What consolidates the various mental status exams into our uber-portable iPhone and saves time and paper at the same time? Stroke Scale, by Deep Pocket Series LLC, is a medical app available for $2.99 from the app store that provides consolidated stroke and mental status exams.

What I Like:

The application could not be easier to use; the buttons are large with clear descriptions on a colorful, if not mildly distracting, background. The NIH stroke scale, in particular, is well done with good exam explanations that can serve as an adequate walkthrough for all healthcare professionals. The option to email results is extremely useful for charting and documentation digitally without wasted paper or hassle.

In addition, the program allows you to save multiple exams for single patient chronology and/or multiple patients. I was pleasantly surprised to find cranial nerve descriptions and common neurological findings included within the application’s “Advanced Features” section. This information is essential to any good student’s or physician’s neurological examination.

What I Don’t Like:

The application lacks explanations or useful clinical information for the stroke or altered mental status scores it provides. For example, the Cincinnati Scale merely repeats the user’s data entry as a chart without additional information and the Glasgow Coma score provides the numerical score only. Including this relevant clinical information would be extremely useful for students.

While the patient tracking feature is practical, there is no option to protect patient information as required by HIPAA except via the iPhone’s native password protection.

Stroke Scale is well designed overall, but the “Back” button is located in different positions depending on the screen. Overall, these shortcomings are minor.

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Conclusion:

Stroke Scale is a simple but very well executed and easy to use application for specific mental status and stroke evaluations. It also has useful cranial nerve descriptions and email capabilities. The app is well worth the three dollar price tag for students and health care providers who frequently use clinical coma or stroke scales or are learning to use them.

[itunes]

[website]