FREE CLINORA LIBRARY · REVIEW STATUS VISIBLE

Acute care,
made navigable.

Concise learning guides that connect recognition, first priorities, escalation and structured handover. Built for postgraduate medical learning across grades—not for use as a bedside protocol.

EDUCATIONAL USE ONLY

Do not use these summaries as a substitute for current local emergency, resuscitation, antimicrobial or medicines protocols. Escalate early and seek senior or specialist help when clinically indicated.

01 · REVIEW STATUS VISIBLE

Start with the situation,
leave with a structure.

40 guides are released for practice; 0 new draft awaits content check. Find a named emergency in the A–Z index or browse by specialty. Every guide includes practical priorities, red flags, common errors, structured handover and an inspectable UK source.

Cardiology

4 guides
RELEASED FOR PRACTICECardiology

Acute chest pain and suspected ACS

A disciplined approach to immediate threats, ECG interpretation, serial assessment and early specialist escalation.

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RELEASED FOR PRACTICECardiology

Acute pulmonary oedema

Recognise acute heart failure with respiratory compromise, support oxygenation and coordinate monitored specialist treatment.

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RELEASED FOR PRACTICECardiology

Suspected acute aortic syndrome

Recognise a possible aortic dissection, avoid premature ACS treatment and coordinate urgent imaging, stabilisation and specialist transfer.

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RELEASED FOR PRACTICECardiology

Unstable tachyarrhythmia

Identify adverse features, distinguish sinus tachycardia from arrhythmia and prepare time-critical rhythm treatment safely.

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Clinical pharmacology

1 guide
RELEASED FOR PRACTICEClinical pharmacology

Suspected opioid toxicity

Recognise opioid-related ventilatory impairment, support breathing and use naloxone within an observed escalation pathway.

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Clinical sciences

1 guide
RELEASED FOR PRACTICEClinical sciences

Acute transfusion reaction

Stop the transfusion, assess physiological danger and preserve the evidence needed for rapid investigation and safe treatment.

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Cross-specialty

2 guides
RELEASED FOR PRACTICECross-specialty

Suspected anaphylaxis

Recognise airway, breathing or circulation compromise after a likely trigger and activate the anaphylaxis pathway immediately.

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RELEASED FOR PRACTICECross-specialty

The deteriorating patient

A structured first assessment, early escalation and a safer handover when the diagnosis is not yet clear.

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Dermatology

1 guide
RELEASED FOR PRACTICEDermatology

Suspected Stevens–Johnson syndrome or toxic epidermal necrolysis

Recognise painful mucocutaneous disease, stop possible culprit medicines and escalate supportive multidisciplinary care.

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Emergency medicine and haematology

1 guide
RELEASED FOR PRACTICEEmergency medicine and haematology

Major haemorrhage and haemodynamic shock

Recognise haemorrhagic shock, activate the local major-haemorrhage protocol and coordinate source control with resuscitation.

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Endocrinology and acute medicine

1 guide
RELEASED FOR PRACTICEEndocrinology and acute medicine

Thyroid storm / life-threatening thyrotoxicosis

Recognise life-threatening decompensated thyrotoxicosis and initiate senior endocrine and critical-care escalation alongside supportive treatment.

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Endocrinology and diabetes

4 guides
RELEASED FOR PRACTICEEndocrinology and diabetes

Diabetic ketoacidosis

Confirm ketonaemia and acidosis, restore physiology and monitor biochemical resolution using the current DKA pathway.

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RELEASED FOR PRACTICEEndocrinology and diabetes

Severe hypoglycaemia

Correct low glucose promptly, protect the airway where necessary and prevent recurrence by identifying the cause.

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RELEASED FOR PRACTICEEndocrinology and diabetes

Severe symptomatic hyponatraemia

Recognise neurological emergency features, control the initial sodium rise and prevent overcorrection.

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RELEASED FOR PRACTICEEndocrinology and diabetes

Suspected adrenal crisis

Treat suspected cortisol deficiency without waiting for diagnostic certainty and correct associated volume and metabolic disturbance.

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ENT, anaesthesia and emergency medicine

1 guide
RELEASED FOR PRACTICEENT, anaesthesia and emergency medicine

Upper-airway obstruction / suspected epiglottitis in an adult

Recognise threatened upper airway, minimise disturbance and obtain immediate senior airway expertise.

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Gastroenterology

2 guides
RELEASED FOR PRACTICEGastroenterology

Acute decompensated cirrhosis

Identify the precipitant and organ failures early while using a structured first-hours cirrhosis pathway.

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RELEASED FOR PRACTICEGastroenterology

Acute upper gastrointestinal bleeding

Stabilise first, quantify risk, reverse avoidable harm and coordinate timely endoscopy.

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Gastroenterology and acute medicine

1 guide
RELEASED FOR PRACTICEGastroenterology and acute medicine

Acute pancreatitis with severe disease features

Recognise pancreatitis with evolving organ dysfunction, use early supportive care and involve critical-care and specialist teams when severity rises.

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Gastroenterology and colorectal surgery

1 guide
RELEASED FOR PRACTICEGastroenterology and colorectal surgery

Acute severe ulcerative colitis

Recognise severe colitis, assess systemic toxicity and ensure early gastroenterology and colorectal-surgery involvement.

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Geriatric medicine and psychiatry

1 guide
RELEASED FOR PRACTICEGeriatric medicine and psychiatry

Acute delirium and severe distress

Protect safety, search for reversible illness and use calm, proportionate de-escalation before restrictive intervention.

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Haematology and oncology

2 guides
RELEASED FOR PRACTICEHaematology and oncology

Sickle cell acute chest syndrome

Recognise a new respiratory complication early, investigate infection and involve haematology before deterioration.

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RELEASED FOR PRACTICEHaematology and oncology

Suspected neutropenic sepsis

Treat systemic illness after anticancer therapy as an emergency and do not wait for neutrophil confirmation before escalating.

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Infectious diseases

2 guides
RELEASED FOR PRACTICEInfectious diseases

Suspected bacterial meningitis

Recognise a rapidly evolving CNS infection, begin time-critical treatment and sequence investigations without unsafe delay.

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RELEASED FOR PRACTICEInfectious diseases

Suspected sepsis

Recognise high-risk features, search for the source and escalate treatment without losing sight of alternatives.

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Infectious diseases and gastroenterology

1 guide
RELEASED FOR PRACTICEInfectious diseases and gastroenterology

Severe Clostridioides difficile infection

Recognise severe or fulminant C. difficile infection, isolate promptly and coordinate antimicrobial, surgical and critical-care decisions.

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Neurology

2 guides
RELEASED FOR PRACTICENeurology

Acute focal neurological deficit

Recognise possible stroke, establish onset and activate the local stroke pathway while checking important mimics.

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RELEASED FOR PRACTICENeurology

Convulsive status epilepticus

Start the emergency pathway at five minutes, protect physiology and move decisively through protocol stages.

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Neurology and critical care

1 guide
RELEASED FOR PRACTICENeurology and critical care

Suspected myasthenic crisis

Recognise evolving neuromuscular respiratory failure, assess bulbar function and arrange early critical-care and neurology support.

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Neurology and emergency medicine

1 guide
RELEASED FOR PRACTICENeurology and emergency medicine

Suspected subarachnoid haemorrhage / thunderclap headache

Recognise thunderclap headache, establish timing precisely and activate urgent investigation and senior assessment.

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Neurology, spinal surgery and emergency medicine

1 guide
RELEASED FOR PRACTICENeurology, spinal surgery and emergency medicine

Acute urinary retention with cauda-equina red flags

Separate uncomplicated retention from possible cauda equina syndrome and arrange urgent spinal assessment when red flags are present.

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Ophthalmology

1 guide
RELEASED FOR PRACTICEOphthalmology

Acute angle-closure glaucoma

Recognise a painful red-eye emergency, lower intraocular pressure through the local pathway and protect the fellow eye.

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Palliative and end-of-life care

1 guide
RELEASED FOR PRACTICEPalliative and end-of-life care

Suspected metastatic spinal cord compression

Treat new neurological or spinal warning features in a person with cancer as an oncological emergency.

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Psychiatry

1 guide
RELEASED FOR PRACTICEPsychiatry

Self-harm with immediate safety concerns

Provide compassionate concurrent physical and psychosocial care, address immediate safety and avoid unsafe risk-score shortcuts.

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Renal medicine

2 guides
RELEASED FOR PRACTICERenal medicine

Acute hyperkalaemia

Confirm urgency, protect the myocardium, shift potassium and plan definitive removal using a monitored pathway.

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RELEASED FOR PRACTICERenal medicine

Acute kidney injury with oliguria

Confirm the deterioration, identify reversible threats and escalate complications rather than treating creatinine in isolation.

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Respiratory medicine

2 guides
RELEASED FOR PRACTICERespiratory medicine

Acute severe asthma

Recognise severity from physiology and trajectory, treat promptly and escalate exhaustion or poor response.

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RELEASED FOR PRACTICERespiratory medicine

Suspected high-risk pulmonary embolism

Recognise possible pulmonary embolism with haemodynamic compromise and accelerate simultaneous resuscitation, diagnosis and escalation.

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Rheumatology

1 guide
RELEASED FOR PRACTICERheumatology

Giant cell arteritis with threatened vision

Recognise cranial ischaemic symptoms, begin emergency treatment and secure same-day specialist assessment.

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Vascular surgery and emergency medicine

1 guide
RELEASED FOR PRACTICEVascular surgery and emergency medicine

Acute limb ischaemia

Identify a threatened limb, assess motor and sensory function urgently, and involve vascular surgery without avoidable delay.

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02 · COVERAGE ROADMAP

One hub.
Seventeen branches.

40 released for practice guides represent every branch, with 0 additional draft clearly labelled. This is broad navigation—not a claim of complete acute-care coverage.

IN LIBRARYCardiology
IN LIBRARYClinical pharmacology
IN LIBRARYClinical sciences
IN LIBRARYDermatology
IN LIBRARYEndocrinology and diabetes
IN LIBRARYGastroenterology
IN LIBRARYGeriatric medicine
IN LIBRARYHaematology
IN LIBRARYInfectious diseases
IN LIBRARYNeurology
IN LIBRARYOphthalmology
IN LIBRARYPalliative and end-of-life care
IN LIBRARYPsychiatry
IN LIBRARYRenal medicine
IN LIBRARYRespiratory medicine
IN LIBRARYRheumatology
IN LIBRARYCross-specialty safety
03 · SUSTAINABLE ACCESS

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Acute Care Guides

Recognition, first priorities, red flags, escalation, handover and evidence links.

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