Arcane
Knowledge
Group

Clinical expertise where conventional support ends.

About

Clinical capability and resilience for environments where infrastructure cannot be assumed.

Arcane Knowledge Group works at the intersection of clinical practice and applied technology — advising on and building systems for prehospital, austere, and resource-limited medicine. Our work spans AI clinical decision support, advanced clinical program development, and the operational realities of delivering care where connectivity, equipment, and backup cannot be taken for granted.

Every recommendation we make is grounded in current field practice. The principals hold active clinical credentials and test what they advise on — in rescue environments, on deployments, and in live EMS systems.

Always validated in the field, never in the conference room.

Services

Technology Advisory

Vendor-neutral guidance for clinical AI — from evaluation through deployment.

  • AI clinical decision support systems
  • Ambient clinical documentation
  • Offline and edge inference deployment
  • Retrieval systems and prompt engineering
  • Deterministic-first architecture where clinical logic cannot vary
  • Vendor-neutral evaluation, validation, and safety auditing

Clinical Program Development

Advanced program design for prehospital and austere care organizations.

  • Clinical operating guidelines
  • Protocol design and review
  • Training program development and delivery
  • Subject matter expert advisory
  • Field validation of clinical technology

AI Safety Audit & Remediation

Evidence-based audits of deployed AI systems. Findings are drawn from the system's own production logs and verified against the running code, and remediation ships every fix with a regression test that keeps it fixed. Deliverables include a tiered findings report, an owner-approved implementation plan, and a test suite the client keeps.

Recent Work

Open-source work published through the AI in Austere Medicine Project.

Beyond the Chatbot: Building Medical AI That Knows When Not to Think

Published by the AI in Austere Medicine Project.

EdgeCDSS

Open-source clinical decision support, MIT licensed.

Team

Andrew Azelton in the field, fjord landscape behind him

Andrew Azelton

BS, NRP, LP, FP-C, WP-C

Andrew is an austere and operational medicine specialist with more than twenty-five years in prehospital critical care, rescue medicine, and high-risk medical operations. He has written software for as long as he has run calls, and that systems background runs underneath the clinical work.

He is completing a Master of Science in Austere Critical Care at the College of Remote and Offshore Medicine Foundation and is board certified as a Flight Paramedic and Wilderness Paramedic. His career spans two decades in a high-volume urban EMS system, including special operations, clinical program development, and department-wide education leadership. His graduate research examines AI clinical decision support in austere systems — how these tools remain safe, usable, and trusted where connectivity, power, and oversight cannot be assumed. He founded the AI in Austere Medicine Project, an open-source research initiative, and serves on the Wilderness Medical Society's Artificial Intelligence Committee as an Edge AI Architect.

He writes the architecture and runs the call.

Clinical

Prehospital Critical Care · Damage Control Resuscitation & Whole Blood · Austere & Operational Medicine · Prolonged Field Care · Advanced Airway & Ventilator Management · Point-of-Care Ultrasound · Search & Rescue Medicine

AI & Systems

RAG-based CDSS Architecture · Edge LLM Deployment (Offline / Air-gapped) · Cloud AI Integration · Hybrid Cloud-Edge Systems · Remote & Non-standard Communications (Satellite, Mesh Radio, LTE) · AI/ML Pipeline Development · Python · Data Pipeline Design

Leadership & Instruction

Graduate-Level Research · Clinical Education & Curriculum Design · Scenario-Based Simulation · Program Management · Public Speaking & Conference Lecturing

Full CV →
Kendra Azelton on the water, Golden Gate Bridge behind her

Kendra Azelton

MSN, BSN, RN, CEN

Kendra is a trauma clinical data analyst and nurse educator with more than twenty years in emergency care. She began as a paramedic before moving to the emergency department, where she spent a decade as an ER nurse in a major health system. She holds a Master of Science in Nursing in nursing education, has been a Certified Emergency Nurse since 2015, and is a registered nurse licensed in Texas.

She serves as Clinical Data Analyst for Trauma Services at a Level I academic trauma center, following a role as its trauma educator. She collects and structures trauma registry data, builds the reporting and dashboards that trauma leadership works from, and supports TQIP reporting, trauma center verification, performance improvement projects, and published research. Her work sits where AKG's does: in the space between clinical practice and the data systems that measure it — registry quality, outcomes measurement, and turning trauma data into decisions that change care.

As an educator she has served as a TNCC course director and ran the annual trauma conference at a Level I trauma center — program development, speaker recruitment, and continuing education accreditation — alongside nursing curriculum development and clinical instruction.

Clinical

Emergency Nursing · Prehospital Care · Trauma Systems · Trauma Resuscitation · Triage & Acuity Assessment · Certified Emergency Nurse (CEN)

Data & Quality

Trauma Registry & Clinical Data Analysis · TQIP Reporting · Trauma Center Verification Support · Performance Improvement · Outcomes Measurement · Clinical Dashboards & Reporting · Research Data Support

Education

TNCC Course Direction · Conference Direction · Continuing Education Accreditation · Trauma Education · Nursing Curriculum Design · Clinical Instruction · Simulation-Based Training · Competency Assessment