Every active finding, ordered by severity, then horizon, then pattern strength, then freshness — the engine's actual ranking, not a mystery score.
0 reviewed · 0 resolved · states persist across pages
O₂ · horizon 6h
Multisystem deterioration
Consider a single unifying driver — sepsis, hypovolaemia/bleeding, cardiogenic failure, or a drug effect — rather than treating 7 separate problems.
Cr · horizon 6h
Evolving renal injury
Consider pre-renal hypoperfusion (falling output supports this, hypotension, dehydration, sepsis), nephrotoxic exposure, and obstruction.
Temp · horizon 6h
Systemic infection trajectory
Consider treatment failure or resistant organism, a second source, line/catheter infection, and non-infective mimics (drug fever, thrombosis).
SBP · horizon 6h
Falling perfusion reserve
Consider hypovolaemia (poor intake, losses), sepsis-related vasodilation, cardiac causes and medication effect.
Hb · horizon 6h
Possible blood loss
Consider gastrointestinal, procedural/surgical-site, retroperitoneal and intramuscular sources; consider haemodilution and haemolysis as alternatives.
O₂ · horizon 12h
Rising respiratory burden
Consider progressive pneumonia, aspiration, pulmonary embolism, bronchospasm and atelectasis.
RR · horizon 12h
Multisystem deterioration
Consider a single unifying driver — sepsis, hypovolaemia/bleeding, cardiogenic failure, or a drug effect — rather than treating 5 separate problems.
Temp · horizon 24h
Systemic infection trajectory
Consider treatment failure or resistant organism, a second source, line/catheter infection, and non-infective mimics (drug fever, thrombosis).
Cr · horizon 6h
Evolving renal injury
Consider pre-renal hypoperfusion (falling output supports this, hypotension, dehydration, sepsis), nephrotoxic exposure, and obstruction.
SBP · horizon 6h
Falling perfusion reserve
Consider hypovolaemia (including occult bleeding on anticoagulation, poor intake, losses), sepsis-related vasodilation, cardiac causes and medication effect.
Na⁺ · horizon 12h
Progressive sodium decline
Consider volume status, hypotonic fluid intake, SIADH triggers (pain, nausea, medications), diuretics, and adrenal/thyroid causes.
O₂ · horizon 24h
Rising respiratory burden
Consider progressive pneumonia, aspiration, pulmonary embolism, bronchospasm and atelectasis.
Temp · horizon 24h
Systemic infection trajectory
Consider treatment failure or resistant organism, a second source, line/catheter infection, and non-infective mimics (drug fever, thrombosis).
SBP · horizon 24h
Falling perfusion reserve
Consider hypovolaemia (poor intake, losses), sepsis-related vasodilation, cardiac causes and medication effect.
Na⁺ · horizon 24h
Minor sodium drift
No change to routine monitoring suggested; the next scheduled sodium will confirm whether this is drift or noise.
Synthetic demonstration · prompts support clinician review and are not orders