Clinical tools
Clinical Pathways
Structured pathways connect presentations, investigations, decisions and follow-up for learning and reference.
Explore MedNextClinical Pathways
Structured pathways connect presentations, investigations, decisions and follow-up for learning and reference.
Public pages introduce the workflow. Detailed pathways live inside MedNext and must be used with current local guidance and clinical judgement.
Sample pathway: recognising and treating sepsis
A taste of what is inside. A pathway turns a presentation into an ordered sequence of decisions. This worked example follows the widely taught sepsis-six structure; always apply it alongside your current local guideline and senior review.
1. Recognise. Suspect sepsis in any patient with a likely infection who develops signs of organ dysfunction: altered mental state, low blood pressure, a raised respiratory rate, or reduced urine output. Use your local early-warning score to escalate promptly.
2. Take three, give three. The classic bundle within the first hour is to take blood cultures, take a serum lactate and monitor urine output, and to give oxygen, intravenous fluids and empirical antibiotics per local guidance.
3. Give oxygen. Target the saturation range set by your local policy for the patient group.
4. Give fluids. A prompt intravenous fluid challenge for hypotension or a raised lactate, then reassess the response rather than giving fixed volumes blindly.
5. Give antibiotics. Start broad-spectrum empirical antibiotics early, after cultures where feasible, and narrow the choice once sensitivities return.
6. Reassess and escalate. Re-check the lactate and haemodynamics, involve critical care early if there is no improvement, and identify and control the source of infection.
The full pathway library links each step to its evidence, investigations and follow-up. This is a taste of what is inside; the full interactive tool is in the MedNext app.
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