Adjunct Documents
Supporting, bridge, and interpretive materials that extend the core frameworks — deepening integration, connecting system reasoning, and supporting clinical decision-making across all encounter types.
What "Adjunct" Means
Adjunct documents are not supplementary in importance — they are important materials that serve a different structural role than the core frameworks. Where core frameworks define encounter structure, immediate stabilization logic, and the resuscitation-anchor domains, adjunct documents extend interpretation, bridge physiologic systems, support cross-system reasoning, and deepen integration in ways that complement but do not replace the core structure.
History Taking
In DevelopmentCross-cutting framework for structured, high-yield clinical history acquisition
A clinical reasoning tool for gathering relevant patient history — organized to elicit the information needed to generate, test, and refine clinical hypotheses across presentations. Supports reasoning across all system domains without defining the primary resuscitation structure.
Included
- Chief complaint and symptom characterization
- Hypothesis-shaping question strategy
- Pertinent positive and negative reasoning
- History organization for acute presentations
- Cross-domain applicable question structure
How It Connects
Designed to work before and alongside the core frameworks. Applies across all system library domains as a cross-cutting support tool.
View Core Frameworks →Oxygen Transport / Tissue Oxygenation
In ReviewBridge document connecting respiratory and cardiovascular reasoning
A supporting framework that bridges the Respiratory and Cardiac & Vascular core libraries through the physiology of oxygen delivery and tissue oxygenation. Explains how both systems define the patient's clinical status simultaneously and why both matter in the acutely ill patient.
Included
- Oxygen delivery and consumption physiology
- Relationship between cardiac output, hemoglobin, and oxygenation
- Failure points in the oxygen transport chain
- Cross-system reasoning connecting respiratory and cardiovascular compromise
- Clinical implications for assessment and treatment prioritization
How It Connects
Designed to be used alongside the Respiratory and Cardiac & Vascular core framework libraries — functioning as the conceptual bridge between them.
View Core Frameworks →EKG Interpretation
In DevelopmentOrganized framework for rhythm, electrical analysis, and clinical integration
A systematic approach to EKG interpretation — from rhythm and rate through intervals, conduction, ischemia and injury patterns, and clinical integration of findings. An important supporting and interpretive tool that extends the Cardiac & Vascular core framework.
Included
- Rate and rhythm identification
- Interval and axis analysis
- Conduction abnormality recognition
- Ischemia, injury, and infarct patterns
- Clinical integration and prioritization
How It Connects
Connects directly to the Cardiac & Vascular core framework library. Used across prehospital, emergency, and critical care contexts as a supporting interpretive tool.
View Core Frameworks →Explore the full document library.