INSPIRED BY PULSE / BIOGEARS / INFIRMARY INTEGRATED (APACHE 2.0)
PROTOTYPE • HIGH FIDELITY
Whole-Body Physiology + Waveform Monitor
Realistic multi-system responses (Pulse/BioGears style) with clinically accurate ECG and device behavior (Infirmary Integrated style). One patient. Dynamic. Train MARCH and ACLS decisions.
TIME 00:00
BEDSIDE MONITOR
STANDBY
LEAD II • 25mm/s
10mm/mV
6-SECOND RHYTHM STRIP • LEAD II • 25mm/s
LIVE • UPDATES WITH RHYTHM STATE
RHYTHMNSR
HR
82
bpm
NIBP
118/76
mmHg
SpO₂
98
%
RR
16
/min
EtCO₂ / TEMP
38mmHg
36.8°C
PLETHYSMOGRAPH
ALL PARAMETERS WITHIN LIMITS
DEFIBRILLATOR / MONITOR
SELECTED ENERGY
200
J
BIPHASIC DEFIB WAVEFORM
JOULES DIALPAD
⚠ CHARGE DISABLED: NSR — PERFUSING. Defibrillation contraindicated per AHA ACLS. Use SYNC if unstable.
Space/Enter = shock • PACER for bradycardia/capture • PERFUSING (BLOCKED)
Waveforms and vitals respond to real-time physiology. Shock delivery immediately alters rhythm state.
TALK TO THE PATIENT
Ask questions • Give commands • Natural language
Voice uses browser speech recognition. Replies update vitals when the AI engine responds.
EVENT TIMELINE (ACTIONS vs PHYSIOLOGY)
No events yet. Apply injury or treatment to begin realistic evolution.
PATIENT STATE
Age: 32 • MALE • 82 kg
Current Rhythm: NORMAL SINUS RHYTHM
Blood Volume: 5.0 L
Oxygenation: 97%
Hemorrhage rate: 0.0 • Pneumo: 0.0
All vitals and waveforms are generated from a lumped-parameter whole-body model. Waveforms change shape, rate and amplitude with blood loss, hypoxia and interventions. PatientSim data supplements initial state & modifiers.
TRAUMA SIMULATOR
Injury State + Real-time Vitals (MARCH + PALS)
kg
APPLY INJURY
TRAUMA INTERVENTIONS (syncs to validator)
HR
124
bpm
SBP
88
mmHg
SpO₂
91
%
RR
28
/min
EtCO₂
26
mmHg
Protocol adherence (validator): 0%
Actions feed Field-Sense scenario validator (trauma + weight-based PALS checks). Use with MARCH priorities and PEDIATRIC_ASSESSMENT_TRIANGLE etc.
INSTRUCTOR LIVE MONITOR
Trainee Performance Metrics • Real-time
HR
82
bpm
BP
118/76
mmHg
SpO₂
98
%
RR
16
/min
ETCO₂
38
mmHg
RHYTHM
NSR
Start simulation to activate real-time instructor monitoring. Metrics computed from timeline + vitals using imported Training Monitor patterns.
Use ACLS buttons (incl. DEFIB test button for perfusing violation scenes) + defib panel to match SCENE lists. Wrong actions (defib/epi/cpr on perfusing) trigger CRITICAL + FAIL only.
ACLS PROTOCOL & DRUG LIST — AHA CPR & ECC GUIDELINES
Select drug • adjust dose • ✓ matches current AHA algorithms (compression rate 100-120, epi q3-5min, defib sequence, rhythm classification)
Tap a drug above to load dose controls and real-time guideline validation.
FIELD GUIDE
Critical Response Handbook
0 entries • like Handtevy quick reference
Medical Conditions import: COMPLETE • Module 6 Scene Size-Up and Safety: COMPLETE (lesson units, learning objectives, assessment questions + 4 linked scenarios). All structured content loaded and searchable in Field Guide.
No matches. Try different search or category.
Real-time reference pulled from structured EMS training guidelines. Use during sims for protocol memory.
Prototype unifies accurate whole-body physiology (Pulse Physiology Engine + BioGears) with professional-grade device & waveform simulation (Infirmary Integrated). Production versions should integrate the actual open-source libraries for maximum fidelity. This is an educational approximation.