rhavekost

Use when estimating cardiovascular risk, stroke risk in atrial fibrillation, bleeding risk, pneumonia severity (CURB-65), or venous thromboembolism probability (Wells DVT/PE). Includes ASCVD PCE, CHA2DS2-VASc, HAS-BLED, Framingham, HEART, CURB-65, and Wells scores.

Use when assessing critical illness severity or neurologic status. Includes GCS, SOFA/qSOFA, MELD, NIHSS, and APACHE IV overview.

Use when applying validated ED decision rules to reduce unnecessary imaging or testing. Includes Ottawa ankle/knee rules, Canadian C-Spine rule, and the PERC rule.

Use when assessing medication appropriateness in older adults or screening for delirium or cognitive impairment. Includes STOPP/START v3, 4AT delirium screen, and Mini-Cog.

Use when calculating medication conversions or safety metrics. Includes corticosteroid equivalencies, QTc correction formulas, opioid equianalgesic conversions, and warfarin dosing adjustment guidance.

Use when applying pediatric decision rules or growth/weight-based calculations. Includes PECARN head injury rule, CDC/WHO growth standards, weight-based dosing rules, Holliday-Segar maintenance fluids, and Parkland burn formula.

Use when calculating general primary care formulas and decision rules. Includes TDEE/BMR (Mifflin-St Jeor, Harris-Benedict), Centor/McIsaac, and Naegele's rule.

Use when calculating renal function estimates, electrolyte corrections, acid-base physiology metrics, lipid estimates, or BMI. Includes CKD-EPI 2021, Cockcroft-Gault, anion gap, Winters formula, A-a gradient, Friedewald LDL, and related tools.

Use when auditing prose at the sentence level on stabilized drafts. Trigger on: 'audit prose', 'active voice', 'sentence variance', 'passive voice pass', 'parallel structure check', 'readability audit', 'prose mechanics', or sentence-level diagnostic work on fiction or nonfiction.

Use when writing self-help books, memoirs, or prescriptive guides with story elements. Trigger on: 'self-help book', 'transformation arc', 'metaphor consistency', 'reader journey', 'exercise design', or narrative nonfiction projects.

Use when planning or diagnosing a novel's macro plot structure. Trigger on: 'story structure', 'plot point', 'inciting event', 'midpoint', 'structure audit', 'structure map', 'signpost scene', 'mirror moment', or macro-structure analysis.

Use when identifying, auditing, or tracking character archetypes in fiction. Trigger on: 'character archetype', 'archetype audit', 'what archetype is this character', 'archetype conformance', 'Hero's Journey character role', 'Jungian archetype', or archetype-based character analysis.

Use when writing or editing novels, short stories, or any fiction manuscript. Trigger on: 'write fiction', 'edit my novel', 'developmental edit', 'line edit', 'character voice', 'plot hole', 'brainstorm', or fiction writing tasks.

Audit and rewrite content to remove AI writing patterns ("AI-isms"). Use this skill when asked to "remove AI-isms," "clean up AI writing," "edit writing for AI patterns," "audit writing for AI tells," or "make this sound less like AI." Supports a detection-only mode that flags patterns without rewriting.

Use when auditing a medical-device software codebase for FDA 510(k) submission readiness, checking regulatory documentation and engineering evidence against FDA software guidance, or finding gaps in design controls, IEC 62304, ISO 14971, cybersecurity (SBOM, §524B), QMSR, human factors, or labeling. Keywords - 510(k), SaMD, premarket submission, substantial equivalence, device software functions, gap analysis.