Clinical decision support · Indian ICU

The ICU workspace that keeps every patient scored, tracked, and handed over — nothing left to memory.

UltraCare carries a critical patient from admission to discharge in one flow. APACHE II, SOFA, qSOFA and NEWS2 recompute on every charted value, deterioration gets flagged early, and I-PASS handovers carry everything forward. The clinician stays in the loop — always.

A Admission → discharge in one flow B Evidence-based scoring, recomputed each round C ABHA / ABDM native — Decision support, not decision making
ICU-04Day 2
Suresh Kumar58M · 72kg
Septic shock, ?source — likely respiratory
Type 2 DM · HTN · AKI stage 2
MRD BMHRC/2026/04412
ABHA 12-3456-7890-1234
Adm 13 May 2026 · 09:42
BMHRC · ICU-A5/12 beds
ICU-04D2
Suresh Kumar
58M · Septic shock, ?source

The problem

Critical care runs on memory, paper, and handovers that break.

The sickest patients in the hospital generate the most data and the least structure. Scores get calculated by hand, deterioration hides in trends nobody has time to plot, and the plan lives in one clinician's head until the shift changes.

01
Cognitive load

Too much to hold at once

A single ICU bed spans a dozen organ systems, drips and lines. Keeping every thread in working memory is where errors begin.

02
Fragmentation

The chart is scattered

Labs here, vitals there, the admission note on paper. Nothing computes the severity scores or trends for you as the picture changes.

03
Handover risk

Continuity leaks at the edges

The most dangerous moment is the shift change. An unstructured verbal handover drops exactly the detail the next team needs.

The workspace

One spine, admission to discharge.

UltraCare mirrors how intensivists actually work — a twelve-step path every patient follows, each step pre-structured so nothing gets missed and the record writes itself as you go.

  1. 01

    Admission

    Identifiers, source, indication, code status — auto-extracted from the referral, verified by you.

  2. 02

    Stabilization

    ABCDEF, access, first ABG and emergency orders, captured in the golden first hour.

  3. 03

    History

    HPI, past medical history and medications, once the patient is stable.

  4. 04

    Examination

    Head-to-toe, system by system, with every line and drain logged.

  5. 05

    Investigations

    Labs, imaging, ABG, hemodynamics and I/O in one live view.

  6. 06

    Assessment

    Problem list, organ dysfunction and trajectory, kept current.

  7. 07

    Differentials

    Ranked and evidence-linked, so the reasoning is on the page.

  8. 08

    Risk

    APACHE II, SOFA, qSOFA and NEWS2 with deterioration and outcome signals.

  9. 09

    Management plan

    System-wise orders — sepsis, ventilation, medications — in one place.

  10. 10

    Daily rounds

    AM / PM with the FAST HUGS BID sweep and an I-PASS handover. Voice · Phase 2

  11. 11

    Family & goals

    Prognosis, consent, code status and update log for the family.

  12. 12

    Discharge

    Summary, medications, follow-up and rehab, generated from the stay.

Every step feeds the next — the discharge summary is already written by the time you reach it.

The intelligence layer

The instruments, on one chart.

UltraCare turns the values you chart into severity scores, trend signals and literature-based estimates — transparently, and recomputed every round. It does the arithmetic, so you can do the medicine.

01
Severity scores

Every score, computed for you

APACHE II, SOFA, qSOFA and NEWS2 — recomputed on every charted value, never a stale number, each open to a full breakdown of its inputs.

02
Deterioration

The quiet decline, made visible

Rule-based trend deltas surface a worsening patient early — before the eye catches the drift. Transparent signals, not a black box.

03
Outcome estimates

Context from the literature

Mortality, length-of-stay and vent-free-day figures shown as estimates from published cohorts — reference ranges, never patient-specific predictions.

04
Clinical assistant

Drafts the writing, not the decisions

A context-aware assistant drafts the round note, sketches the I-PASS handover, and checks the sepsis bundle on request — you review and sign.

05
Handover

I-PASS, drafted from the chart

Structured I-PASS handovers with receiver read-back — nothing critical lost in the gap between shifts.

06
Safety sweep

FAST HUGS BID, every round

The routine safety checklist run on every round — the one that never gets tired, rushed or distracted.

Structured handover

Handovers that don't break.

Every sign-out follows I-PASS — illness severity, patient summary, an action list, if-then contingencies, and a receiver read-back. Drafted from the chart, so nothing critical is lost at the shift change.

See it in a pilot
UltraCare's handover follows I-PASS — the structured sign-out standard for critical-care teams.Framework · Starmer et al., NEJM 2014
Handover Note · I-PASS
AM shift · Draft — not yet sent
I Illness severity
P Patient summary
Suresh Kumar, 58M · Day 2. Septic shock, ?source — likely respiratory. SIMV-PC FiO2 0.5 / PEEP 8. MAP 65 · SpO2 94%.
A Action list
S Situation awareness & contingency
IFMAP < 65 sustained × 15 min
THEN250 mL fluid challenge · add vasopressin if NorAd > 0.25
IFSpO2 < 90% on current FiO2
THENIncrease FiO2 by 0.1 · recheck ABG

Safety sweep

The checklist that never gets tired.

FAST HUGS BID runs on every round — feeding, analgesia, sedation, thromboprophylaxis, head-up, ulcer prophylaxis, glycaemic control, spontaneous breathing, bowel care, indwelling lines and de-escalation. A pre-walk-away check, so the routine is never the thing that slips.

See it in a pilot
Built on the FAST HUGS BID daily ICU safety mnemonic — an established framework, not a black box.Reference · Vincent JL, Crit Care Med 2005
FAST HUGS BID · safety sweep
Pre-walk-away check · Vincent JL, CCM 2005 (extended)
64%
Daily safety checklist7/11

UltraCare AI

Ask anything clinical. Get a grounded answer.

A context-aware assistant that reads the whole chart — it summarises the patient, drafts the round note and I-PASS handover, checks the sepsis bundle and flags interactions. Every answer is grounded in charted values, and you review and sign.

See it in a pilot
The assistant drafts; the clinician decides. Every response is traceable to the charted record — decision support, not decision making.Rule-based today · a validated ML predictor is Phase 2
UltraCare
Online · context-aware
Suresh Kumar · ICU-04 · Day 2 · admission
What's the update?
Quick summary of Suresh Kumar, 58M — septic shock, ?source (likely respiratory):
Status · Critical / guarded
Latest vitals
ParameterValueFlag
HR112 bpmTachycardic
BP90/52 · MAP 65Borderline
SpO294%Watch
RR22 /minElevated
Temp38.6°CFebrile
GCS11 (E3V4M4)Reduced
Concerns to watch
  1. MAP at target (65) — monitor vasopressor requirement closely
  2. SpO2 94% — watch; may need ventilatory optimisation
  3. AKI — urine output adequate for now, trend closely
  4. Tachycardia (HR 112) — persistent, likely sepsis-driven
Drafting round note
Ask anything clinical…

The moat · a clinical context engine

Every answer knows the whole stay.

A generic chatbot sees a prompt. UltraCare's assistant sees the patient — every charted value, score, event and handover since admission, captured by the workspace itself and linked into one patient graph. Click a context store to see which part of the answer it grounds.

UltraCare
Online · context-aware
Suresh Kumar · ICU-04 · Day 2 · synthetic
Why is he still on vasopressors?
Background: T2DM · HTN · AKI stage 2 — renal dosing flags active.Patient graph
MAP holding at 65 on NorAd 0.18 µg/kg/min · lactate 4.2 → 2.6, trending down.Vitals & labs
SOFA 9 this round — cardiovascular component still scoring 3.Scores
Step 09 plan: maintain MAP ≥ 65; wean protocol is charted.12-step record
Day 2 of septic shock — pressors started 22 h ago at admission stabilization.Timeline
Last I-PASS: wean NorAd 0.02 q30 min once MAP ≥ 70 sustained.Handover
FAST HUGS BID this round: 7/11 complete — de-escalation review pending.Safety sweep
Weaning is the treating clinician's call — every line above is traceable to the chart.

Context stores — captured by the workspace as care happens, every event, every shift

The wedge

The workspace writes the context

Structured data isn't an integration project — the 12-step flow, scores and handovers capture it as care happens. Day one, every patient.

The moat

Longitudinal, patient-level context

Every value, event and shift linked into one graph per patient. A bolt-on chatbot starts from a blank prompt; UltraCare starts from the whole stay.

The expertise

Deterministic core, guarded AI

Published scores computed exactly, rule-based signals, and an assistant that cites its inputs and waits for sign-off. Decision support, not decision making.

Responsible by design

Decision support,
not decision making.

UltraCare structures, computes and suggests — every order and diagnosis stays the treating clinician's call. Today's signals are rule-based and deterministic. A validated machine-learning deterioration predictor and Hindi / English voice dictation are Phase 2 — planned, not live, pending pilot data and ICMR ethics approval.

Clinician in the loop

You decide, always

Every order and diagnosis remains the treating clinician's call — never automated away.

Transparent

Scores you can trace

Every score is computed from values on the chart and opens to its full breakdown. Auto-extracted fields are flagged to verify before saving.

Evidence-based

Grounded in the literature

APACHE II, SOFA, NEWS2, the FAST HUGS BID sweep and I-PASS handovers — established frameworks, not black boxes.

Honest roadmap

Rule-based today, validated next

Current signals are rule-based. The ML deterioration predictor is Phase 2, pending pilot data and ICMR ethics approval.

Safe handover

Nothing dropped at the edges

Structured I-PASS handovers with receiver read-back make the shift change the safest moment of the day, not the riskiest.

Built with intensivists

Shaped by the bedside

The workflow follows how critical-care teams actually round — designed around the unit, not imposed on it.

Built for India

Made for the ICU you actually work in.

Not a Western tool with a rupee sign bolted on. UltraCare is designed around Indian critical-care realities — its identifiers, its forms, its languages.

ABHA
ABDM identifiers

National stack, native

ABHA and MRD numbers are first-class in the chart, ready for the national digital health stack.

FORM
Admission

Mirrors Indian forms

The admission flow follows familiar critical-care summary formats, so your team recognises it on day one.

भाषा
Voice · Phase 2

Hindi & English voice

Dictate a round in Hindi or English and UltraCare structures it into the note. Roadmap

ICU
Operations

Tuned to real units

Bed occupancy, throughput, staffing ratios and live alerts — the operational picture Indian units run on.

Questions

What clinical leaders ask first.

Is UltraCare a diagnostic device?

No. UltraCare is clinical decision support, not a diagnostic device. Scores and signals are computed from the values your team charts, and the treating clinician makes every decision. It reduces cognitive load and documentation burden — it never replaces clinical judgment.

How is patient data handled and secured?

UltraCare is built for the Indian healthcare context and aligns with ABDM identifiers such as ABHA. Data residency, access controls and integration approach are configured with your institution during the pilot.

Does it replace our existing EMR or HIS?

No — it complements them. UltraCare is a dedicated critical-care layer: the structured workflow, live scoring and handover tooling that general hospital systems rarely do well for the ICU.

What is the status of the AI and ML models?

Today UltraCare uses transparent, rule-based deterioration signals alongside established severity scores. A validated machine-learning deterioration predictor is planned for Phase 2, pending pilot data and ICMR ethics approval.

Which scores and safety frameworks are supported?

APACHE II, SOFA, qSOFA and NEWS2 are computed from charted values and recomputed each round. Safety and communication frameworks include the FAST HUGS BID sweep and structured I-PASS handovers.

How do we get started?

UltraCare onboards units through a structured pilot. Request one below and the team will scope your unit, workflow and integration needs before going live.

Bring UltraCare to your unit

Start with a pilot in one ICU.

Tell us about your unit and we'll scope a pilot around it — your workflow, your systems, your team. No rip-and-replace.

  • Scoped to a single unit to prove value fast
  • Works alongside your existing EMR / HIS
  • Built and supported with intensivists

Pilot requisition

We'll reply within two working days.

or email hello@ultracare.ai

Free clinical tools

The scores, free — and with the work shown.

APACHE II, SOFA, qSOFA and NEWS2, computed the way UltraCare computes them: instant, and with every point traceable to an input and a published source. No sign-in, no black box.