It is a simple application that calculates the MADRID-DIRECT score to help in making decisions of prehospital care of acute stroke developed for Stroke Network of the Community of Madrid.


MADRID-DIRECT The scale is based on items age, systolic blood pressure, and five simple clinical items:
- Misuse of conjugate gaze
- Alteration of language: if the patient does not obey simple commands
- Hemineglect (in patients with preserved language): if the patient does not recognize his own limb when asked "Whose arm is this?" or recognize its deficit when asked "Can you move your arms okay?"
- Paresis of the upper extremity: if the patient does not overcome gravity with said end (plane falls against passive mobilization)
- Paresis of the lower extremity: if the patient does not overcome gravity with said end (plane falls against passive mobilization)

The calculation result oriented to the need to transfer the patient to the nearest stroke unit or direct transfer to the corresponding Interventional Center for evaluation of endovascular treatment of stroke.

The use of this application is reserved for qualified under the Plan of Care Ictus of the Madrid medical staff.