SDEC Pathways

SDEC Pathways is a comprehensive, evidence-based clinical reference tool for doctors, nurses, and allied health professionals working in Same-Day Emergency Care (SDEC) and ambulatory medicine across NHS hospitals. Covering 20 of the most commonly encountered SDEC presentations, the app provides structured, step-by-step guidance aligned with current NICE, BSH, BTS, BSAC, ESC, RCP, and NHS England guidelines, with every recommendation linked to a tappable citation. FREE to try: Full access to Steps 1 & 2 of every pathway, including eligibility checkers and clinical scoring tools (Wells, sPESI, HEART, ABCD², Oakland, CURB-65 and more). FULL ACCESS — £9.99 one-time purchase: Unlocks all 20 pathways completely, including: - Investigation and management steps - Drug dosing guides and calculators - Discharge checklists and safety-netting - 93 guideline citations (NICE, BSH, BTS, BSAC, ESC) One-time purchase. No subscription. Works fully offline. For clinical decision support only. Always apply clinical judgement. Not a substitute for local protocols. WHAT'S INSIDE - 20 PATHWAYS CORE PATHWAYS - Deep Vein Thrombosis: Wells score calculator, DOAC dosing, Cockcroft-Gault CrCl calculator - Low-Risk Pulmonary Embolism: sPESI score, Hestia criteria, rivaroxaban/apixaban protocol - Cellulitis: Eron classification, Dundee criteria, OPAT eligibility - IV-to-Oral Antibiotics: BSAC switch criteria, high-bioavailability agent guide, OVIVA trial - Acute Kidney Injury: KDIGO staging, hyperkalaemia management, Lokelma dosing - Anaemia and Day-Unit Transfusion: NICE NG24 thresholds, IV iron (Ferinject) protocol EXTENDED PATHWAYS - Low-Risk Chest Pain: HEART score, ESC 0/1h hsTnT algorithm - TIA: ABCD2 score, dual antiplatelet (POINT/CHANCE trials), DVLA advice - Syncope: ROSE rule, NICE NG109, orthostatic hypotension management - First Seizure: NICE CG137, DVLA 6-month rule, antise