 16 or later.
    • iPhone
      Requires iOS 16 or later.
    • iPad
      Requires iPadOS 16 or later.
    • iPod touch
      Requires iOS 16 or later.
    • Mac
      Requires macOS 13.0 or later and a Mac with Apple M1 chip or later.
    • Apple Vision
      Requires visionOS 1.0 or later.
    Languages
    • English
    Age Rating
    16+
    Copyright
    • © 2026 Atif Elnil