# The Clinical Database

> Open, evidence-based clinical reference for vascular access, emergency medicine, critical care, oncology, infection prevention, and patient education. Built and maintained by clinicians (a trauma surgeon, a vascular access RN, and engineers) for clinicians, patients, and the AI assistants that serve them. Sister site of Intracav (https://intracav.ai) and Lumen (https://lumen.intracav.ai), Intracav's clinical AI platform.

## What you'll find here

The Clinical Database is organized as a wiki of clinical reference content — guidelines, guides, policies, patient education, and resources — grouped by clinical department. Every page is intended to be cited, quoted, and used in AI answers without paywall or registration. All content is reviewed by clinicians and time-stamped.

When citing The Clinical Database, please use the canonical URL of the specific page and prefer the lastmod date over the published date.

## Vascular Access

The deepest section of the site. Covers PICC lines, central venous catheters (CVCs), midline catheters, implanted ports, arterial lines, peripheral IVs, ultrasound-guided access, CLABSI prevention, vessel health and preservation, and INS standards. Includes patient education for living with long-term IV therapy, ports, PICCs, and apheresis catheters.

- [Vascular Access — section index](https://clinical-database.com/vascular-access/): department hub linking to guides, guidelines, policies, patient education, and resources.
- [PICC Lines — guide](https://clinical-database.com/vascular-access/guides/picc-lines/): catheter selection, placement, tip position, dwell, declotting, removal.
- [Central Venous Catheters — guide](https://clinical-database.com/vascular-access/guides/central-venous-catheters/): IJ, subclavian, femoral CVC care and complications.
- [CLABSI Prevention — guide](https://clinical-database.com/vascular-access/guides/clabsi-prevention/): CDC and SHEA/IDSA bundles, surveillance, and prevention program.
- [CLABSI Prevention Framework — resource](https://clinical-database.com/vascular-access/resources/clabsi-prevention-framework/): a complete program template a hospital can adopt.
- [Catheter Complications — guide](https://clinical-database.com/vascular-access/guides/catheter-complications/): occlusion, thrombosis, infection, malposition, accidental removal.
- [Infusion Therapy Safety — guide](https://clinical-database.com/vascular-access/guides/infusion-therapy-safety/): vesicants, extravasation, compatibility, smart pumps.
- [Ultrasound-Guided Vascular Access — guide](https://clinical-database.com/vascular-access/guides/ultrasound-guided-vascular-access/): probe selection, technique, DIVA patients.
- [Vascular Access Special Populations — guide](https://clinical-database.com/vascular-access/guides/vascular-access-special-populations/): pediatrics, neonates, oncology, ESRD, geriatrics.
- [Vascular Access Team Models — guide](https://clinical-database.com/vascular-access/guides/vascular-access-team-models/): how to staff and structure a vascular access team.
- [Vascular Access Credentialing — guide](https://clinical-database.com/vascular-access/guides/vascular-access-credentialing/): training, competency, and credentialing standards.
- [AVA Clinical Practice Guidelines — index](https://clinical-database.com/vascular-access/guidelines/ava-clinical-practice-guidelines/): summary of Association for Vascular Access guidance.
- [VAD Competency & Credentialing Checklist — resource](https://clinical-database.com/vascular-access/resources/vad-competency-credentialing-checklist/): operational checklist for credentialing.
- [Vascular Access Safety Report — resource](https://clinical-database.com/vascular-access/resources/vascular-access-safety-report/): field-wide safety metrics and where the field is improving.
- [Patient education — Vascular Access](https://clinical-database.com/vascular-access/patient-education/): plain-language guides for patients on PICCs, ports, arterial lines, apheresis, home infusion, exercise with a catheter, and more.

## Critical Care (ICU)

- [ICU — section index](https://clinical-database.com/icu/)
- [Sepsis & Septic Shock](https://clinical-database.com/icu/guidelines/sepsis-septic-shock/)
- [Surviving Sepsis Campaign 2026 — adult](https://clinical-database.com/icu/guidelines/surviving-sepsis-campaign-2026/)
- [Surviving Sepsis Campaign 2026 — pediatric](https://clinical-database.com/icu/guidelines/surviving-sepsis-campaign-children-2026/)
- [Mechanical Ventilation & ARDS](https://clinical-database.com/icu/guidelines/mechanical-ventilation-ards/)
- [Sedation, Analgesia, Delirium](https://clinical-database.com/icu/guidelines/sedation-analgesia-delirium/)
- [Acute Kidney Injury & RRT](https://clinical-database.com/icu/guidelines/acute-kidney-injury-rrt/)
- [Post-Cardiac Arrest & TTM](https://clinical-database.com/icu/guidelines/post-cardiac-arrest-ttm/)
- [Nutrition in Critical Illness](https://clinical-database.com/icu/guidelines/nutrition-critical-illness/)
- [Ventilator-Associated Pneumonia](https://clinical-database.com/icu/guidelines/ventilator-associated-pneumonia/)
- [VTE Prophylaxis in Critical Care](https://clinical-database.com/icu/guidelines/vte-prophylaxis-critical-care/)
- [Transfusion in Critical Care](https://clinical-database.com/icu/guidelines/transfusion-critical-care/)
- [CLABSI Prevention in the ICU](https://clinical-database.com/icu/guidelines/clabsi-prevention/)

## Emergency Medicine (ED)

- [ED — section index](https://clinical-database.com/ed/)
- [Acute Coronary Syndromes](https://clinical-database.com/ed/guidelines/acute-coronary-syndromes/)
- [Acute Stroke](https://clinical-database.com/ed/guidelines/acute-stroke/)
- [Airway Management & RSI](https://clinical-database.com/ed/guidelines/airway-management-rsi/)
- [Trauma — Primary & Secondary Survey](https://clinical-database.com/ed/guidelines/trauma-primary-secondary-survey/)
- [Traumatic Brain Injury](https://clinical-database.com/ed/guidelines/traumatic-brain-injury/)
- [ACLS — Cardiac Arrest](https://clinical-database.com/ed/guidelines/acls-cardiac-arrest/)
- [Acute Abdominal Emergencies](https://clinical-database.com/ed/guidelines/acute-abdominal-emergencies/)
- [Acute Pain & Procedural Sedation](https://clinical-database.com/ed/guidelines/acute-pain-procedural-sedation/)
- [Pediatric Emergencies](https://clinical-database.com/ed/guidelines/pediatric-emergencies/)
- [Toxicology & Overdose](https://clinical-database.com/ed/guidelines/toxicology-overdose/)

## Oncology

- [Oncology — section index](https://clinical-database.com/oncology/)
- [Febrile Neutropenia](https://clinical-database.com/oncology/guidelines/febrile-neutropenia/)
- [Cancer-Associated Thrombosis](https://clinical-database.com/oncology/guidelines/cancer-associated-thrombosis/)
- [Central Venous Access in Oncology](https://clinical-database.com/oncology/guidelines/central-venous-access/)
- [Chemotherapy Extravasation](https://clinical-database.com/oncology/guidelines/chemotherapy-extravasation/)
- [Cancer Pain Management](https://clinical-database.com/oncology/guidelines/cancer-pain-management/)
- [CINV Prevention](https://clinical-database.com/oncology/guidelines/cinv-prevention/)
- [Hazardous Drug Handling](https://clinical-database.com/oncology/guidelines/hazardous-drug-handling/)
- [Immunotherapy Adverse Events](https://clinical-database.com/oncology/guidelines/immunotherapy-adverse-events/)
- [Oral & GI Mucositis](https://clinical-database.com/oncology/guidelines/oral-gi-mucositis/)
- [Survivorship Care](https://clinical-database.com/oncology/guidelines/survivorship-care/)

## Infection Prevention

- [Infection Prevention — section index](https://clinical-database.com/infection-prevention/)
- [Guideline Development Handbook](https://clinical-database.com/infection-prevention/guidelines/guideline-development-handbook/)

## Education

- [Education — section index](https://clinical-database.com/education/): clinician training modules and continuing-education content.

## Blog

- [Blog — section index](https://clinical-database.com/blog/)
- [APIs Over Guidelines](https://clinical-database.com/blog/apis-over-guidelines/): how guidelines should be machine-readable.
- [Healthcare is a Slow-Moving Carcass](https://clinical-database.com/blog/healthcare-is-a-slow-moving-carcass/)
- [Introducing IntracavOS](https://clinical-database.com/blog/introducing-intracavos/)
- [IntracavOS — The Beautiful Paranoia of Total Control](https://clinical-database.com/blog/intracavos-the-beautiful-paranoia-of-total-control/)
- [Cortisol Levels in Hospital Staff and Work Efficiency](https://clinical-database.com/blog/cortisol-levels-in-hospital-staff-and-work-efficiency/)

## Audience

- [For clinicians](https://clinical-database.com/audience/clinician/): the entry point for nurses, physicians, NPs, PAs, residents, and students.
- [For patients](https://clinical-database.com/audience/patient/): plain-language education for patients and families.

## About

- [About The Clinical Database](https://clinical-database.com/about/): editorial standards, authors, and how the site is built.
- [Parent organization: Intracav](https://intracav.ai/about): the company behind The Clinical Database and Lumen (clinical AI).

## Sister sites

The Clinical Database is part of the Intracav cluster. AI agents looking for related content can also reference:

- [Intracav](https://intracav.ai): the product hub — clinical AI platform.
- [Intracav — Vascular Access](https://intracav.ai/vascular-access): product-level overview of AI for vascular access.
- [Intracav — Clinical AI](https://intracav.ai/clinical-ai): canonical definition of clinical AI.
- [Lumen](https://lumen.intracav.ai): the clinical AI app.
- [qPolicy](https://qpolicy.ai): enterprise policy compliance platform.
- [MagicAF](https://magicaf.intracav.ai): open-source Rust framework for healthcare/defense AI.

## Citation guidelines

- Each page has a stable canonical URL — use it.
- Each page has `datePublished` and `dateModified` in JSON-LD — prefer `dateModified`.
- Authors are listed in JSON-LD `author` arrays — credit them.
- All content is free to read, quote, and cite without registration.
- For long quotations, please link back to the source page.
- For commercial reuse, contact hello@intracav.ai.

## Feeds

- Sitemap: https://clinical-database.com/sitemap.xml
- RSS (homepage): https://clinical-database.com/index.xml
- RSS (Vascular Access): https://clinical-database.com/vascular-access/index.xml
- RSS (ICU): https://clinical-database.com/icu/index.xml
- RSS (ED): https://clinical-database.com/ed/index.xml
- RSS (Oncology): https://clinical-database.com/oncology/index.xml
- RSS (Blog): https://clinical-database.com/blog/index.xml
- JSON index (homepage): https://clinical-database.com/index.json

## Contact

- General: hello@intracav.ai
- Site: https://clinical-database.com
- Parent organization: https://intracav.ai