A Sim Lab in your pocket.

The instructor sets the rhythm and vitals. Learners see each change on their monitor within about half a second, and work the defibrillator and pacer themselves.

Screens

Instructor controls and a learner monitor, from one session

Traces

Lead II ECG, SpO₂ pleth, respiration

Rhythms

Sinus, AV blocks (1st, 2nd I and II, 3rd), AF, flutter, SVT, VT, torsades, VF, asystole

Also

Defibrillation with sync, transcutaneous pacing with a capture threshold

The instructor picks a patient and changes them as the case goes on. Learners set the ventilator and see the pressures, volumes, blood gas, SpO₂ and blood pressure respond.

Screens

Instructor controls and a learner ventilator display, from one session

Curves

Airway pressure, flow, volume, over a 20-second window

Modes

AC-VC, SIMV-VC, AC-PC, SIMV-PC, PRVC, PSV, CPAP, BiPAP; inspiratory and expiratory holds

Patients

Normal, COPD, ARDS, pneumonia, heart failure, pneumothorax, metabolic acidosis, apnea; each has a case brief, and most a severity

Instructor sets

Patient size, own breathing rate, air hunger, lung mechanics and gas exchange

Orders

Sedation, albuterol and arterial blood gases, from either screen

A blood gas interpreter for teaching. Enter any two of pH, pCO₂ and HCO₃⁻ and it works out the third, then goes through the primary disorder, compensation, anion gap and oxygenation, with its reasoning shown.

Optional panels

Chemistry (Na⁺, Cl⁻, lactate) for the anion gap and delta ratio; context (acute or chronic) for respiratory compensation

Sample cases

Normal, DKA, COPD exacerbation, salicylate toxicity, protracted vomiting, septic shock, severe diarrhea, hyperventilation

Screens

One. Good for a small group around one screen, or on your own

Pick an artery and a point along it, then move the clock from minutes to a week: hyperacute T waves, ST elevation, Q waves and T inversion, worked out from a model of the heart's electrical vector rather than stored tracings.

Occlusion sites

LAD (proximal, mid, distal), first diagonal, circumflex, first obtuse marginal, RCA (proximal, mid), posterior descending; right or left dominance

Also

Reperfusion at any time, bundle branch blocks, fascicular blocks (approximate), V4R

Shows

The printout, with the measurements a machine would print, and a 17-segment bullseye of injured and dead wall

Good for

Teaching STEMI territories and how an infarct evolves, on a projector or a phone, or working through it on your own before a shift

A live diagram of the circulation with a centrifugal LVAD working alongside the heart. Change the pump speed, blood volume, resistances and rhythm, and watch the chambers, the pressure tracings and the LV pressure–volume loop respond.

Shows

The circulation with the pump beside the aortic valve, LV and aortic pressure with pump flow, the LV pressure–volume loop, and the controller readout

Starting points

Stable, bleeding, right heart failure, tamponade, high blood pressure, pump thrombosis, sepsis, VT, pump stopped, VF with the pump running

Cases

A second mode: an ED work-up of LVAD presentations, with a debrief