# gistalt — an emergency medicine game

> Medical simulation game for assessing patient acuity and treatment decisions. (iPhone/iPad app by Tom Fadial.)

- Source: https://appshunter.io/ios/app/gistalt/id1520121253 (this page in markdown: same URL + `.md`)
- Developer: [Tom Fadial](https://appshunter.io/developer/1316852248)
- Category: Medical, Education
- Price: Free
- Rating: 4.88/5 from 16 App Store ratings · 6 written reviews indexed
- Age rating: 17+
- Requires: iOS 13.4 · 35 MB
- Languages: English
- Released: 2021-03-04
- Data updated: 2026-06-01
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/gistalt/id1520121253/reviews.md

## What is gistalt?

Your clinical impression (or "gestalt") about a patient's acuity is both critical and difficult to train. gistalt was designed to make it fun!

Your goal playing gistalt is to accurately identify which patients are sick (requiring hospitalization or immediate interventions for stabilization) or not-sick (conditions that can be safely treated with outpatient follow-up).

gistalt games are simple and fun. You'll start with a stack of patient presentations including vital signs, laboratory results and imaging. Swipe each card left (for not-sick) or right (for-sick) to see the next question. At the end of the stack, review your responses and see your score. Your gistalt score specially gauges your ability to detect the most critically-ill patients and institute the treatments that will make a difference.

New questions are added regularly and don't require an app update.

## Key features

- Patient acuity assessment
- Swipe-based gameplay
- Vital signs and lab results
- Imaging interpretation
- Performance scoring
- Regular content updates

## Recent user reviews (6 of 6)

All indexed reviews: https://appshunter.io/ios/app/gistalt/id1520121253/reviews.md

### 5/5 — Excellent format

*2023-09-26*

Concise and realistic, relevant clinical scenarios to working in an ER. Would love a bigger deck of clinical scenarios, but this is great for a free app that isn’t tracking by you or trying to get you to buy things.

### 5/5 — Love it!

*2021-03-12*

Good, relevant, concise questions; love the “tindr” approach to sick/not sick; intuitive interface. 

My only feedback is that I wish there were more questions (which I see they’re working on) and I wish there was an option to not repeat questions that we’ve already seen (unless it’s designed to repeat mistakes, in which case... maybe I’m just a slow learner 😅). Anyways I love it! Great little app for an MS3 with an upcoming EM sub-I.

**Developer response:** Thanks so much! Working on adding new questions daily.

### 5/5 — Excellent program

*2021-03-11*

Best out of all available.

### 5/5 — Very Educational

*2021-03-10*

I love the simplicity of the game combined with the in-depth breakdown provided for each case. It’s a great way to test your basic skills while also providing education to those new to the field.

### 5/5 — Very educational!

*2021-03-08*

Medical student interested in EM: app helps me learn how to recognize “red flags” and other critical actions for important and common ED presentations.

### 5/5 — terrific new app!

*2021-03-08*

terrific app for residents and learners at all levels. Great for getting a grasp of sick vs not sick in a busy and hectic environment. Tinderizing clinical gestalt to innovate in medical education 😂 
Gerald @ GrepMed

## Frequently asked questions about gistalt

### What is gistalt?

gistalt is a medical game designed to help users train their clinical impression skills. Players swipe left for not-sick patients and right for sick patients, aiming to accurately identify those needing hospitalization or immediate interventions.

### How does gistalt help train clinical impression?

The game presents patient scenarios with vital signs, lab results, and imaging. By making quick swipe decisions, users practice their ability to gauge patient acuity and identify critical conditions, which is a key aspect of clinical impression.

### Is gistalt free to play?

Yes, gistalt is completely free to download and play. It does not require any in-app purchases or subscriptions.

### Does gistalt have ads?

No, gistalt does not contain advertisements. Users can enjoy an uninterrupted gameplay experience.

### What devices does gistalt support?

gistalt is currently available for iPhone and iPod devices. It is designed for iOS users.

### How often is gistalt updated?

New patient questions are added regularly without requiring an app update, ensuring fresh content. The latest version, 1.2.2, was released on November 6, 2024.

### What is the age rating for gistalt?

gistalt has an age rating of 17+, indicating it is intended for mature audiences due to its medical simulation content.

### What do users like about gistalt?

Users appreciate gistalt's engaging gameplay and its effectiveness in training critical diagnostic skills. The app has received a high rating of 4.9 stars from 16 reviews.

## Version history (last 4 releases)

### 1.2.2 — 2024-11-06

- Stability and performance improvements

### 1.2.1 — 2022-12-20

- Performance improvements

### 1.2 — 2022-12-19

- Performance improvements
- Update dependencies

### 1.1 — 2021-03-05

No release notes.

## Apps similar to gistalt

| App | Rating | Price | Category |
| --- | --- | --- | --- |
| [5-Minute Emergency Medicine](https://appshunter.io/ios/app/5-minute-emergency-medicine/id903384723) | 4.7 (293) | Free | Medical |
| [Bedside EM](https://appshunter.io/ios/app/bedside-em/id413192645) | 4.2 (59) | Free | Medical |
| [JournalFeed](https://appshunter.io/ios/app/journalfeed/id6741214807) | 5.0 (2) | Free | Medical |
| [EB Medicine](https://appshunter.io/ios/app/eb-medicine/id1584935249) | 4.9 (408) | Free | Medical |
| [Tintinalli's Emergency Med Man](https://appshunter.io/ios/app/tintinallis-emergency-med-man/id1377111953) | 4.4 (91) | Free | Medical |
| [CorePendium](https://appshunter.io/ios/app/corependium/id1581291387) | 4.9 (1,344) | Free | Medical |

## More apps by Tom Fadial

- [ddxof: medical algorithms](https://appshunter.io/ios/app/ddxof-medical-algorithms/id1316852249)
- [Evidence Atlas](https://appshunter.io/ios/app/evidence-atlas/id1437702743)
- [ECG Stampede](https://appshunter.io/ios/app/ecg-stampede/id1447062803)
- [Nerve Block](https://appshunter.io/ios/app/nerve-block/id1546551306)
- [Suture: Laceration Repair App](https://appshunter.io/ios/app/suture-laceration-repair-app/id1619032671)

All apps by Tom Fadial: https://appshunter.io/developer/1316852248

## Related topics

[gistalt](https://appshunter.io/ios/topics/gistalt)

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-06-01.*