1. Updated NIHSS Word List to add "Caterpillar" 2. Updated Thrombolytics and Thrombectomy sections for 2026 Acute Stroke Guidelines

1. Update for iOS 26 2. Added MGADL Scale (Thanks to Dr. Krishna Pokala for suggesting) 3. Added INCAT Scale (Thanks to Dr. Krishna Pokala for suggesting) 4. updated to the 2024 McDonald Criteria for MS 5. finally added a search function!!!

1. Update to iOS 26 2. Added "CVT" section in Stroke area 3. Added DIAS3 score for epilepsy prediction after CVT. Thanks to Dr. Erik Lindgren and Dr. Jonathan Coutinho. 4. Added SI2CAL2C score for outcome prediction after CVT. Thanks to Dr. Erik Lindgren and Dr. Jonathan Coutinho.

1. Update to iOS 18 2. The new NIHSS Global Pictures are now the default choice. You can use the original pictures by choosing "Original Pictures" in the NIHSS section.

1. Added Global NIHSS pictures. Thanks to J. Castello for submitting the idea.

1. Updated Phenytoin Correction formula as new literature suggests modification of formula - thanks to S. Wagle for suggesting this. 2. Updated Brain Death Criteria to AAN 2023 Criteria and added Metabolic Contraindications, Medication Half Lives, and Spinal Reflexes

1. Fixed issue where PDF could not be emailed if "No Password" was selected

1. iOS 17 update 2. Added OKN Strip - in section with Snellen chart 3. added Cognard Borden Dural AV Fistula Classification - in AVM section

Update for iOS 16

1. Fixed Dark Mode issues including the problem of not seeing entries for the email results section. Please let me know if issues persist. 2. Added the 2HELPS2B seizure prediction from 1 hour continuous EEG tool. Thanks to Dr. Tammaa for the idea.

1. Update to iOS 15 2. Fixed issues when going back in the RACE LVO Prediction.

1. Update for iOS 14 2. Added ICH Score to home screen as it is needed for stroke center documentation of ICH patients. 3. Separated alteplase and tenecteplase dosing for patient safety - thanks to Micaele Baxter for suggesting

Added Dark Mode Support. Some of the colors have changed slightly as a result. Thanks to Mark Shank and Nick Janocko for suggesting this.

1. iOS 13 update 2. Fixed issue with emailing results in iOS 13 if you hadn't set up a default email address in Options - Thanks to Shail Thanki for alerting me to this issue. 3. Added options to the CT/MRI slice thickness for calculating ICH volume - thanks to Steven Warach for suggesting 4. Fixed some screens so that you could actually read the title 5. Added the GCS Pupil Score for TBI Prognosis - thanks to William Freeman for suggesting

1. Added default email address in Options 2. Added +Likelihood Ratio to RACE score - thanks to David Lander for suggesting 3. Updated to McDonald Criteria 2017 for MS - thanks to Fameli Hudson for suggesting 4. Added Tenecteplase dosing to thrombolytic dosing as our center is starting to use it

1. Fixed Flashlight bug - app would not scroll after using flashlight- thanks to Phi Long Do for finding this. 2. Updated for iOS 12 - had to redo many of the screens to fit the notch of the new iPhones. 3. Added Privacy Policy in the app and App Store link as per App Store and governmental regulations. Please read if you have too much time on your hands and can't sleep.

New Features/Fixes: 1. Added Impact TBI Prognosis - thanks to Anantha Vellipuram 2. Added tPA Exclusions to Stroke Menu - thanks to Joshua Lovell and Kourosh Kahkeshani 3. Added tPA Reversal and Angioedema management guidelines 4. Updated tPA exclusions for 2018 ASA Guidelines 5. Fixed typo in Six Simple - thanks to Sergiu Besliu 6. Fixed ECASS definitions - thanks to Steven Warach 7. Added Words and Sentences for the Spanish NIHSS (the pictures are the same) 8. Streamlined the Phenytoin level calculator 9. Added doses in mcg/kg/min to status epilepticus drips - thanks to Jonathan Amy 10. Moved ICH Scales to its own section - the Stroke/TIA section was getting long

1. Added ASA Guidelines to ICH prognostic scores as a reminder that these scores overestimate mortality. (Thanks to Steven Warach for suggesting) 2. Added RoPE Score for Risk of Stroke from PFO (Thanks to Steven Warach for suggesting) 3. Fixed error in ASPECTS score - the score gave an erroneous result if used more than once per session. (Thanks to Melanie Blacker for finding this) 4. Fixed spelling of Dabigatran (thanks to Liliana Pereira for finding this) 5. Fixed missing menu title on EDSS Calculator (thanks to Liliana Pereira for finding this) 6. I added Mechanism of Action, Side Effects, and Pregnancy Category to the Epilepsy Drugs (thanks to my residents for suggesting this - Thanks to J. Nile Barnes PharmD for help with the Epilepsy Drugs) 7. Added Support for iOS 11 and iPhone X

1. Added RACE Score for LVO Prediction (thanks to Bradley Molyneaux for suggesting) 2. Added Pupil Sizes to Light - I don't have all devices to test this on so please let me know if the sizes are off significantly on your device 3. Fixed ASPECTS Score so that the selected areas always show in red - some were showing dark blue (thanks to David Smith for finding this bug) 4. Fixed error on Modified Fisher Scale for thick SAH (thanks to Ahmad Al-Awaad for finding this bug)

1. Fixed (I think) the email results from SLUMS on iPad 12.9 inch (thanks to Beth McGee for letting me know about this) 2. Added the SAMe-TT2R2 score for predicting whether a patient will stay in INR range on warfarin to help decide between using warfarin or a NOAC. (Thank you to Khamidulla Bakhadirov for suggesting) 3. Added the PADUA score for VTE risk as VTE is a core measure for stroke. (Thanks to Alan Birnbaum for suggesting)

1. Added the mEGOS and EGRIS Scores for Guillain Barre Prognosis (thanks to Modar Khalil for suggesting) 2. Added the Saint Louis University Mental Status Exam (SLUMS). The app takes a screenshot of the patient drawing portions (the clock face and the X on the triangle) and emails them with the score. (Thanks to M.A. Kazmi for suggesting) 3. Updated the Status Epilepticus section to the 2016 American Epilepsy Society Guidelines. 4. Added Brivaracetam and Rufinamide to the Anticonvulsant Dosing List. 5. Added a list of "Broad Spectrum" and "Narrow Spectrum" Anticonvulsants

NIHSS Pictures and Dermatome Map now appear correctly on iPhone 7 and 7 Plus - thanks to Richard Draper for alerting me to this

Bug fix - Couldn't email results - Thanks to Tatiana Clark for finding this

1. Fixed Chads2Vasc Bug - Points for Female vs Male - Thanks to Eduard Bercovici and Nelson Navarro for finding this 2. Fixed Aspects appearance on iPad 12.9 and iPhone 5 and SE 3. iOS 10 update

1. Restored support for older devices such as iPod Touch 5th Generation (thanks to David Lefkowitz for alerting me to this issue - version 3.20 did not have this) 2. added Grasps score for ICH risk after tPA (thanks to Douglas Mailly and David Rempe for suggesting)