MEDiscuss Clinical Decision Support System

Unique Evidence-Based Clinical Calculators, Algorithms & Management Pathways Built for the drugs you actually prescribe, in the units you actually use, at the doses that just work in your wards and ICU.
61 Active Tools
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Therapeutic & Management Pathways

23 tools
Essential Antimicrobial Dosing Guide Antibiotic Dose Selection With Loading, First 48-hr and Maintenance Doses + Renal Adjustments.
Essential HIV Clinical Pathway Hub Integrated Decision Support for HIV Care · NACO 2021 / WHO 2021
Essential Outpatient Diabetes Pathway Individualised Target Synthesis, Dose-Specific Safety Audit & Glycaemic Escalation
Essential Tuberculosis Treatment Pathway Weight-Based Doses, DR-TB Regimens, Critical Alerts & Nutrition
New Cervical Screening & Pap VIA, Cytology, HPV DNA and Co-Testing · Screening Intervals, Bethesda Triage, CIN Treatment and Post-Treatment Surveillance
ART Monitoring & ADR Guide Adverse Drug Reaction Management & Single-Drug Switch Pathway
ATT Hepatitis (DILI) Pathway Diagnostic Triage, Safe Bridging & Sequential Rechallenge (NTEP/APASL)
Acute Hypercalcaemia Hydrate · Block · Eliminate
Acute Hypernatraemia Quantify Deficit · Replace Safely · Prevent Cerebral Oedema
Acute Hypocalcaemia Correct · Replace · Maintain
Acute Hypokalaemia Replace · Replenish · Resolve
Acute Hypomagnesaemia Magnesium · Assess · Replace
Alcohol Withdrawal Pathway Severity Prediction, Symptom-Triggered and Fixed-Dose Regimens, Wernicke Prophylaxis, Delirium Tremens Escalation and Relapse Prevention
Combined Electrolyte Panel Na · K · Mg · Ca · PO₄: Triage, Sequencing & Interplay
Empirical Antimicrobial Pathway Pathogen-Directed Selection & ICMR AMR Context
First-Line ART Selection Evidence-based HIV Treatment Initiation
Hypertension OPD Pathway Guideline-Directed Initiation & Titration of Antihypertensive Therapy
IV Fluid & Calorie Calculator Basal Requirements, Electrolyte Titration & Insensible Losses
Inpatient Insulin Protocol Insulin Titration, NPO Management & Acute Glycaemic Clearances
OI Prophylaxis Pathway Cotrimoxazole, IPT, Fluconazole & CrAg Screening · NACO 2021
PMTCT Pathway Prevention of Mother-to-Child Transmission · NACO 2021
Second-Line ART Pathway NACO Treatment Failure Assessment & Regimen Switch
VKA / Warfarin Titration Initiation, Titration & Conversion Algorithm

Risk Scores & Diagnostic Pathways

11 tools
Essential CVD Risk & CKM Staging AHA PREVENT (2024) Total CVD & ASCVD · CKM Staging · ASCVD PCE
Essential Pre-Surgical Risk Pathway Multidisciplinary Clearance: RCRI, METs, ASA, STOP-BANG, Caprini VTE
AF Anticoagulation Pathway Stroke vs. Bleeding Synthesis Engine · CHA₂DS₂-VASc & HAS-BLED
AKI & CKD Staging Pathway KDIGO AKI Criteria & CKD-EPI 2021 Two-Dimensional Risk Stratification
Alcohol Unit & AUD Pathway Volumetric Conversion, AUDIT-C & Risk Stratification (Indian Context)
Glasgow Coma Scale & GCS-P Neurological Assessment, Pupillary Reactivity & Clinical Disposition
Hepatic Staging Pathway MELD-Na, Child-Pugh & CLD Complications (HRS, HPS, mDF)
Pregnancy VTE Exclusion Pregnancy-Adapted YEARS Algorithm & LEFt Rule
UDID Disability Calculator 2024 Gazette-Aligned Assessment & Provisional UDID Card Synthesis
VOCAL-Penn Surgical Risk Score Postoperative Mortality & Decompensation Predictor
VTE Exclusion Pathway Sequential Wells, PERC & YEARS Synthesis Engine

Acute Resuscitation

9 tools
Essential ICU Infusion & Inotropes Syringe Pump Dilutions & Titration Rates
Essential Sepsis & ICU Scoring Trajectory, 2026 SSC Updates & APACHE II
Acute Hyperkalaemia Stabilise · Shift · Eliminate
Acute Hyponatraemia Adrogue-Madias Kinetics, Severity Gating & ODS Prevention
DKA & HHS Protocol Diagnostic Triage, Fluid Strategy & Insulin Crossover Engine
Organophosphorus Poisoning Peradeniya Scale, Atropinisation & Oxime Protocol
Seizure & ASM Dosing Pathway Type-Specific Selection, Weight-Based Loading & Status Epilepticus Timeline
Snakebite & ASV Protocol Indian National Snakebite Protocol (MoHFW 2016), WHO SEARO Guidelines & NAPSE 2024
Toxidrome Identification Clinical Pattern Recognition & Initial Resuscitation

Advanced Diagnostics

8 tools
Essential ANA & Autoimmune Serology Pre-test probability, ANA-directed serology and ACR/EULAR classification
New Pyrexia of Unknown Origin Classification, Staged Investigation and Directed Workup for Classic, Nosocomial, Neutropenic and HIV-Associated PUO
New Undifferentiated Fever Pathway Day-of-Illness Investigation Sequencing, Empirical Doxycycline Decision & Severity Triage
ABG & Acid-Base Pathway Primary Derangements, Compensation & Anion Gap Synthesis
Atherogenic Risk Pathway Evaluation of Lp(a], ApoB/ApoA1 ratio, hsCRP, and Homocysteine to guide therapeutic escalation in patients with premature or unexplained cardiovascular risk.
Light's Criteria (Pleural Fluid) Exudate vs Transudate Differentiation & SPAG
Pathogen-Directed Therapy Guide Culture-Directed Antimicrobial Selection
Thyrotoxicosis Pathway Etiological Workup & Pharmacological Titration

Immunisation & Prophylaxis

6 tools
Essential Adult Immunisation Guide Based on API Consensus Guidelines (2026), WHO & ACIP Recommendations
Essential Needlestick & PEP Pathway Unified HIV, HBV, and HCV Prophylaxis Engine (NACO & CDC Guidelines)
HPV Vaccination Pathway Cervical Cancer Prevention (NTAGI, FOGSI & WHO Guidelines)
Paediatric Immunisation Scheduler Chronological NIS & IAP Vaccination Timeline in Paediatrics
Rabies PEP Pathway Based on the Indian National Guidelines for Rabies Prophylaxis (2019) & WHO Position Paper (2018)
Tetanus Prophylaxis Pathway Based on CDC/ACIP Clinical Guidance (2025), WHO Position Paper & Indian NIS Guidelines

Foundational Calculators

4 tools
Essential Pregnancy & Antenatal Scheduler Evidence-Based Gestational Dating & ANC Scheduling
BMI, BSA & Dosing Weight Drug Dosing Weights, Asian Cutoffs & ARDSNet Ventilation
Glucocorticoid Converter Pharmacokinetic matching and mineralocorticoid adjustments
UPCR & UACR Calculator KDIGO Standardisation, Unit Conversion & Renal Risk Stratification
Disclaimer and scope
Disclaimer: This decision-support system is intended for healthcare professionals. It does not substitute clinical judgment. These algorithms are evidence-based, but medical knowledge evolves continuously. The treating physician retains absolute responsibility for all diagnostic, dosing, and therapeutic decisions. Always verify outputs against current institutional protocols and individual patient contexts.
© 2026 MEDiscuss.org. All rights reserved. This CDSS Module was designed and developed by Dr. Shashikiran Umakanth using the available evidence base. Provided free of charge for clinical use. Unauthorised reproduction or redistribution is strictly prohibited.
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