Built at the bedside.
Made for clinical minds.
Critical IQ Labs builds clinical systems that run inside hospitals and explainable tools that teach clinicians to think. Right now we are building for the deteriorating patient.
Technology that strengthens clinical judgement, and never replaces it.
Medicine is practised by people, at the bedside, under uncertainty. We want the systems around them to make that work clearer, safer and easier to learn.
Critical IQ Labs is a health technology initiative led by clinicians. We design clinical pathways and monitoring systems with hospitals, and we build learning tools for the people who work in them. Every project starts from a real problem met in frontline practice: the patient quietly deteriorating at 3am, the emergency call that comes too late, the trainee learning to think clearly under pressure.
Our work now runs inside hospitals as well as on screens. More than twenty clinical pathways are in testing with partner hospitals, alongside a remote ICU platform, a prognostic research tool and a family of teaching products used by clinicians every week.
A good system shows its reasoning, so the clinician can question it, trust it where it has earned trust, and set it aside when the patient in front of them says otherwise.
Started at the bedside
Each project begins with a problem a clinician has faced on shift, never a solution looking for a use.
Explainable by design
Every alert, score and recommendation can be traced to a rule or a reference a clinician can read.
Tested before trusted
Everything we make is in testing with real clinicians and real hospitals before it is called finished.
Systems that run inside hospitals.
We work with hospital teams to turn the way they treat critically ill patients into clear, shared systems. One pathway for every ward. One call that brings the right people. A record of what happened and when.
Hospital pathways
Each pathway is designed with the hospital's own specialists and turns how a team cares for its sickest patients into one shared system: clear triggers, the right people called early, and a record of what happened and when.
They cover acute and critical care across the hospital, and every one is in testing on real wards before it is signed off.
- 1MapFollow the patient journey as it really happens today.
- 2DesignBuild the pathway with the hospital's own specialists.
- 3EquipBedside tools, team roles and escalation that fit the hospital.
- 4TestRun it on real wards and learn from every case.
- 5Audit and refineMeasure what changed and improve it.
Kaval
Someone should be watching the ICU at 3 in the morning. Kaval turns the hourly bedside chart into a screen that reads itself. It follows the trend rather than the single number, spots the patient who is quietly getting worse, and keeps escalating from the nursing station to the duty doctor's phone until a person answers. Built for smaller hospitals, on the tablets they already own.
Eleutheria
Prognostic scores read as trajectories rather than snapshots. Eleutheria recalculates eight validated scores for every ICU day in liver failure, from MELD and UKELD to CLIF C ACLF, SOFA and King's College Criteria, so a patient who improves and then reverses looks different from one who never improved. It runs on a fully synthetic cohort, built to show colleagues what the tool would do before any real data is used.
Tools that teach clinicians why.
Medicine teaches you what. Our learning tools teach the reasoning underneath, from the first ECG a student reads to the ventilator strategy a consultant chooses at the bedside. All are live and in testing with clinicians.
Critical IQ
The home of our teaching, built on one idea: medicine teaches you what, we teach you why. Mechanism first modules on shock, haemodynamics, acute liver failure and acute physiology, written by intensivists for anyone who makes decisions at the bedside, from medical students to consultants.
CLAROS
Teaches the way a good senior does on a ward round. It works out how you are thinking before it corrects you, cites the primary literature and always ends with you knowing the answer.
VOLTA
ECG interpretation taught from the electrophysiology up. Work through real cases, commit to your reading, then see why each wave looks the way it does.
VANTAGE
Focused preparation for MRCS Part A. Every explanation links anatomy, physiology and pathology back to the clinical picture, so trainees learn the reasoning the exam is testing.
SWASA
Set the mode, move the dials and watch the physiology respond, so lung protective ventilation, APRV and ARDS strategies become something you can feel. Named from the Sanskrit for breath.
Dr Ganesh Rajashanmugham
Ganesh is an intensive care doctor working in London, with a background in emergency medicine and critical care. He founded Critical IQ Labs to turn the problems he meets on clinical shifts into systems and tools that can be built, tested and improved.
He works across the UK and India, designing clinical pathways and acute care systems with hospitals as well as teaching tools for clinicians. That mix of a busy London intensive care unit and hospitals with far fewer resources shapes everything the lab builds: it has to work for a consultant at 3am, and for a team with no specialist in the building.
The best clinical tools make a clinician think more clearly. They should never ask them to stop thinking.