Systematic review Phase 8 — GRADE assessment and Summary of Findings for EM/critical care SRs. Use when the user needs to rate certainty of evidence, generate a Summary of Findings (SoF) table, apply GRADE domains, or produce manuscript-ready certainty text. Trigger on "GRADE", "certainty of evidence", "quality of evidence", "SoF table", "summary of findings", "GRADEpro", "downgrade", "upgrade", "evidence profile". Use ONLY when applying GRADE to rate evidence certainty.