MEDiscuss CDSS

Clinical Decision Support System Calculators, algorithms and management pathways for Indian doctors In the units your drug charts are written in, at Indian ward and ICU doses.
81 tools How to install
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Therapeutic & Management Pathways

32 tools
Essential Antimicrobial Dosing Guide Loading dose, first 48 hours and maintenance, adjusted for renal function and dialysis
Essential HIV Clinical Pathway Hub Enter the patient once, and move between the five HIV pathways
Essential Outpatient Diabetes Pathway An HbA1c target for this patient, the drug that reaches it, and when to escalate
Essential New Pregnancy & Antenatal Scheduler Dates the pregnancy, applies the ACOG redating rule, and returns the antenatal plan
Essential Tuberculosis Treatment Pathway Weight-band doses for drug-sensitive and DR-TB, with the nutrition that goes alongside
New CURB-65 / CRB-65 Pneumonia Severity Admit or treat at home, and CRB-65 when there is no urea to hand
New Cervical Screening & Pap Whether she is due for screening, and what to do with an abnormal result
New Forrest Classification The class, the endoscopic therapy it earns, and the first 72 hours
New HbA1c Target The number to treat towards, why it is not the normal value, and where the guidelines disagree
New Hyperuricaemia & Gout Pathway Five ways in: the raised urate, the acute flare, urate lowering, tumour lysis, stones
New Insulin in Pregnancy Gestational and pre-existing diabetes: starting, titrating to the profile, antenatal steroids, the labour ward, and the postpartum dose
New Levothyroxine Dosing The replacement dose, the titration step and the recheck interval
New Opioid Conversion Calculator Oral, parenteral, transdermal and infusion, in the preparations India stocks
New Refeeding Syndrome Pathway Who is at risk before the first feed, and what to do when the phosphate falls
ART Monitoring & ADR Guide Which ART drug caused it, and the single-drug substitution that follows
ATT Hepatitis (DILI) Pathway What to hold, what to bridge with, and the order to rechallenge in. NTEP and APASL
Acute Hypercalcaemia Hydrate, block, eliminate: the three steps in order, and what to check before each
Acute Hypernatraemia The water deficit, and a replacement rate that will not risk cerebral oedema
Acute Hypocalcaemia What to give for a symptomatic low calcium now, and what to leave the patient on
Acute Hypokalaemia How fast the potassium can go, by which route, and what must be corrected with it
Acute Hypomagnesaemia The magnesium dose, the route, and the rate it can safely be given at
Alcohol Withdrawal Pathway PAWSS before it starts, CIWA-Ar during, and a regimen the ward can actually monitor
Combined Electrolyte Panel More than one electrolyte wrong at once, and which of them to correct first
Empirical Antimicrobial Pathway What to start before the culture is back, read against ICMR resistance data
First-Line ART Selection The first-line regimen for this adult, with the renal, anaemia and coinfection changes
Hypertension OPD Pathway Which antihypertensive to start, at what dose, and when to step up
IV Fluid & Calorie Calculator The day's maintenance fluid and calories, the electrolytes in it, and the losses on top
Inpatient Insulin Protocol Sixteen pathways: starting insulin, titrating it, infusions, feeding, dialysis and discharge
OI Prophylaxis Pathway Which prophylaxis the CD4 count calls for, and what to do about a sulfa allergy
PMTCT Pathway Maternal ART, infant prophylaxis, the early diagnosis schedule and feeding advice
Second-Line ART Pathway Is this virological failure or poor adherence, and what the switch should be
VKA / Warfarin Titration Starting and adjusting warfarin or acitrom to target, and converting between them

Risk Scores & Diagnostic Pathways

15 tools
Essential CVD Risk & CKM Staging AHA PREVENT with CKM staging, falling back to the ASCVD equations without an eGFR
Essential Pre-Surgical Risk Pathway One pass over the risk before theatre, resolved through the ACC/AHA steps
New Acute Pancreatitis Severity BISAP at the bedside, Ranson and Glasgow-Imrie at 48 hours, and the Revised Atlanta grade from organ failure
New Beta Cell Function HOMA, QUICKI, C-peptide and TyG from a fasting sample, on the curve that relates sensitivity to secretion
New Diabetes Diagnosis Normal, prediabetes and diabetes on the ADA, WHO and Indian criteria, and why a value at target is not a normal value
New FIB-4 and Elastography Comprehensive analysis using blood counts, biochemistry and the stiffness parameters
New SpO2/FiO2 Ratio & ARDS Severity The oxygenation ratio without a blood gas, and the ARDS classification that follows
New VOCAL-Penn Surgical Risk Score Mortality at 30, 90 and 180 days after surgery in cirrhosis, and decompensation at 90 days
AF Anticoagulation Pathway CHA₂DS₂-VASc against HAS-BLED, and what the two together say about anticoagulating
AKI & CKD Staging Pathway AKI and CKD against KDIGO, with the CKD-EPI 2021 risk grid
Alcohol Unit & AUD Pathway What the patient drank, in units, with AUDIT-C and the risk band. Indian measures
Glasgow Coma Scale & GCS-P Level of consciousness, the pupil response, and where the patient should go
Hepatic Staging Pathway MELD-Na and Child-Pugh, then the complications: HRS, HPS and the Maddrey function
Pregnancy VTE Exclusion Excluding VTE in pregnancy, where the usual rules do not hold
VTE Exclusion Pathway Wells, PERC and the age-adjusted D-dimer in sequence, and where that leaves you

Acute Resuscitation

11 tools
Essential ICU Infusion & Inotropes Syringe pump dilutions and titration rates for vasopressors and ICU infusions
Essential Sepsis & ICU Scoring qSOFA, SOFA, NEWS and APACHE II on one set of observations, and the trajectory
New Acute Coronary Syndrome From the first ECG to the discharge prescription: chest pain, STEMI, NSTE-ACS and the complications
New NIHSS & Acute Stroke Pathway All 15 rows with the scale's own rules, then the thrombolysis decision
Acute Hyperkalaemia Stabilise, shift, eliminate: what buys time, and what actually removes potassium
Acute Hyponatraemia A correction rate that will not cause osmotic demyelination, gated by severity
DKA & HHS Protocol DKA or HHS, the fluid, the potassium gate on insulin, and the crossover at resolution
Organophosphorus Poisoning The Peradeniya score, atropine titrated to effect, and a renally adjusted oxime
Seizure & ASM Dosing Pathway Loading by weight, selection by seizure type, and the status epilepticus clock
Snakebite & ASV Protocol The envenomation syndrome, the antivenom dose, and the 20 minute clotting test
Toxidrome Identification The toxidrome from the bedside picture, and the resuscitation that goes with it

Advanced Diagnostics

8 tools
Essential Autoimmune Disease Workup From the clinical picture to directed serology, classification criteria and the next tests
New Pyrexia of Unknown Origin Which kind of PUO, the first-stage workup, and what the clinical clues direct
New Undifferentiated Fever Pathway What to send on which day of illness, and when to start doxycycline
ABG & Acid-Base Pathway The primary disorder, whether the compensation fits, and the anion gap
Atherogenic Risk Pathway Lp(a), ApoB/ApoA1, hsCRP and homocysteine, and what they justify escalating
Light's Criteria (Pleural Fluid) Exudate or transudate, with the serum-pleural albumin gradient alongside
Pathogen-Directed Therapy Guide Choosing therapy once the culture has named the organism
Thyrotoxicosis Pathway The aetiology from TSH, FT4, FT3 and the signs, and the treatment against it

Immunisation & Prophylaxis

6 tools
Essential Adult Immunisation Guide The adult schedule for India, stratified by the risks this patient carries
Essential Needlestick & PEP Pathway One pathway for a needlestick, covering HIV, HBV and HCV together
HPV Vaccination Pathway Who to vaccinate, at what age, in how many doses, and the screening that stays
Paediatric Immunisation Scheduler The NIS and IAP schedules side by side, dated from the child in front of you
Rabies PEP Pathway The exposure category, the vaccine schedule, and whether immunoglobulin is needed
Tetanus Prophylaxis Pathway The wound, the immunisation history, and the choice between Td, Tdap and TIG

Foundational Calculators

9 tools
New Anaemia Indices Calculator Eight discrimination indices, the reticulocyte production index, the WHO thresholds
New Corrected Phenytoin (Sheiner-Tozer) What the total level would read if albumin were normal, and why renal failure changes the arithmetic
New Corrected QT (QTc) Calculator Five rate corrections, the wide QRS, and the Tisdale risk score
New Kinetic GFR Calculator Clearance while the creatinine is still moving
New LDL Cholesterol Calculator Three LDL equations side by side, non-HDL cholesterol, and when a calculated LDL should not be trusted
New MAP, Shock Index & Pulse Pressure Perfusion pressure, occult shock and the narrow pulse
BMI, BSA & Dosing Weight BMI on the Asian cut-offs, body surface area, and the dosing weights a chart asks for
Glucocorticoid Converter Equivalent doses between steroids, and where the mineralocorticoid cover will not match
UPCR & UACR Calculator A urine ratio in the units KDIGO uses, placed on the risk grid
Disclaimer and scope
Disclaimer: This decision-support system is written for healthcare professionals. It does not substitute clinical judgment, and the treating physician retains absolute responsibility for every diagnostic, dosing and therapeutic decision. The algorithms are built on the evidence as it stands, and the evidence moves. Verify the output against your current institutional protocol, and against the patient in front of you.
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