Bedside reference for ICU delirium — screening, prevention, and management at the point of care.

Reference aid only. This tool supports — it does not replace — clinical judgment, local protocol, and prescriber/pharmacy review. It is not a validated decision-support device, a diagnostic instrument, or an order set. Verify every recommendation against the cited primary sources and your institution's policy. Provided "as is", without warranty.

• Risk factors — a predisposing + precipitating checklist. The tally is a non-validated heuristic and points you to the validated PRE-DELIRIC / E-PRE-DELIRIC models.
• CAM-ICU + RASS — the four-feature CAM-ICU flow with RASS level and motor-subtype.
• ABCDEF bundle — the ICU Liberation prevention bundle as a working checklist.
• DELIRIUM(S) — a causative-factor review mnemonic.
• Treatment — the CAM-positive algorithm: treat causes → intensify non-pharm → pharmacologic safety options.
• Medications — pharmacologic options with cautions, plus a deliriogenic-medication review.
• Documents — print-ready PDFs generated entirely in the browser.

Everything runs in your browser. The tool captures no patient identifier, sends nothing to a server, makes no third-party network requests, and includes no analytics. Anything you type stays on your device unless you choose to export or share it. Shareable links carry only de-identified content and are never stored server-side. Do not enter PHI into fields you intend to share.

npm install
npm run dev      # builds, then serves with Wrangler at the printed localhost URL

After npm run build, the contents of dist/ are a self-contained static site — you can also open dist/index.html directly; it works offline.

A self-hosted copy can ship a default protocol configuration. When served over http(s), the app reads a settings.json placed next to the page (e.g. https://your-host/settings.json) and applies it to the Setup tab — screening tool, RASS target, review cadence, and the governance fields. Generate one from Setup → Save settings (it downloads settings.json), then drop it beside index.html.

• These are unit/protocol settings only — never patient data. Values are validated on load: unknown keys are ignored, lengths are bounded, and dropdowns are constrained to their allowed options.
• To use a different filename, add a same-origin <meta name="settings-src" content="my-unit.json"> to index.html.

npm test         # data-accuracy unit tests + Playwright (functional, a11y, visual)
npm run test:unit
npm run test:e2e

A static site served by Cloudflare Workers (Static Assets), via Wrangler.

npm run deploy   # or connect the repository for push-to-main deploys

Instruments, thresholds, and citations are documented in docs/CLINICAL_METHODOLOGY.md, with a citation index in references/INDEX.md. Corrections backed by a primary source are very welcome — see CONTRIBUTING.md.

This repository's own code and documentation are released under the MIT License (© 2026 dotCooCoo) — free to use, modify, and distribute, provided the copyright and licence notice are retained. The clinical instruments it references (CAM-ICU, RASS, ICDSC, the ABCDEF/ICU Liberation bundle, PRE-DELIRIC, and others) are the work and copyright of their respective authors and are used as cited; see docs/CLINICAL_METHODOLOGY.md. The MIT "as is, no warranty" terms are separate from — and do not replace — the clinical disclaimer that this is a reference aid only, not a validated decision-support device.

• CONTRIBUTING.md — how to propose changes (clinical changes must cite a source and add a test).
• SECURITY.md — report a vulnerability or a clinical-correctness issue privately.
• Code of Conduct.