iPhone Screenshots


The Miami Emergency Neurologic Deficit (MEND) Examination is a focused neurologic assessment tool to aid healthcare providers in rapid identification of patients with stroke. The exam incorporates the Cincinnati Prehospital Stroke Scale (CPSS), and has additional components from the NIH Stroke Scale (NIHSS).

The MEND EMS application facilitates the organization of detection and management of the stroke patient in the Prehospital setting. The application is divided into tabs that allow the user to navigate in order from the History to the CPSS, the MEND exam, management considerations and references and ED report. The user is initially prompted to choose whether this is a new patient or to resume the information on the current patient.

The MEND exam was developed by a group of stroke neurologists, emergency physicians, neurology nurses, and paramedics to allow additional observations that permit paramedics to expand the examination in order to assess stroke severity and identify the stroke syndrome. It is also a useful tool for communicating effectively with the receiving hospital and for following the patient from initial exam through hospital admission (there is a Hospital version of the MEND exam for nurses coming soon).

The recommendation is that EMS personnel should perform the CPSS on scene and begin transport, then perform the expanded MEND exam en route to minimize transport delays. The MEND exam is taught as part of a more comprehensive stroke curriculum, Advanced Stroke Life Support.

The application has the following components:

-Incorporates age, sex, chief complaint, time last seen normal, and important early questions including witness information.

On Scene Cincinnati Prehospital Stroke Scale (CPSS)
-The components on the CPSS are provided in a checklist format

MEND Examination
- The components on the MEND exam are provided in a checklist format

Management / Vital Signs / References
-Consider Initiating Stroke Alert
-Do not allow aspiration
-Check blood glucose
-References: Stroke Mimics & t-PA exclusion criteria

ED Report
-This screen summarizes all of the data that has been collected into an organized bullet point list for clear radio communication with the receiving hospital emergency department.

What’s New

Version 2.1

Fixed Crash Bug
Improved UI
Minor improvements

Ratings and Reviews


Great App

Great App to organize stroke assessment for patients in EMS.

Sascha thread ,

Nice app

Would like to see a screen that point to where the stroke may be occurring based upon the information entered for the patient. This information is taught during the class but I can never remember and always have to go back and look it up.

firemedicd ,

Improvements needed

I agree with the other reviews and would like to see an option to enter the ambulance service name and Bluetooth print option. Also a narrative option would be nice. This Would be an important documentation to add to the run report .
DD paramedic instructor


Gordon Center for Research in Medical Education
12.3 MB

Requires iOS 8.0 or later. Compatible with iPhone, iPad, and iPod touch.



Age Rating
You must be at least 17 years old to download this app.
Frequent/Intense Medical/Treatment Information
© 2016 UM Gordon Center for Research in Medical Education


  • Family Sharing

    With Family Sharing set up, up to six family members can use this app.

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