iRefer vs Emergency Department Pathways

The iRefer guidelines have been published by the Royal College of Radiologists since 1989 and are aimed at all healthcare professionals to help determine the best, safest and most appropriate imaging investigations. This application provides on the go access to the iRefer guidelines, even when offline.

Emergency Department Pathways puts 33 step-by-step decision pathways for acute and emergency presentations in your pocket — built by a practising clinician to support fast, structured decisions at the bedside. Each pathway walks you from recognition through severity stratification to treatment and disposition, with the doses, criteria and red flags you need in front of you. Every recommendation links to its source guideline, so you can check the evidence in a tap. WHAT'S INSIDE 33 pathways across the major emergencies: Cardiovascular: chest pain & ACS, cardiac arrest (ALS), SVT, AF, PE, bradycardia Respiratory: acute asthma, COPD, pneumonia, pneumothorax Neurological: acute stroke, status epilepticus, headache red flags Infection: sepsis, meningitis/encephalitis, necrotising soft-tissue infection Endocrine: DKA, HHS, hypoglycaemia Renal & electrolyte, AKI, hyperkalaemia, hyponatraemia Toxicology: paracetamol, TCA/SSRI, opioid overdose Haematology: upper GI bleed, major haemorrhage protocol Others: anaphylaxis, burns, acute psychiatric emergency, cauda equina, acute limb ischaemia, drowning KEY FEATURES Clear, stepwise decision trees; recognition to disposition Severity stratification and red-flag prompts Adult and paediatric considerations where relevant Every pathway cites its source (NICE, RCEM, JBDS, Resus Council UK, ESC and others) — tap any citation to open it Fast search across all pathways Adjustable text size Works fully offline; no account, no tracking FREE TO TRY Anaphylaxis, Sepsis and DKA are free. Unlock all 33 pathways with a single one-time purchase; no subscription. BUILT BY A CLINICIAN Created and maintained by Dr Atif Elnil (MBBS MRCP) Neurology and Stroke St George's London UK. Reviewed against contemporary evidence-based guidelines. IMPORTANT Emergency Department Pathways is an educational and training reference for licensed healthcare professionals. It is not a substitute for clinical judgement, formal training, or local hospital protocols. Always verify doses and decisions against your local guidelines and seek senior input when uncertain.