SDEC Pathways

SDEC Pathways is a clinical decision support tool for Same-Day Emergency Care, covering 20 evidence-based ambulatory pathways aligned with NICE, NHS England, BSH, BTS, BSAC, and ESC 2025 guidelines.

The DVT pathway is free. Unlock all 20 pathways with a one-time purchase.

CORE PATHWAYS (6)
- Deep Vein Thrombosis — Wells score, DOAC dosing, CrCl calculator
- Low-Risk PE — sPESI, Hestia criteria, Rivaroxaban protocol
- Cellulitis — Eron classification, Dundee criteria, OPAT
- IV-to-Oral Antibiotics — BSAC switch criteria, OVIVA trial
- AKI — KDIGO staging, Hyperkalaemia, Lokelma dosing
- Anaemia & Transfusion — NICE NG24, day-unit transfusion, IV iron

EXTENDED PATHWAYS (8)
- Low-Risk Chest Pain — HEART score, 0/1h hsTnT, ESC algorithm
- TIA — ABCD² score, dual antiplatelet, DVLA advice
- Syncope — ROSE rule, NICE NG109
- First Seizure — NICE CG137, DVLA 6-month rule
- Lower GI Bleed — Oakland score, safe discharge ≤8
- Acute Abdominal Pain — Biliary colic, renal colic, pancreatitis
- CAP (Low-Risk) — CURB-65, NICE NG138, oral antibiotic regimens
- Fever & Low-Risk Sepsis — NEWS2, Sepsis-3, source-directed antibiotics

SPECIALIST PATHWAYS (6)
- Hypercalcaemia — Severity grading, zoledronic acid, PTH workup
- Hyponatraemia — ODS correction rate, SIADH, tolvaptan
- Adrenal Crisis — Emergency hydrocortisone dosing, sick-day rules
- HHS & Mild DKA — JBDS 2023, SGLT2-associated DKA
- Giant Cell Arteritis — Immediate prednisolone, tocilizumab, TAB referral
- Frailty & Falls — CFS, STOPP/START, MDT discharge planning

FEATURES
- Interactive SDEC eligibility checkers
- Clinical scoring tools — Wells, sPESI, HEART, CURB-65, Oakland, ABCD²
- Drug dosing calculators including Cockcroft-Gault CrCl
- Discharge checklists and safety-netting advice
- Adjustable font size for clinical use

Educational and training use only. Not for use as sole clinical guidance. Always apply clinical judgement and refer to local protocols. Content developed by Dr Atif Elnil MBBS MRCP, Neurology Department, St George's University Hospital London.