Managed to get Pinnacle of Fire once so far today, and then unequipped my clipboard. Disaster on the Horizon stuck around, but eventually wore off. I then equipped the clipboard again, and 5 energy later got Hunting Fire.
I hit Pinnacle of Fire on my very first adventure of the day, on the tainted shoreline, having done nothing but crafting prior to that. I tried going to Ground Zero with the effect active, but nothing special there.
I've also tried gaining 60 energy of ocean sight with the clipboard equipped. And confirmed via Stolen Artistry that the Pinnacle of Fire encounter isn't using up Eclipse charges or anything like that.
Edit: Found an interaction with first aid. Does not appear to be anything for getting beaten to hell in combat, though.
Very preliminary, but it looks like having the clipboard might result in first aid healing:
1 to (first aid*2) + first aid
instead of:
0 to (first aid*2)
Day 2: Got the Pinnacle of Fire fairly quickly on the waterfront. I then went underground in the dockside sewers to see if I could hide from the fire, but after 10 energy spent still got the Hunting Fire encounter. Got a different result from what Al did, though.
No sign of anything special using a Slags medical file with this equipped.