Start here: enter the measurements and readings. The app classifies the child and opens the right pathway: the SAM pathway (malnutrition rules for fluids and drugs) or the standard pathway (usual paediatric emergency protocols).
Patient
BACKGROUNDChronic medical illness
Select every chronic condition the child has. The app adapts measurement, classification and the plan.
GMFCS level
How to measure (Stevenson 1995)
| Measure | Landmarks | Stature (cm) |
|---|---|---|
| Knee height (preferred; sliding caliper) | Seated/supine, knee and ankle at 90°; plantar heel → anterior distal thigh over femoral condyles | 2.69 × KH + 24.2 |
| Upper arm length (tape) | Elbow 90°, forearm across chest; lateral acromion → tip of olecranon | 4.35 × UAL + 21.8 |
| Tibial length (caliper/tape) | Supero-medial tibial plateau → tip of medial malleolus | 3.26 × TL + 30.8 |
| Segmental length (tape) | Supine: crown → greater trochanter + trochanter → lateral knee line + knee line → heel | Sum of segments |
| Ulna length | Olecranon tip → styloid process | 4.605 × UL + 46.83 |
- Measure the unaffected or least-affected side (hemiplegia, asymmetric contractures).
- Take 2–3 measurements and enter the average.
- Plot on WHO charts for diagnosis; CP (GMFCS) charts for trajectory.
Stevenson RD, Arch Pediatr Adolesc Med 1995 · Brooks et al., Pediatrics 2011
If length/height cannot be measured, leave it empty: the app uses knee height first, then upper arm, tibia, segmental sum, ulna.
READINGS 1Anthropometry
Bilateral pitting oedema (press both feet 3 s)
UNDER 6 MONTHSInfant assessment (WHO Gaza, Aug 2026)
Feeding
Risk of poor growth and development (PGD)
Complications specific to < 6 months
Severe dermatosis: use the skin finding in Assess. IMCI danger signs are entered in Assess.
READINGS 2Vital signs and bedside tests
Glucose in mg/dL ÷ 18 = mmol/L. Leave a box empty if not measured.
READINGS 3Consciousness and circulation
C — CIRCULATION
STEP 1Emergency signs (ETAT) and dehydration
A · B — AIRWAY AND BREATHING
E — EXPOSURE
D — DEHYDRATION
STEP 2History · danger signs and background
IMCI danger signs
Symptoms
Background
Also record: usual diet and recent intake, breastfeeding, sibling deaths, milestones, immunization.
STEP 3Examination · complications
Hydration
Chest and infection
Eyes
Skin and mouth
Other
STEP 4RUTF appetite test
STEP 5Classification and decision
STEP 6Investigations
Bedside tools: blood-gas interpretation, NG tube insertion, and image reading for labs, X-rays and ECGs.
Tool 1Blood gas · ABG / VBG
Na⁺, K⁺ and glucose are copied from Readings when empty here. Enter at least pH, pCO₂ and HCO₃⁻.
Tool 2Nasogastric tube · insertion protocol
Tool 3Images · labs, X-rays, ECG
Add photos of lab reports, X-rays or ECGs. Images stay on this device for this visit only — they are not saved and are cleared on reload or New patient. Hide the patient's name before taking the photo.
Sends the images with the patient's readings to Claude on your account. Decision support only: confirm with the radiologist, the lab and your own examination.
Image reading by Claude is not available in this view; you can still view and zoom the photos here.
Clinical approaches: start from the complaint, or open a system. Every dose is calculated for this child's weight; when the child is on the SAM pathway, the malnutrition changes appear in amber.
Newborn details
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