Clinical Decision Support Tools
MENA-SINO Guidelines Portal
Clinical Decision Support Tools
Evidence-based, region-adapted decision algorithms and clinical tools for cerebrovascular care across the Middle East and North Africa
About MENA-SINO Clinical Decision Tools
The Middle East North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) has developed a comprehensive suite of clinical decision support tools based on our evidence-based guideline framework. These tools translate complex guidelines into practical, bedside-ready algorithms adapted specifically for the diverse healthcare environments across the MENA region.
🎯 Resource-Stratified Approach
Tools adapted for basic emergency care, intermediate capability centers, and comprehensive neurovascular facilities.
🌠MENA-Specific Adaptations
Considerations for regional epidemiology, resource constraints, cultural factors, and conflict-affected areas.
📱 Mobile-Optimized
Responsive design ensuring accessibility on smartphones, tablets, and desktop computers across all healthcare settings.
🔄 Evidence-Based Updates
Regular updates following MENA-SINO’s framework for guideline adaptation and mini-updates based on emerging evidence.
Aneurysmal Subarachnoid Hemorrhage (aSAH) Decision Algorithms
Comprehensive decision trees for aSAH management from initial diagnosis through long-term follow-up, stratified by resource availability across MENA healthcare settings.
- Three-tier resource-stratified algorithms
- Interactive flowcharts with time-critical indicators
- Medication availability adaptations
- Transfer protocols and checklists
- Conflict zone considerations
Acute Ischemic Stroke (AIS) Management Protocols
Evidence-based decision support for acute ischemic stroke care, including thrombolysis and thrombectomy protocols adapted for MENA region capabilities and constraints.
- Time-sensitive treatment algorithms
- NIHSS assessment tools
- Transfer criteria and protocols
- Post-procedure monitoring
- Secondary prevention strategies
Intracerebral Hemorrhage (ICH) Management Guidelines
Comprehensive approach to ICH management including blood pressure control, reversal strategies, and surgical intervention criteria for resource-limited settings.
- ICH score and outcome prediction
- Blood pressure management protocols
- Anticoagulation reversal strategies
- Surgical indication algorithms
- Family communication guidelines
TIA and Minor Stroke Assessment Tools
Risk stratification and management protocols for transient ischemic attacks and minor strokes, focusing on rapid assessment and secondary prevention.
- ABCD² score calculator
- Risk stratification algorithms
- Rapid diagnostic protocols
- Secondary prevention strategies
- Follow-up scheduling tools
Cervical Artery Dissection Diagnostic & Management Protocols
Evidence-based approach to diagnosing and managing cervical artery dissections, including imaging protocols and treatment decisions for MENA settings.
- Clinical suspicion criteria
- Imaging protocol selection
- Anticoagulation decision trees
- Follow-up imaging schedules
- Return-to-activity guidelines
Arteriovenous Malformation (AVM) & Fistula Management
Comprehensive decision support for AVM and arteriovenous fistula management, including treatment modality selection and risk assessment tools.
- Spetzler-Martin grading tools
- Treatment modality selection
- Risk-benefit calculators
- Multidisciplinary team protocols
- Long-term monitoring plans
Post-Stroke Rehabilitation & Recovery Protocols
Family-centered rehabilitation approaches adapted for MENA cultural contexts and resource limitations, focusing on practical home-based interventions.
- Functional assessment tools
- Family training protocols
- Community resource integration
- Cultural adaptation guidelines
- Progress monitoring tools
Neurocritical Care Management Protocols
Comprehensive neurocritical care protocols adapted for varying ICU capabilities across MENA region, from basic monitoring to advanced interventions.
- ICP monitoring protocols
- Sedation and analgesia guidelines
- Nutritional support algorithms
- Complication prevention bundles
- Family communication frameworks
Development Timeline
Our clinical decision tools are developed following the MENA-SINO guideline framework, ensuring each tool undergoes rigorous evidence review, expert consensus, and regional adaptation.