Notes & templates that think with you.
Not another page of static text with asterisks. Answer the questions you already know the answers to at the bedside, and the builder assembles a complete impression and an evidence-tagged plan — Impression/Plan or SOAP — ready to copy into your note. Written and reviewed by a vascular neurologist; free, no login, no PHI.
Answer what you know
NIHSS, reperfusion, imaging, etiology, a few toggles. Nothing is required; the note grows as you go.
Read the plan it wrote
Every line is generated from a stated rule and tagged with the trial or guideline behind it — DAPT × 21 days (CHANCE/POINT), DOAC timing by infarct size (ELAN), LDL < 70 (TST).
Edit, copy, paste
Switch to SOAP, edit the text, save your service's favourite phrases locally, and copy plain text that pastes cleanly into any EHR.
Stroke unit
Admission and progress notes
Start here. The acute ischemic stroke builder covers the whole spectrum — no reperfusion, post-thrombolysis, post-thrombectomy, hemorrhagic transformation — and every etiology from lacunar to cardioembolic to ESUS.
Acute Ischemic Stroke — Impression & Plan
Reperfusion-aware monitoring and BP targets, the antithrombotic decision (single agent, DAPT 21/90 days, ticagrelor, anticoagulation timed by infarct size), statin and LDL goal, workup by mechanism, dysphagia, VTE, rehab, disposition. Flags contradictions instead of writing them.
Open the builder → Template · PDF & WordStroke SOAP Note Template
The downloadable code-stroke consult scaffold: LKW, NIHSS, imaging block, eligibility lines, plan.
Open template →TIA — Impression & Plan
ABCD²/Canadian TIA Score in, DAPT decision, urgent vessel imaging, and the discharge-versus-admit logic out.
In progressIntracerebral Hemorrhage
ICH score, BP target, anticoagulant reversal by agent, surgical triggers, and the anticoagulation-resumption question.
In progressNeuro-ICU
Critical care notes
Same engine, ICU depth: airway status toggles, ventilator and sedation lines, ICP and vasospasm surveillance, and the daily checklist that keeps a SAH or status patient safe.
Aneurysmal SAH
Intubated / not intubated, nimodipine, TCD/vasospasm window, EVD management, sodium.
PlannedPost-thrombectomy ICU
Access site, reocclusion watch, BP after reperfusion, transition to the floor.
PlannedStatus epilepticus
Timeline-based escalation, cEEG, benzodiazepine → second-line → anesthetic lines.
PlannedMyasthenic crisis
NIF/FVC thresholds, IVIG vs PLEX, medications to avoid.
PlannedOn-call & exam
Consult skeletons and the neuro exam
The fast ones: a consult note that asks the right questions, and a neuro-exam generator where you tap what is abnormal and the normal exam writes itself around it.
On-call consult note
Reason for consult, focused history, exam, impression, recommendations — one screen.
PlannedNeuro exam generator
Click-to-negate normal exam; coma and brain-death exam variants.
PlannedProcedure notes
Lumbar puncture and bedside procedure templates with consent, technique, and complication lines.
PlannedClinic & floor
Migraine, seizure, Parkinson's, dementia, MS, myasthenia — the general neurology templates.
PlannedBedside companions
The tools the builders link to
Each plan line points at the calculator or reference it depends on. These are the ones residents open most.
NIHSS Calculator
Guided 15-item scoring with a live total.
Open → DecisionAntithrombotic Selection
Single vs dual antiplatelet vs anticoagulation, with the trials.
Open → TimingAnticoagulation Timing
The infarct-size ladder after AF stroke; resumption after ICH.
Open → TargetsAcute BP Targets
Ischemic, post-lytic, post-EVT, ICH, and SAH thresholds.
Open → ChecklistStroke Workup
Imaging, cardiac, labs, cryptogenic, young stroke.
Open → TransitionsDischarge Checklist
Medications, targets, therapy, follow-up, education.
Open → ClassificationTOAST
Mechanism categories the builders key off.
Open → All 23Clinical tools hub
Every calculator and reference in one index.
Open →Written and reviewed by Zaka Ahmed, MD · Something your service needs that is not here? Tell us · Get new builders by email