Use when targeting Critical Care Medicine or deciding whether an intensive/critical-care study fits this venue. Encodes the journal's ICU-focused fit, the clinical-evidence and translational bar, reporting-guideline and registration requirements, SCCM house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.
SkillScore91Maintained
Automatic
◆Clinical / Healthcare pack
Last verified 9/1/2026
What it changes
Passed 20 of 22 test cases with the skill, and 13 of 22 without it.
Without skill59%
With skill91%
Checks it passed that the model alone missed
Output includes [Fit] Low
Output specifies [Fit] Low
Output begins with [Fit] High
and 5 more in the full report
8 fixed12 passed either way1 still failing1 broke
Pass-rate lift
+32 pp
Tokens
+28%
Agent turns
0%
Response time
-26%
Model gemini-3.6-flashMeasured 9/1/2026v120 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
One of 8 test cases the skill fixed. Same model, same prompt, with and without the skill.
1 of 8
Prompt
We evaluated filter membrane lifespan in outpatient hemodialysis units among patients with chronic end-stage kidney disease. Evaluate fit using fields [Fit], [Target], [Specialty tags], [Study design / reporting guideline], [Method/evidence], [Top risk], [Official items to re-check], and [Re-route suggestion].
What was checked, without and with the skill
Checked
Without skill
With skill
Output recommends journal-of-the-american-society-of-nephrology in [Re-route suggestion]
Missed
Passed
case-10 · gemini-3.6-flash · 9/1/2026 · answers are capped and redacted
What's inside
The instructions your model reads when the skill loads.
SKILL.md122 linessingle file
Critical Care Medicine (critical-care-medicine)
Journal positioning
Critical Care Medicine is the flagship journal of the Society of Critical Care Medicine
(SCCM), publishing clinical and translational research centered on the care of the
critically ill across the whole ICU — sepsis, ARDS, resuscitation, shock, multiorgan
failure and organ support, and the systems and processes of critical-care delivery. Its
defining expectation is a clinically important advance in intensive-care management or
critical-illness mechanism that informs how clinicians care for ICU patients, not a
narrow single-center series with no outcome relevance or a basic experiment without
critical-illness anchoring. Unlike the broader pulmonary/critical-care flagship,
Critical Care Medicine is ICU-discipline-focused and spans the whole critically ill
patient, not just the lung. This skill is a fit / venue-selection / re-framing aid;
it is not clinical or regulatory advice and does not replace the journal's current
instructions for authors. Before submitting, re-check the live Critical Care Medicine
author instructions.
When to trigger
The author names Critical Care Medicine for an ICU, sepsis, resuscitation, or organ-support
study and wants a fit/framing check.
A critical-care study must be re-framed around an intensive-care management question or a
critical-illness mechanism with outcome relevance.
The author is choosing between Critical Care Medicine, AJRCCM (broader respiratory +
critical care), and The Lancet Respiratory Medicine.
The author needs the journal's reporting-guideline, registration, and ICU-trial/quality
expectations.
Scope & topic fit
Sepsis and septic shock: resuscitation, antimicrobial timing, hemodynamics, and outcome
studies.
ARDS and acute respiratory failure: ventilation strategy, oxygenation, and rescue therapies
in the ICU context.
Resuscitation and shock: fluids, vasopressors, cardiac arrest, and post-resuscitation care.
Organ support and multiorgan failure: renal replacement, ECMO, nutrition, and sedation/
delirium management.
ICU systems, quality, staffing, and process-of-care and outcomes research, including
long-term/post-ICU outcomes.