Your recent cases and today's schedule on one screen, with a nudge to write down what you learned.
A software house for clinicians
Apps by Rounds
Small, sharp apps for clinical work, made by a physician who carries the pager. Log your cases, plan your day, sharpen your algorithms, and keep what you learn.
- One account across every app: sign in once and everything follows.
- Personal-first: your data lives on your device by default.
- No patient identifiers, ever, just the clinical picture.
- All apps work on desktop browser or mobile.
Rounds · beta
Rounds: log the cases you see
The general clinical companion for every service. Build your casebook, keep a notebook that organizes itself, and study from what you actually saw. The beta is open now: sign in and start your casebook with the same account you'll use everywhere.
Every patient you care for, searchable by service, setting, and role. Yours to keep.
HPI to plan, in a structure you control, with notes, readings, and learning points attached.
Capture pearls on the move and let messy text sort itself into the right fields automatically.
A distraction-free reader for the literature, with highlights that flow back into your notes.
Risk scores, dosing calculators, and references, with the general-medicine ones first and a tap away.
Your rotations, call, and clinics in one calendar. Subscribe to any schedule feed you already use.
Spaced-repetition decks from your own cases and notes, plus quizzes that bring back the topics you keep missing. A few games for the downtime.
Track your numbers, keep your streak, and share progress with friends if you want to.
Pre-Op · beta
Pre-Op: anesthesia, before the case
The perioperative companion that started it all. Dictate a case, prep tomorrow's list tonight with the matching algorithm, and keep a case log ACGME will accept. Everything below is in beta now at pre-op.app.
Today's and tomorrow's cases, each with its open to-dos and the matching algorithm, so you can prep tonight. Your progress sits right alongside.
Build your anesthetic plan your way, seeded from similar past cases and auto-filled risk scores.
Drop in the day's schedule and get a worked-up case for every patient in seconds.
Spaced-repetition decks built from your cases, debriefs, notes, and reading, plus ACLS refreshers.
60+ risk scores and calculators, with crisis guides for MH, LAST, and anaphylaxis.
Reading, quizzes, messages, stats, and Wrapped. See everything Pre-Op does on its own site.
Visit pre-op.app →
Stepwise · beta
Stepwise: clinical algorithms you can practice
The flowcharts trapped in guideline PDFs, turned into interactive pathways. Answer the questions that matter and get the next step in management with its source. Then drill every case until you own it. In beta now at Stepwise.
Hyponatremia workup
Urine osmolality?
≤ 100> 100
Next: check the urine sodium
◆ cites the guideline
120 algorithms across resus, cardiology, tox, electrolytes, OB and peds. Each asks only what changes the management, and the next step updates live.
Scenario 7 / 32 no hints
VF — 3 shocks in, CPR ongoing.
Amiodarone 300 mg + hunt the H's & T's ✓
Atropine 1 mg
Real vignettes: here's the patient, call the management. The algorithm's own wording never appears as a choice, so you have to reason it out instead of pattern-matching.
Case of the day 🔥 5-day streak
A 4-month-old with worsening cough and poor feeding, mild retractions on exam…
Bronchiolitis · new to you
Practice →
One case a day, your weak spots first and then the ones you haven't seen, with a streak to keep you coming back the way a language app would.
One algorithm · five ways
Scenario: read a case, call it
Work it up: step the algorithm
Drill: findings → next step
Reverse: from the plan, pick the patient
Exam: timed & scored
Learn a decision node from every angle, from a gentle walk-through to a no-hints exam, until you don't need us.
Exam complete
↗ Share scorecard
24 / 30
80% · 4:12 · 6 to review
Timed, with no feedback until the end. Then you get a review of every case and a de-identified scorecard to share with your program or friends.
What changes the management
Serum K⁺? — you had 5.1
if ≥ 6.5 → calcium first, then shift & remove
Miss a case and the engine shows the one finding that would have changed the answer, a targeted micro-lesson pinned to the source.
Missed → flashcard
First move in a high spinal?
The one you fumble comes back next week.
AgainHardGood
Turn a missed case into a spaced-repetition card in one tap. Your cards travel with you into Rounds and Pre-Op.
Sourced · dated · honest
◆ AHA ACLS 2020
ReviewedDraft · in review
Works offline. Notes & cards stay on your device unless you share them.
Every algorithm cites its guideline and shows its review status. A PWA that runs with no signal, no ads, on-device by default.
Try the apps, right here
Don't take our word for it
Three working pieces of the apps, running on this page. Nothing you tap is saved.
Apfel: PONV risk
from Pre-Op's ToolsA real calculator from the app. Tap what applies.
0~10% risk of PONV
One of 60+ scores & calculators inside · open Pre-Op →
Flip a flashcard
from Pre-Op's deckIn the apps, these build themselves from your cases.
Answer one question
from Rounds' quiz bankA 55-year-old on the ward has a K⁺ of 6.8 with ECG changes. Best first agent?
The apps quiz you from your own cases · open Rounds →
Clinical content is an educational aid; verify against current references and your judgment.
One account. Every app.
Sign in once and your cases, flashcards, and friends come with you across the whole family: Rounds, Pre-Op, Stepwise, and everything we ship next.
Not ready for an account?
Leave your email and we'll send one short note when a new app joins the family. No spam, ever.
Start your library tonight
Pre-Op, Rounds, and Stepwise are all in beta, with 120 guideline algorithms in your pocket, all on the same account, so what you start now follows you everywhere.
One free account works across all three · Personal-first by design · No PHI stored