CLINICALCARESOURCEAUDIT.json
{
"date": "2026-10-28",
"scope": "New clinical care/equipment teaching supplements only",
"sources": [
{
"id": "PADIS18",
"title": "SCCM PADIS guideline (2018)",
"doi": "10.1097/CCM.0000000000003299",
"public_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-for-the-prevention-and-management-of-pa",
"type": "Clinical guideline; public society recommendations",
"support": "Pain assessment, analgesia-first care and selected adjuncts",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "PADIS25",
"title": "SCCM PADIS focused update (2025)",
"doi": "10.1097/CCM.0000000000006574",
"public_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/focused-update-padis-guideline",
"type": "Clinical guideline; public society recommendations",
"support": "Conditional sedation recommendation when light sedation/delirium reduction is prioritized",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "CARDREC",
"title": "ERAS/STS cardiac perioperative consensus (2024)",
"doi": "10.1016/j.athoracsur.2023.12.006",
"public_url": "https://www.annalsthoracicsurgery.org/article/S0003497523013176/pdf",
"type": "Clinical consensus; public publisher PDF",
"support": "Cardiac perioperative recovery and multimodal care context",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "RSI",
"title": "SCCM rapid sequence intubation guideline (2023)",
"doi": "10.1097/CCM.0000000000006000",
"public_url": "https://www.sccm.org/clinical-resources/guidelines/guidelines/guidelines-rapid-sequence-intubation",
"type": "Clinical guideline; public society recommendations",
"support": "Physiologic preparation, preoxygenation and medication classes",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "TUBE",
"title": "PUMA/international airway societies consensus (2022)",
"doi": "10.1111/anae.15817",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9804892/",
"type": "Clinical consensus; public full text",
"support": "Sustained exhaled CO2 and exclusion of esophageal intubation",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "VENTASSESS",
"title": "AARC patient-ventilator assessment guideline (2024)",
"doi": "10.4187/respcare.12007",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11298231/",
"type": "Clinical guideline; public full text",
"support": "Delivered volume, pressures, PEEP/auto-PEEP, FiO2, airway and humidification assessment",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "SBT",
"title": "AARC spontaneous breathing trials guideline (2024)",
"doi": "10.4187/respcare.11735",
"public_url": "https://www.aarc.org/wp-content/uploads/2023/11/CPG2024SpontaneousBreathingTrial.pdf",
"type": "Clinical guideline; public society PDF",
"support": "Readiness assessment and SBTs with or without pressure support; PMC lists a corrected-version supplement (29 March 2024); this guide does not reproduce numerical trial settings",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "LIBERATE",
"title": "ATS/CHEST liberation executive summary (2017)",
"doi": "10.1164/rccm.201610-2076ST",
"public_url": "https://www.thoracic.org/statements/resources/cc/weaning-exec-summary.pdf",
"type": "Clinical guideline; public publisher text",
"support": "Extubation readiness and preventive NIV in selected high-risk patients",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "MODES",
"title": "Wattley and Camporota, \"JICS education: mechanical ventilation – physiology, mechanism and modes\" (J Intensive Care Soc 2026)",
"doi": "10.1177/17511437261470614",
"public_url": "https://journals.sagepub.com/doi/10.1177/17511437261470614",
"type": "Peer-reviewed educational review; public publisher text",
"support": "Mode definitions and patient-ventilator interaction; not a mode superiority guideline",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "NIV",
"title": "ERS/ATS NIV guideline (2017)",
"doi": "10.1183/13993003.02426-2016",
"public_url": "https://www.thoracic.org/statements/resources/cc/niv-guidelines.pdf",
"type": "Clinical guideline; public society PDF",
"support": "NIV for selected conditions including COPD-related acidosis and cardiogenic pulmonary edema",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "HFNC",
"title": "ERS HFNC guideline (2022)",
"doi": "10.1183/13993003.01574-2021",
"public_url": "https://publications.ersnet.org/content/erj/59/4/2101574",
"type": "Clinical guideline; public society text",
"support": "Conditional HFNC recommendations in defined populations",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "ARDS",
"title": "ATS ARDS update (2024)",
"doi": "10.1164/rccm.202311-2011ST",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10870893/",
"type": "Clinical guideline; public full text",
"support": "Patient-specific PEEP and selected ARDS adjuncts; against prolonged recruitment maneuvers",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "GAS",
"title": "AARC blood gas analysis/hemoximetry guideline (2013)",
"doi": "10.4187/respcare.02786",
"public_url": "https://www.aarc.org/wp-content/uploads/2025/03/davis-et-al-2013-aarc-clinical-practice-guideline-blood-gas-analysis-and-hemoximetry-2013.pdf",
"type": "Clinical guideline; public society PDF, older foundational source",
"support": "Sampling conditions and assessment of ventilation, oxygenation and acid-base state",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "PBM",
"title": "EACTS/EACTAIC cardiac blood management guideline (2024)",
"doi": "10.1093/ejcts/ezae352",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12257489/",
"type": "Clinical guideline; public full text",
"support": "Bleeding, anemia, coagulation and context-dependent hemostatic assessment",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "SEPSIS",
"title": "Surviving Sepsis Campaign adult guideline (2026)",
"doi": "10.1007/s00134-026-08361-1",
"public_url": "https://sccm.org/clinical-resources/guidelines/guidelines/surviving-sepsis-campaign-international-guidelines-for-management-of-sepsis-and-septic-shock-2026",
"type": "Clinical guideline; public society recommendations",
"support": "Blood cultures and lactate in clinical context; publisher correction 10.1007/s00134-026-08410-9 (Intensive Care Med 2026;52(6):1411-1413) identified, not fully appraised",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit",
"co_publication_doi": "10.1097/CCM.0000000000007075"
},
{
"id": "FEVER",
"title": "SCCM/IDSA new ICU fever guideline (2023)",
"doi": "10.1097/CCM.0000000000006022",
"public_url": "https://www.idsociety.org/practice-guideline/new-fever-in-critically-ill-patients/",
"type": "Clinical guideline; public society recommendations",
"support": "Source-focused investigation; scope excludes severe immunocompromise",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "AKI",
"title": "KDIGO AKI section 2 (2012)",
"doi": "10.1038/kisup.2011.32",
"public_url": "https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf",
"type": "Clinical guideline; public official PDF, foundational older version",
"support": "Kidney-function trajectory and diagnostic evaluation; the March 2026 public-review draft is not used as final guidance",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "RRT",
"title": "KDIGO AKI section 5 (2012)",
"doi": "10.1038/kisup.2011.35",
"public_url": "https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf",
"type": "Clinical guideline; public official PDF, foundational older version",
"support": "RRT decisions from clinical context and fluid/electrolyte/acid-base needs; CRRT in instability; the March 2026 public-review draft is not used as final guidance",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "VV",
"title": "ELSO adult VV-ECMO guideline (2021)",
"doi": "10.1097/MAT.0000000000001432",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8315725/",
"type": "Clinical consensus guideline; public full text",
"support": "Respiratory support, circuit basics and patient selection",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "MCS",
"title": "Cardiovascular physiology during MCS review (2025)",
"doi": "10.3390/jcm14196935",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12524590/",
"type": "Peer-reviewed clinical review; public full text",
"support": "VA-ECMO and temporary microaxial support mechanisms and limitations",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "IABP",
"title": "Gillespie et al. IABP focused review (2024)",
"doi": "10.1016/j.jscai.2024.101337",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11307388/",
"type": "Peer-reviewed clinical review; public full text",
"support": "Counterpulsation mechanism, specialist use and complications",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "LVAD",
"title": "LVAD primer for the non-MCS provider (2022)",
"doi": "10.3390/jcm11092575",
"public_url": "https://www.mdpi.com/2077-0383/11/9/2575",
"type": "Peer-reviewed clinical review; public full text",
"support": "Durable pump components and loading/pulsatility considerations",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "HEMO",
"title": "Hamzaoui and Boissier, hemodynamic monitoring in cardiogenic shock (2023)",
"doi": "10.1016/j.jointm.2022.10.003",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10175734/",
"type": "Peer-reviewed clinical review; public full text",
"support": "Arterial, central venous and PA monitoring with clinical/echo context; written for cardiogenic shock, so general-shock statements are also checked against SHOCK25",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "SHOCK25",
"title": "ESICM guidelines on circulatory shock and hemodynamic monitoring (2025)",
"doi": "10.1007/s00134-025-08137-z",
"public_url": "https://link.springer.com/article/10.1007/s00134-025-08137-z",
"type": "Clinical guideline; public publisher text",
"support": "Dynamic over static preload assessment, echocardiography as first-line imaging for shock type, arterial and cardiac-output monitoring in selected patients; updates the 2014 ESICM consensus (Monnet et al., Intensive Care Med 2025;51:1971-2012)",
"checked": "2026-11-05",
"verification": "Identity, abstract and publisher/society summaries checked; full text not appraised"
},
{
"id": "PACE",
"title": "Temporary epicardial pacing after cardiac surgery (2023)",
"doi": "10.1016/j.bjae.2023.05.003",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10433321/",
"type": "Peer-reviewed clinical review; public full text",
"support": "Temporary pacing purpose, capture/sensing and monitoring",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "DRAIN",
"title": "BTS pleural procedures clinical statement (2023)",
"doi": "10.1136/thorax-2022-219371",
"public_url": "https://thorax.bmj.com/content/78/Suppl_3/s43",
"type": "Clinical statement; public publisher/society text",
"support": "Pleural drainage safety; not a cardiac mediastinal drain protocol",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "WORKSTATION",
"title": "The modern integrated anaesthesia workstation (2013)",
"doi": "10.4103/0019-5049.120139",
"public_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3821261/",
"type": "Peer-reviewed equipment review; public full text, older foundational source",
"support": "Gas delivery, vaporizer, breathing system, ventilator and monitoring components",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "PUMP",
"title": "FDA infusion-pump risk reduction for clinicians",
"doi": null,
"public_url": "https://www.fda.gov/medical-devices/infusion-pumps/infusion-pump-risk-reduction-strategies-clinicians",
"type": "Official public device-safety guidance; not a peer-reviewed clinical guideline",
"support": "Programming checks, drug-library use, monitoring and failure planning",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "SPO2",
"title": "FDA pulse oximeters",
"doi": null,
"public_url": "https://www.fda.gov/medical-devices/products-and-medical-procedures/pulse-oximeters",
"type": "Official public device-safety information; not a peer-reviewed clinical guideline",
"support": "Oxygen-saturation estimate and measurement limitations",
"checked": "2026-10-28",
"verification": "Identity and relevant publicly available text/passages checked; not a comprehensive full-text, supplement or correction audit"
},
{
"id": "GOALS",
"title": "ESICM end-of-life and palliative care guideline (2024)",
"doi": "10.1007/s00134-024-07579-1",
"public_url": "https://link.springer.com/article/10.1007/s00134-024-07579-1",
"type": "Clinical guideline; public full text",
"support": "Structured goals-of-care decisions, symptom assessment and palliative care context",
"checked": "2026-10-28",
"verification": "Identity and relevant public passages checked; not a comprehensive full-text/supplement audit"
}
],
"lab_examples": [
{
"id": "bleeding",
"title": "Postoperative bleeding and anemia",
"sources": [
"PBM"
],
"synthetic_values": true
},
{
"id": "ventilation",
"title": "Carbon dioxide retention and acidemia",
"sources": [
"GAS",
"VENTASSESS"
],
"synthetic_values": true
},
{
"id": "oxygenation",
"title": "Oxygenation under defined support",
"sources": [
"GAS",
"ARDS"
],
"synthetic_values": true
},
{
"id": "lactate",
"title": "Lactate in sepsis or postoperative shock",
"sources": [
"SEPSIS",
"HEMO",
"SHOCK25"
],
"synthetic_values": true
},
{
"id": "kidney",
"title": "Kidney injury after major surgery",
"sources": [
"AKI",
"RRT"
],
"synthetic_values": true
},
{
"id": "electrolytes",
"title": "Potassium and rhythm/perfusion changes",
"sources": [
"RRT",
"HEMO"
],
"synthetic_values": true
},
{
"id": "cultures",
"title": "New fever and a suspected source",
"sources": [
"FEVER",
"SEPSIS"
],
"synthetic_values": true
},
{
"id": "anticoagulation",
"title": "Bleeding/thrombosis balance with anticoagulation",
"sources": [
"PBM",
"MCS"
],
"synthetic_values": true
},
{
"id": "hemolysis",
"title": "Anemia or dark urine during mechanical support",
"sources": [
"MCS",
"LVAD"
],
"synthetic_values": true
},
{
"id": "fluidacid",
"title": "Fluid, electrolyte and acid-base needs during CRRT",
"sources": [
"RRT"
],
"synthetic_values": true
},
{
"id": "paireddata",
"title": "A displayed number that conflicts with the patient",
"sources": [
"SPO2",
"GAS",
"LVAD"
],
"synthetic_values": true
}
],
"equipment": [
{
"id": "ventilator",
"name": "ICU ventilator",
"sources": [
"VENTASSESS"
]
},
{
"id": "workstation",
"name": "Anesthesia workstation",
"sources": [
"WORKSTATION"
]
},
{
"id": "hfnc",
"name": "HFNC system",
"sources": [
"HFNC"
]
},
{
"id": "niv",
"name": "Noninvasive positive-pressure system",
"sources": [
"NIV"
]
},
{
"id": "airway",
"name": "Airway devices and visualization equipment",
"sources": [
"RSI",
"TUBE"
]
},
{
"id": "capnography",
"name": "Waveform capnograph",
"sources": [
"TUBE"
]
},
{
"id": "oximeter",
"name": "Pulse oximeter",
"sources": [
"SPO2"
]
},
{
"id": "arterial",
"name": "Arterial catheter/transducer",
"sources": [
"HEMO",
"SHOCK25"
]
},
{
"id": "central",
"name": "Central venous catheter",
"sources": [
"HEMO",
"SHOCK25"
]
},
{
"id": "pac",
"name": "Pulmonary artery catheter",
"sources": [
"HEMO",
"SHOCK25"
]
},
{
"id": "infusion",
"name": "Infusion or syringe pump",
"sources": [
"PUMP"
]
},
{
"id": "drain",
"name": "Pleural chest-drain system",
"sources": [
"DRAIN"
]
},
{
"id": "pacing",
"name": "Temporary epicardial pacing system",
"sources": [
"PACE"
]
},
{
"id": "crrt",
"name": "CRRT machine and circuit",
"sources": [
"RRT"
]
},
{
"id": "vv",
"name": "VV-ECMO circuit",
"sources": [
"VV"
]
},
{
"id": "va",
"name": "VA-ECMO circuit",
"sources": [
"MCS"
]
},
{
"id": "iabp",
"name": "Intra-aortic balloon pump",
"sources": [
"IABP"
]
},
{
"id": "lvad",
"name": "Durable LVAD",
"sources": [
"LVAD"
]
},
{
"id": "microaxial",
"name": "Temporary left-sided microaxial pump",
"sources": [
"MCS"
]
}
],
"procedure_mapping": {
"CABG": {
"labs": [
"bleeding",
"ventilation",
"lactate"
],
"air": [
"pain",
"extubation"
],
"equipment": [
"ventilator",
"arterial",
"infusion"
]
},
"VALVE": {
"labs": [
"anticoagulation",
"electrolytes",
"bleeding"
],
"air": [
"pain",
"extubation"
],
"equipment": [
"pacing",
"arterial",
"ventilator"
]
},
"AORTIC": {
"labs": [
"kidney",
"lactate",
"bleeding"
],
"air": [
"pain",
"airwaycare"
],
"equipment": [
"arterial",
"infusion",
"ventilator"
]
},
"VA": {
"labs": [
"oxygenation",
"hemolysis",
"anticoagulation"
],
"air": [
"airwaycare",
"modes"
],
"equipment": [
"va",
"arterial",
"pac"
]
},
"LVAD": {
"labs": [
"hemolysis",
"kidney",
"anticoagulation"
],
"air": [
"pain",
"support"
],
"equipment": [
"lvad",
"arterial",
"pac"
]
},
"IMPELLA": {
"labs": [
"hemolysis",
"bleeding",
"anticoagulation"
],
"air": [
"support",
"airwaycare"
],
"equipment": [
"microaxial",
"arterial",
"infusion"
]
},
"HEARTTX": {
"labs": [
"kidney",
"lactate",
"electrolytes"
],
"air": [
"pain",
"extubation"
],
"equipment": [
"pac",
"ventilator",
"infusion"
]
},
"LUNGRESECTION": {
"labs": [
"oxygenation",
"ventilation",
"bleeding"
],
"air": [
"pain",
"airwaycare",
"support"
],
"equipment": [
"drain",
"ventilator",
"hfnc"
]
},
"LUNGTX": {
"labs": [
"oxygenation",
"ventilation",
"kidney"
],
"air": [
"airwaycare",
"modes",
"extubation"
],
"equipment": [
"ventilator",
"vv",
"capnography"
]
},
"ESOPH": {
"labs": [
"cultures",
"bleeding",
"kidney"
],
"air": [
"pain",
"airwaycare",
"support"
],
"equipment": [
"drain",
"ventilator",
"infusion"
]
},
"AIRWAYSURG": {
"labs": [
"ventilation",
"oxygenation"
],
"air": [
"intubation",
"airwaycare"
],
"equipment": [
"airway",
"capnography",
"ventilator"
]
},
"AAA": {
"labs": [
"bleeding",
"kidney",
"lactate"
],
"air": [
"pain",
"support"
],
"equipment": [
"arterial",
"ventilator",
"crrt"
]
},
"CAROTID": {
"labs": [
"bleeding",
"paireddata"
],
"air": [
"intubation",
"airwaycare"
],
"equipment": [
"airway",
"capnography",
"arterial"
]
},
"LIMB": {
"labs": [
"electrolytes",
"kidney",
"bleeding"
],
"air": [
"pain",
"support"
],
"equipment": [
"arterial",
"infusion",
"crrt"
]
},
"SHOCK": {
"labs": [
"lactate",
"kidney",
"oxygenation"
],
"air": [
"intubation",
"support"
],
"equipment": [
"pac",
"iabp",
"microaxial",
"va"
]
},
"RESPFAIL": {
"labs": [
"ventilation",
"oxygenation",
"cultures"
],
"air": [
"support",
"modes",
"extubation"
],
"equipment": [
"hfnc",
"niv",
"ventilator",
"vv"
]
},
"ENDOCARD": {
"labs": [
"cultures",
"kidney",
"lactate"
],
"air": [
"intubation",
"support"
],
"equipment": [
"ventilator",
"arterial",
"infusion"
]
},
"COMFORT": {
"labs": [
"paireddata"
],
"air": [
"comfort",
"support"
],
"equipment": [
"infusion",
"hfnc"
]
}
},
"format": "worked examples; no quizzes",
"clinical_validation": false,
"full_text_audit_complete": false,
"all_sources_have_public_links": true,
"source_types_distinguished": true,
"evidence_classification": {
"reviewed": "2026-10-28",
"document": "EVIDENCE_CLASSIFICATION.md",
"record": "EVIDENCE_CLASSIFICATION.json",
"recommendation_groups": 27,
"case_applications": "Synthetic examples using general clinical knowledge and context-dependent practice; not standardized protocols",
"clinical_validation": false
}
}