icu-clinical-consultlisted

Multi-agent adversarial clinical consult for pediatric (and adult) critical care questions. Triggers on ANY clinical question involving a patient scenario, physiologic mechanism, ventilator management, hemodynamics, ECMO, shock, sepsis, neurocritical care, renal, cardiac perioperative care, antimicrobial selection, or any bedside ICU question. Also triggers for mechanism-level physiology questions (e.g., "how does X affect Y") even without a specific patient. Trigger phrases include: "clinical question," "I have a patient," "what would you do with," "management of," "mechanism of," "physiology of," any drug/vent/hemodynamic question, antimicrobial spectrum/coverage question, differential diagnosis, "what's the evidence for," or any scenario that a PICU attending would reason through. Use this skill even for seemingly simple clinical questions — err on the side of triggering. Do NOT use for grant writing, manuscript editing, literature reviews, data analysis, or non-clinical academic tasks.
neelshah4/claude-icu-clinical-consult · ★ 0 · AI & Automation · score 75

Install: claude install-skill neelshah4/claude-icu-clinical-consult

# Multi-Agent Adversarial ICU Clinical Consult ## Overview Four specialized agents analyze a clinical question independently and adversarially; a Synthesis agent merges their outputs into one physiology-forward, guideline-aware response delivered entirely in chat. A Citation & Numeric-Claim Validator agent runs final verification of both academic citations and specific numeric clinical claims (resistance percentages, mortality rates, NNT/NNH, prevalence, effect sizes). **Deterministic path:** `extras/icu-consult.js` (Workflow tool) runs the same four reasoners in parallel → synthesizer → fabrication-auditor → citation-verifier, each dispatched by `agentType`. The model-driven path here is the default for interactive consults. Decision support for a licensed clinician; never autonomous orders. All output is conversational, colleague-to-colleague at attending intensivist level: no hedging, no disclaimers, no "consult your physician" (Writing Rule 1). ## Mode Detection **Mode A — Patient Scenario**: a specific patient (age, vitals, labs, imaging, context). Full adversarial workup: executive brief, diagnostics, treatment. **Mode B — Mechanism/Physiology Question**: a mechanism, drug effect, or physiologic principle without a specific patient. Open Evidence Deep Consult style: pathophysiology- forward, concise, evidence hierarchy. **Mode C — Antimicrobial Spectrum/Selection**: drug-bug coverage, spectrum comparison, or antibiotic selection ("does X cover Y?", "compare A vs