A new way to revise, fifteen new conditions, and a much bigger Surgical Sieve. LEARN — REBUILT AROUND SPACED REPETITION Every pathway now has three ways to test yourself, and all three keep score. Flashcards ask one thing at a time: a dose and route, an escalation trigger, the key actions of a step. What Next? hides the next step of the pathway and asks you to name it, dropping you in at a different point each time rather than walking you front to back. Numbers blanks out a dose, a threshold or an interval and leaves the rest of the step readable. Mark a card Missed and it comes back before the end of the sitting, and again sooner next time. Mark it Got it and the gap stretches — a day, three days, a week, three weeks. The ones you keep missing are the ones you keep seeing. The cards are built from the pathways themselves, so they cannot drift out of date. Every one was read by a doctor before this shipped. NEW PATHWAYS Spinal epidural abscess. Guillain-Barre. Myasthenic crisis. Angioedema. DRESS. Massive haemoptysis. Thrombocytopenia. Oesophageal rupture. Severe aortic stenosis. Glomerulonephritis and vasculitis. Line and catheter infection. Migraine. Vasovagal syncope. Scabies. That is 136 conditions now, each one numbered in order, with the doses, the timings and who to call. A BIGGER SIEVE The Surgical Sieve has gone from 8 presentations to 20. Rash and itch, hypotension, falls, tachycardia, low saturations, drowsy, vomiting, diarrhoea, bleeding, back pain, leg swelling, off legs. 178 differentials, and every single one opens either a full pathway or a written note — no dead ends. Presentations are now searchable too, so "off legs" and "swollen ankles" find the right card. KIT AND NUMBERS Eight reference cards under Extra Bleeps for the things nobody teaches you: cannula gauges and flow rates, blood bottle colours and the order of draw, catheter sizes, NG tube confirmation, oxygen devices and rough FiO2, needle sizes, fluid contents, and the numbers you get asked for on the phone. 56 NEW CASES Four per new condition, six steps each, all written from that condition's own pathway. HOW IT WAS CHECKED Every new pathway was read end to end by a doctor before it could ship — the build refuses while anything is unreviewed. That review produced 62 amendments, and four pathways were held back for a second round and rewritten against guidance published this year. FIXED Bold text was showing as literal asterisks in some sieve and explainer cards. Those sheets now close with a swipe down as well as the button. Screens fade in rather than snapping. The pathway itself now lives in one place instead of two. Still free. Still works offline. Still not a substitute for your senior or your local guideline.

9 NEW PATHWAYS - Subarachnoid haemorrhage · Mesenteric ischaemia · Pericarditis and myocarditis · Infective endocarditis · Necrotising fasciitis · Pyelonephritis · Diverticulitis and more. All up-to-date, reviewed and with cases to test your knowledge. BACKGROUND, WHERE YOU ARE ALREADY READING Tap a term inside a pathway — Hartmann's, King's College criteria, a score you half-remember — and get a short note on what it is and what people get wrong, without losing your place. THE SURGICAL SIEVE NOW GOES SOMEWHERE Build a differential, then tap any diagnosis on it. If there's a pathway, it opens — straight to the quick guide, because at that point you want to know what to do, not sit a quiz. If there isn't one yet, you get a short note on what the thing actually is and the single feature people most often miss. Every diagnosis in the sieve now leads somewhere. Nothing is a dead end. REFLECTIONS IN YOUR ARCP LOGBOOK What happened, what you made of it, what changes. Five minutes at the end of a shift beats an hour the week before ARCP. Exports with the rest of your evidence as CSV. FOUND SOMETHING WRONG? TELL ME. There's a "?" on every screen now. It opens an email to me with the page you were on already filled in. I'm a doctor, I wrote this, and I would much rather hear about a mistake than not. ALSO • Fixed the number pad closing after every digit in the calculators • Fixed cases that appeared twice or opened a blank screen • Search the scenarios list by what you've not tried, or what needs work • Faster to reach the case list on a condition page ...because the next call is yours.

The whole app is now one tap away. A NEW BOTTOM BAR Home, Calculators, Sieve and Logbook, always in reach. No more digging through menus one-handed with a bleep going off. SURGICAL SIEVE Pick a presentation, tell it about the patient, and get a structured differential organised by VINDICATE — with the must-excludes pinned to the top. Nothing is ranked by probability and nothing is ever filtered out. Alongside it, 25 worked bleep scenarios with the full A–E findings behind each one. CALCULATORS, ONE TAP AWAY All 9 clinical scores on their own tab, searchable by what they're for. Type "sepsis" for qSOFA, "AF stroke" for CHA₂DS₂-VASc, "kidney" for Cockcroft-Gault. LOGBOOK & ARCP, TOGETHER Log SLEs, takes, clinics and teaching as you go and your ARCP checklist fills in automatically. Grade- and nation-aware, so you see the right requirements for your year and portfolio. Exports as CSV. 25 NEW CONDITIONS 108 in total. Every specialty is now filled out — nothing left "coming soon". ALSO IN THIS RELEASE • On-Call Mode — work any pathway as a tickable checklist at the bedside • Search that spans the whole app, whatever specialty filter you're on • Pin the conditions you reach for most • Jobs & Notes — a shift scratchpad for jobs to chase and numbers to remember • Smoother edges, cleaner chips, and a back button that's finally centred ...because the next call is yours.

The whole app is now one tap away. A NEW BOTTOM BAR Home, Calculators, Sieve and Logbook, always in reach. No more digging through menus one-handed with a bleep going off. SURGICAL SIEVE Pick a presentation, tell it about the patient, and get a structured differential organised by VINDICATE — with the must-excludes pinned to the top. Nothing is ranked by probability and nothing is ever filtered out. Alongside it, 25 worked bleep scenarios with the full A–E findings behind each one. CALCULATORS, ONE TAP AWAY All 9 clinical scores on their own tab, searchable by what they're for. Type "sepsis" for qSOFA, "AF stroke" for CHA₂DS₂-VASc, "kidney" for Cockcroft-Gault. LOGBOOK & ARCP, TOGETHER Log SLEs, takes, clinics and teaching as you go and your ARCP checklist fills in automatically. Grade- and nation-aware, so you see the right requirements for your year and portfolio. Exports as CSV. 25 NEW CONDITIONS 108 in total. Every specialty is now filled out — nothing left "coming soon". ALSO IN THIS RELEASE • On-Call Mode — work any pathway as a tickable checklist at the bedside • Search that spans the whole app, whatever specialty filter you're on • Pin the conditions you reach for most • Jobs & Notes — a shift scratchpad for jobs to chase and numbers to remember • Smoother edges, cleaner chips, and a back button that's finally centred ...because the next call is yours.