A question in plain language. An answer with receipts.
Ask the way you would ask a senior — EvidenceFirst does the retrieval, ranking and citation, and shows its work.
Speak it or type it — wards are noisy
Natural language or keyword shorthand, abbreviations included. Hybrid retrieval reads both, so “ceftriaxone dose pyelo pregnancy” works as well as a full sentence. Voice input for the corridor between beds.
Recent questions · representative
58-year-old, T2DM with CKD (eGFR 38) — safest add-on to metformin?
An SGLT2 inhibitor is preferred at this eGFR, with dose review below 30[1]. Avoid glimepiride dose escalation given hypoglycaemia risk in CKD[2].
- Check eGFR before initiation and at review.
- NLEM lists generic options — cost noted per fill.
Grounded generation, not vibes
Every recommendation must carry a citation that resolves to a retrieved source span — otherwise it is not shown. Answers follow one structure: direct answer, key takeaways, citations, sources and related questions.
Conflicts surfaced. When ICMR and WHO disagree, you see both positions with sources — never a silent average.
Low confidence flagged. Weak evidence gets a warning banner and a source-forward layout instead of a confident summary.
In seconds, then move on
Save an answer to a case, share it with a colleague, or ask the follow-up — context carries across the conversation. Your history and saved answers stay searchable.
Not a mock-up — the product
This is the live answer component from the platform, rendering a real response to a dengue-management query — confidence grading, key takeaways and claim-level citations against ICMR and WHO guidance, exactly as you’ll see it on the ward.
Representative content for illustration · not medical advice.
Adults with dengue and any warning sign should be admitted and started on judicious isotonic crystalloid fluid therapy, with intravenous fluids reserved for those unable to tolerate oral intake or showing haemodynamic compromise. Begin at 5–7 mL/kg/hour and titrate to the clinical response and haematocrit trend, avoiding fluid overload. Paracetamol is the antipyretic of choice; NSAIDs and aspirin are contraindicated because of bleeding risk.
There is no role for routine antibiotics or prophylactic platelet transfusion.
- Admit any adult with warning signs (abdominal pain, persistent vomiting, fluid accumulation, mucosal bleed, lethargy, hepatomegaly, rising HCT with falling platelets).
- Isotonic crystalloid 5–7 mL/kg/h, step down to 3–5 then 2–3 mL/kg/h as the patient stabilises.
- Paracetamol only for fever/pain — avoid NSAIDs, aspirin, and IM injections.
- No prophylactic platelets; transfuse only for significant bleeding.
| Task | EvidenceFirst | General chatbot | Textbook + search |
|---|---|---|---|
| Citations | Always — linked to the source passage | Sometimes, sometimes invented | You assemble them yourself |
| Indian formulary | NLEM-native, generics first | US brand-name defaults | Varies by textbook edition |
| Conflicting guidance | Surfaced side by side | Silently picks one | Found only if you read both |
| Weak evidence | Flagged, source-forward | Confident either way | Depends on your appraisal |
| Time to answer | Seconds, structured | Seconds, unverified | 10–20 minutes |
Textbooks and primary literature remain the deeper read — EvidenceFirst is the fastest defensible path to a decision, not a replacement for reading.
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