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136 pathways · free, offline, no account

Practise the on-call
before it happens.

Most handbooks tell you what to do. bleep makes you do it — worked scenarios, recall practice and a differential builder, alongside 136 pathways you can follow at the bedside.

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136Pathways
43Calculators
382Rows source-checked
£0Free, no account
The bleep oncall home screen: a search box, specialty filters, and pinned conditions including sepsis, AKI and hyperkalaemia

Not another handbook

136 pathwaysStep by step, with doses and escalation points Ward coverThe 3am bleeps, and what to ask before you walk Surgical sieve20 presentations, each with a structured differential 43 calculatorsEvery threshold traced to its primary source ARCP logbookLog as you go, export a spreadsheet Kit and numbersCannula gauges, bottle colours, what is in the bag Checked, and shown382 rows against named sources

What it actually looks like

Screenshots, not mock-ups.

A paediatric meningitis case in bleep oncall, asking for the working diagnosis and immediate priority
A case, one decision at a time. You commit before you see whether you were right — and the explanation says why, not just which.
On-Call Mode: the STEMI pathway as a checklist with tickboxes and a progress bar
On-Call Mode at the bedside. The same pathway as a checklist you tick off, with the doses and the timings in front of you.
A VINDICATE differential for chest pain, with PE, aortic dissection and ACS flagged must-exclude
A differential you did not have to remember. Must-excludes pinned to the top, each with what rules it in or out.
A worked bleep scenario with the call transcript and an A to E assessment
The bleep, then the A–E. What you were told, what you find, and the differential that follows from it.
A background note on oesophageal rupture explaining what it is and why it gets missed
What it is, not just its name. Short notes on the conditions without a pathway yet — and the reason each one gets missed.
The ARCP logbook showing percentage ready, nation selection and an evidence checklist
ARCP evidence as you go. Mini-CEX, DOPS and the rest against your nation's requirements. Exports as a spreadsheet.

Why you can trust the numbers

Every calculator was checked row by row against its primary source by a practising doctor. That found a scoring bug, a renal calculation that read too favourably, and two wrong guideline citations — none of which look wrong on screen. Read what we found.

Start anywhere

Sepsis / Septic ShockSepsis is life-threatening organ dysfunction caused by a…Acute Coronary Syndrome — STEMISTEMI is defined by ST elevation ≥1mm in ≥2 contiguous limb…Acute AsthmaSeverity is classified by PEFR, SpO₂, RR, HR and ability to…Convulsive Status EpilepticusStatus epilepticus is seizure activity lasting >5 minutes, or…Acute Kidney Injury (AKI)AKI is defined by KDIGO criteria: creatinine rise ≥26 μmol/L…Upper GI HaemorrhageUpper GI bleeding (above ligament of Treitz) presents as…Atrial Fibrillation — Fast Ventricular RateIn AF with rapid ventricular rate, first assess haemodynamic…Pulmonary EmbolismRisk stratify using the Wells PE score. Score >4: PE likely…

All 136 conditions →

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The same decisions, asked as questions — finals and UKMLA practice that links each answer back to the pathway you would actually follow.

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