This site contains a variety of educational resources relating to recognition of the deteriorating patient, resuscitation, critical care and both the technical and behavioural aspects of crisis management.

Our team is a group of experienced critical care clinicians with expertise in education & simulation.

Our philosophy is centred around inter-professional training and we cater for healthcare workers from medical, nursing and paramedical backgrounds across all disciplines and levels of experience.

All opinions expressed are those of the individuals concerned and do not reflect those of our respective employers. All education resources are free to be used for non-commercial purposes with acknowledgement of the authors & copyright holders.

It’s early days for Clinical Cred but watch out for more resources in the weeks to come.

The Vortex is a high stakes cognitive aid that provides a single universal template for difficult airway management which can be taught to all staff likely to be involved in airway crises. It is simple enough to be recalled in a crisis and flexible enough to be used in any context.


The COAT & Review Approach provides a structured method for assessing any unwell patient, which prioritises supporting airway, breathing & circulation before moving on to diagnosis. It can be used by junior doctors and nurses on the ward or by senior clinicians faced with a deteriorating patient in a critical care area.

Download the e-manual. Download the COAT & Review Flowchart.


© Copyright Nicholas Chrimes & Peter Fritz, 2013. Materials on this site may be used for non-commercial purposes with acknowledgement of the authors & copyright holders.

The authors would like to recognise Monash Simulation in supporting the development of the “Vortex Approach” and the “COAT & Review Approach”.

Monash Simulation and Monash Health are not affiliated with Clinical CrEd.

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CICO Status: adapted in consultation with Scott Weingart from his CriCon concept, this tool integrates with the Vortex approach to provide clear triggers for a staged escalation in emergency surgical airway (ESA) preparedness when using the Vortex approach. This should assist clinicians in overcoming the practical & psychological barriers to performing an emergency cricothyroidotomy.

Clincal use of the Vortex Approach is reported in a letter to the British Journal of Anaesthesia Br. J. Anaesth. (2014) 112 (4): 773-774