Beta · 120 guideline algorithms · sourced & linked · works offline

Clinical algorithms you can practice.

The flowcharts trapped in guideline PDFs, turned into interactive pathways. Answer the questions that matter, get the next step in management with its source. Then drill every case until you own it.

  • Every algorithm links straight to the current guideline.
  • A trainer, not just a reference: drill real cases, walk the algorithm, work backwards from the plan.
  • One account across the whole Rounds family, so your flashcards follow you.
  • Works on desktop browser or mobile.
120
algorithms
14
specialties
1,400
practice cases
📱 Works like an app. On iPhone: open in Safari → Share → Add to Home Screen. Full screen, offline-ready, no App Store needed.
on shiftNo account needed

Look it up in five taps, not five pages

The real thing, running right here: answer in order, new questions appear as they matter, and the next step updates live with its plan and source. Nothing you tap is saved.

DRAFT · pending clinician review. For evaluation only.
120 algorithms, 14 specialties. Resuscitation, cardiology, tox, electrolytes, OB, airway crises and more. Each asks only what changes the management.
Sourced, dated, honest. Every pathway cites the current guideline with a link, and shows its review status on its face.
A trainer, not just a reference. Every decision becomes a practice case; misses become spaced-repetition flashcards that follow you across the Rounds family.
then own itThe trainer

Practice until you don't need us

Every algorithm becomes cases you can drill five different ways: a case a day, a timed exam, and flashcards that close the gaps.

Scenario 7 / 32 no hints
VF — 3 shocks in. What's next?
Amiodarone 300 mg ✓Atropine 1 mg
🎯

Practice, don't just read

Real vignettes: here's the patient, call the management. The algorithm's own wording never appears as a choice.

Case of the day 🔥 5-day streak
A 4-month-old with worsening cough and poor feeding…
Practice →
🔥

Case of the day

One case a day, weak spots first, with a streak to keep you coming back, the way a language app would.

One algorithm · five ways
ScenarioWork it upDrill
ReverseExam
🧠

Five ways to drill

Learn a decision node from every angle, from a gentle walk-through to a no-hints exam.

24 / 30
80% · 4:12 · 6 to review
↗ Share scorecard
🏅

Exam & shareable scorecard

Timed, no feedback until the end, then a review of every case and a de-identified scorecard to share.

What changes the management
Serum K⁺? — you had 5.1
if ≥ 6.5 → calcium first
💡

See exactly what you missed

Miss a case and the engine shows the one finding that would have changed the answer, pinned to the source.

Missed → flashcard
First move in a high spinal?
AgainHardGood
🃏

Misses become flashcards

One tap turns a missed case into spaced repetition, and your cards travel with you into Rounds and Pre-Op.

Made by a physician who carries the pager.

Stepwise is built between shifts by a clinician who uses it every day, alongside its siblings Rounds and Pre-Op. One account works across all of them.

Meet the family →

Own the algorithm before you need it

Look it up until you don't have to. Free to start, and your account already works across the whole Rounds family.

Open Stepwise, free