# REALITi — Complete Simulation Ecosystem

> Realistic patient simulator and video review system for medical education. (iPhone/iPad app by iSimulate Pty Ltd.)

- Source: https://appshunter.io/ios/app/realiti/id1324852375 (this page in markdown: same URL + `.md`)
- Developer: [iSimulate Pty Ltd](https://appshunter.io/developer/494486341)
- Category: Education, Medical
- Price: Free
- Rating: 3.78/5 from 32 App Store ratings · 29 written reviews indexed
- Age rating: 17+
- Requires: iOS 15.0 · 2.1 GB
- Languages: Croatian, Czech, Danish, Dutch, English, Estonian, Finnish, French, German, Hungarian and 13 more
- Released: 2017-12-16
- Data updated: 2026-08-05
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/realiti/id1324852375/reviews.md

## What is REALITi?

REALITi is a new simulation ecosystem incorporating a realistic patient condition simulator and video review in a single system.

Starting with 2 iPads, REALITi is a highly advanced patient monitor simulator which mimics proprietary monitors and defibrillators.

By expanding the system with more iPads, a complete in-situ simulator can be created.

Add REALITi Chart to use a simulated patient electronic medical record.

Add REALITi Camera to incorporate live audio video streaming with vital sign display. Optionally stream via AirPlay to Apple TV. Instant video review once the simulation has ended is built into the system.

Add REALITi Engage to allow observers to comment, vote and view media.

Features:

• Easy to use Dial and Button interface.
• Over 75 ECG waveforms
• Dynamic 12 lead ECG library.
• Comprehensive Radiology image library with over 250 images.
• Extensive and configurable laboratory results library.
• Simulate ectopics, sinus arrhythmia, artefacts and interference on the ECG with ease.
• Easy to use Checklist interface for simple student assessment.
• Easy scenario creation with single screen scenario running and editing.
• Many defibrillator and monitor screens included.
• CPR Feedback
• QCPR Screen

ATLAS ALS Manikin compatible

## Key features

- Realistic patient condition simulator
- Video review system
- Expandable iPad-based simulation
- Electronic medical record integration
- Live audio/video streaming with vital signs
- CPR Feedback
- Over 75 ECG waveforms

## Recent user reviews (10 of 29)

All indexed reviews: https://appshunter.io/ios/app/realiti/id1324852375/reviews.md

### 2/5 — good app, no price

*2026-07-04, version 11.22.0*

I’ve used REALITi many times and it’s a great app for realistic CPR simulation.  Unfortunately there is no price indicated so I assume it’s way too expensive for a small remote clinic to access.

### 5/5 — The most dynamic readily available sim for EMS ed

*2026-05-29, version 11.21.0*

Our accredited paramedic program utilizes multiple monitor units coupled with 3B Scientific mannequins. You need to learn how to run them, and yeah you’ve gotta pay for the service, but once you’ve got it down it’s an absolute asset for initial paramedic education and ongoing agency training. Tech support has always been helpful and they’re obviously always working to improve their product.

### 3/5 — Great Sim software but only for enterprise

*2026-05-06, version 11.21.0*

Ive been writing up sims and while I was excited to download and test these on my MacBook connected to my iPad Pro before uploading them to the isumulate community or to our work iSimulate pro system,  I get the impression you need a license to make this ecosystem work. To the developer, is there a way that individuals like myself can connect the control and 2 monitors (one for patient monitor one for vent for example)  to test scenarios, or use these to help with tutoring without spending a huge amount on linked iPads - seems a shame to be able to download such comprehensive software with out such an option.

### 1/5 — Terrible

*2025-08-09, version 11.15.1*

App only connects with 2 iPads for a minute and then stops working.

### 1/5 — Would be good if it actually worked right

*2025-05-21, version 11.13.0*

You can’t go more than five minutes without the rhythm crashing into asystole.

### 2/5 — Asystole bug

*2025-05-05, version 11.12.0*

Can’t seem to get it to work past 5 minutes, vitals will deteriorate and eventually ECG goes into asystole with all readings nil.

### 2/5 — Everybody dies

*2025-02-26, version 11.9.0*

After about two minutes the heart rate drops, spo2 drops, pt dies.  It doesn’t matter what is programmed.

### 4/5 — Kaufoption

*2025-01-20, version 11.8.1*

Wo & Wie kann man die App als Vollversion kaufen ohne weiteres Paket kaufen zu müssen, weil die Hardware schon vorhanden ist.

### 2/5 — Be good if it worked like it should.

*2024-12-19, version 11.8.0*

Bought this to work in medical education, paid for the additional screen and half the modes on the Hamilton Vent don’t work.  Sent numerous emails regarding the problems and keep getting told it will be fixed but it never does.  The developers must work for the government, sick of the lies, if you’re not going to fix it then don’t.

### 1/5 — Poor support in Australia.

*2024-08-18, version 11.5.4*

App is good but the support in Australia the worst. Emailed and phoned and in the end the Device company said they *did not know what to do*. This went on for months and could not use the app.  Took it to a friend with some experience on iPads and the App and they fixed the issue in a hour.

## Frequently asked questions about REALITi

### What is REALITi?

REALITi is a comprehensive simulation ecosystem designed for medical education and training. It combines a realistic patient condition simulator with integrated video review capabilities, allowing for dynamic learning experiences.

### What are the key features of REALITi?

Key features include a realistic patient monitor simulator, expandable iPad-based in-situ simulation, integration with electronic medical records, live audio/video streaming with vital sign display, and instant video review. It also offers over 75 ECG waveforms, CPR feedback, and a QCPR screen.

### How much does REALITi cost?

Based on the provided information, the app is free to download and use. There are no in-app purchases or advertisements mentioned.

### What devices is REALITi compatible with?

The system starts with 2 iPads and can be expanded with more iPads. It also supports streaming via AirPlay to Apple TV and is compatible with ATLAS ALS Manikins.

### What are common use cases for REALITi?

REALITi is ideal for medical training scenarios, allowing educators to create realistic patient simulations. It's useful for practicing emergency response, understanding patient vital signs, and reviewing performance through integrated video playback.

## Version history (last 5 releases)

### 11.23.0 — 2026-08-03

Alarms
Improved alarm behaviour on the Generic screen by ensuring alarm limits update correctly when switching patient age profiles, with ETCO₂, respiratory rate, non-invasive blood pressure, and temperature alarms and visual indicators now triggering correctly when values move outside configured limits.
Corrected Schiller monitor SpO₂ alarm limits so they now follow the selected age profile correctly.

Corpuls
Improved AED shock recommendation behaviour so shocks are now correctly recommended when ventricular fibrillation (VF) or ventricular tachycardia (VT) rhythms are detected.
Improved pacing behaviour when ECG waveforms are hidden or disconnected. Pacing now stops appropriately when ECG data is unavailable, and users are prompted to connect therapy electrodes when pacing cannot be displayed.
Updated the C3 signal intensity bar to provide a more realistic indication of perfusion level. The bar no longer flashes with every heartbeat and now reflects the selected perfusion setting.

CPR Console
Fixed an issue where enabling CPR could display incorrect heart rate values. The configured CPR rate is now shown correctly, the previous heart rate is restored when CPR is disabled, and repeated activation no longer causes heart rate values to increase unexpectedly.
Improved readability of CPR timing information by displaying elapsed and hands-off times using a consistent HH:MM:SS format.

Facilitator/Control
Improved consistency of blood pressure values, units, alarm limits, and exported recordings across Control, Monitor, Camera, and other connected displays when measurement settings are changed.
Corrected blood pressure display behaviour to ensure systolic and diastolic values remain accurate across connected screens.
Fixed an issue where non-invasive blood pressure alarm limits were not triggering correctly in some situations.

iSimulate Community
Improved the reliability of importing, uploading, and downloading Community scenarios.
Fixed an issue where importing scenarios from REALITi could fail to start.
Resolved a crash that could occur while downloading Community scenarios, improving overall stability.

LifePak 15
Enhanced the AED training workflow with updated voice prompts, on-screen guidance, and improved prompt timing to better match device behaviour during training scenarios.
Added appropriate prompts for non-shockable rhythms, including "Check for pulse" and "If no pulse, start CPR", along with translated text and voice prompts for supported languages.
Prevented 12-lead ECG acquisition while in AED mode and added a notification explaining when the function is unavailable.
Improved the 12-lead ECG workflow by retaining patient age and sex between consecutive ECG recordings during the same session.
Updated Manual mode metronome guidance to use spoken ventilation prompts with improved timing for a more realistic training experience.

Mindray BeneHeart D30
Added support for the Mindray BeneHeart D30 monitor.

Zoll X
Corrected CPR depth units and formatting so measurements remain consistent when switching between centimetres and inches.
Fixed several display issues affecting AED mode, including BVM positioning, CPR display overlap, ventilation information, and Manual Mode exit dialog navigation, resulting in a clearer and more reliable user interface.

Others
Improved the confirmation message displayed after submitting a bug report, including clearer guidance and a reminder to connect to the internet so reports can be successfully sent to the support team.

### 11.22.1 — 2026-07-13

Fixed an issue that could cause the app to close unexpectedly when downloading scenarios from Community.

### 11.22.0 — 2026-06-24

Atlas
Added safeguards to prevent firmware downgrades. Added downgrade warning messages where applicable.

Corpuls
Updated NIBP controls.
Improved interval timer behaviour.

Facilitator/Control
Improved Monitor and Control connection stability.
Improved reconnection after backgrounding or temporary disconnects.
Improved server rediscovery.
Ensured sound-related settings only appear in events when explicitly added.
Improved arterial line controls with retained custom pulse pressure values and reset functionality.

iSimulate Community
Removed admin approval requirements for media uploads.
Added clearer guidance around copyright, permissions, appropriate content, and community guidelines.

Lifepak 15
Corrected pacing behaviour when defibrillation electrodes are disconnected.
Added pacing status and disconnection messages.
Improved ECG lead and HR eye handling during pacing.

Philips
Improved alarm behaviour for the Philips IntelliVue MX800 monitor.
Added flashing alerts for Pulse, ETCO2, and respiratory rate values outside alarm limits.
Improved ETCO2 and respiratory rate alarm messaging.
Correctly applied age-based alarm limit profiles.

Scenarios
Improved REALITi Community scenario uploads.
Made existing scenarios and subfolder content visible for upload.
Preserved folder ordering across Adult, Paediatric, and Neonatal scenarios.

SimOccluder
Added support for SimOccluder firmware version 1.2.0.

SimConnect
Fixed overlapping CPR feedback numbers after reconnecting a CPR device and restarting compressions.
Teaching Management System (TMS)
Improved CPR performance review with all recorded ventilations displayed.
Corrected compression rate colour coding.
Saved and applied the selected manikin type during session review.

Tempus
Improved CO2 waveform behaviour on the Tempus Pro monitor.
Corrected waveform display on launch and during simulations.
Fixed SpO2 connection issues affecting parameter updates.

Zoll
Improved filtered ECG behaviour on Zoll X-series monitors connected to CPR devices.
Ensured filtered ECG only appears during active chest compressions.
Removed filtered ECG when the CPR device disconnects.

Maintenance
Fixed black screenshots in REALITi bug reports.
Improved Instabug diagnostic log handling with automatic log attachments and upload size optimisation.

Multiple Screens
Fixed an EMS1052 issue where the ECG waveform could be truncated after using Send from Control and reloading the view.
Resolved display and layout issues introduced in Zoll EMV+ version 11.21.0.
Restored correct screen positioning and button layouts.
Improved layouts for Tempus Pro, Capnostream 35, and EMS1052 displays on smaller screens.

### 11.21.0 — 2026-04-30

Atlas
Improved Pleth (SpO₂ waveform) behaviour during CPR so pulses remain visible during compressions and can reflect both intrinsic cardiac activity and CPR-generated pulses.
Introduced a dedicated Pulse Rate (PR) value separate from Heart Rate (HR), improving handling of pulseless states, CPR, low perfusion, and probe disconnection while keeping PR aligned with HR by default.

Camera
Exported videos now include ECG, SpO₂, and ETCO₂ waveforms as shown in live preview.

Corpuls
Improved AED analysis: removed incorrect “Patient Movement Detected” message and enhanced shock decision timing using ECG analysis blocks.
Added CPR depth support with manikin-specific ranges.
Improved CO₂ and apnoea alarm behaviour, including correct triggering and translations.
Added SpO₂ probe-off alarm with localized messaging.
Fixed metronome audio and defibrillator behaviour, including QRS marker display and power-on logic.
Ensured alarm notifications clear correctly after Autolimits adjustments.

CPR Band / CPR Puck
Improved Bluetooth connectivity and compatibility with newer devices.

CPR Console
Fixed compression depth unit conversion and display accuracy.

Facilitator/Control
Improved ECG waveform behaviour: heart rate now correctly updates or persists depending on waveform type.
Corrected passive rate values on select ECG waveforms and fixed a waveform naming typo.
Added configurable sound settings (volume, alarm, heartbeat) within events, including scenario saving, defaults, and clear display states.
Improved auscultation menu behaviour to prevent overlap and ensure proper closing during navigation.
Fixed layout issues with tab labels in languages with longer text.
Added collapsible folders in the Scenario Library.
Improved connection handling between Control and Monitor, including reconnection after Wi-Fi loss.
Resolved connection stability issues to prevent repeated reconnection attempts while awaiting monitor selection, eliminating device flickering.
Corrected unintended event behaviour so sound-related settings (e.g., Alarm Off) only appear when explicitly configured.

LIFEPAK 35
Corrected ETCO₂ sweep speed and waveform display to better match real device behaviour.

Menu / main screen
Fixed issue where Settings page could appear blank on some iOS devices.

Revel Vent
Fixed crash when connecting Control to the monitor.

SimConnect
Updated firmware (v1.4.0) with improved logging and behaviour consistency.
Improved Wi-Fi settings retrieval during SimConnect connection, including clearer loading prompts and retrying settings requests if the router is still starting up.

SimOccluder
Updated in-app branding.
Added support for SimOccluder firmware v1.2.0.

Zoll R
Added configuration options for AED startup mode and automatic AED analysis.

Zoll X
Fixed 12-lead ECG display reverting incorrectly in Torsades rhythm.
Added CPR metronome audio feedback.
Updated ETCO₂ monitoring to include automatic calibration on activation. 

Multiple Screens
Fixed missing exit prompt on monitor screens.
Prevented automatic BP from starting while monitor is off.

Maintenance and General
Updated compatibility with latest Apple system updates.
Standardized screen orientation (landscape by default; portrait where required).
Fixed unit consistency in exported videos (ETCO₂ and temperature).
Fixed TestFlight launch crash.

### 11.20.0 — 2026-03-01

SimOccluder
Released SimOccluder firmware version 1.1.0 to improve performance, reliability, and stability, including refined internal processes for a smoother and more consistent experience.
Updated the SimOccluder logo to reflect the latest branding.

SimConnect 
Updated SimConnect firmware to version 1.4.0, adding Event Config logging to improve device logging and performance.

Atlas
Refreshed Adult, Junior, and Baby icons in the Atlas Connection Panel for improved clarity and consistency.
Released Atlas Baby firmware version 1.5.1 to enhance performance and reliability.
Added clearer pulse strength descriptions in manikin settings: 0 – Pulseless, 1 – Weak, 2 – Normal, 3 – Bounding.

Corpuls
Fixed an issue where the Analyse and Shock keys did not respond as expected; both now correctly open defibrillator mode.
Resolved an issue where C3 soft keys became inactive after switching from pacing to Monitor mode; controls now remain active.

Zoll X Advanced
Unified Advanced Settings for ZOLL X and ZOLL X Advanced into a single, consistent configuration view. Automatic NIBP and Medication List settings are now included within the shared experience.
Added a “Default Lead” setting to select Pads or a specific ECG Lead as the startup default across all monitor modes. Pads remain the default unless changed. If Pads are turned off, the monitor defaults to Lead II for ECG display.

Scenarios
Fixed an issue where shared scenarios received by email did not open correctly. Shared scenarios now launch the app, import successfully, and display a confirmation message.

Multiple Screens
Enhanced the code preview screen with improved keyboard visibility, automatic uppercase entry, confirmation before deletion, visible expiry dates, and dynamic list sizing.

Multiple Hardware
Improved firmware update handling during active scenarios. Scenarios now pause automatically when the firmware screen appears and resume afterward. Firmware prompts no longer shut down scenarios or cause black screens, and updates can be completed without losing progress. The “slide to exit” gesture is disabled while the firmware screen is visible to prevent accidental interruption.

Generic Screen
Improved Generic screen HR and PR behavior. HR displays as dashes when ECG is unavailable, automatically switches to PR monitoring, links alarms to PR when HR is off, and flashes PR values when exceeding alarm limits.

iSimulate Community
Resolved an issue where “Import from REALITi” did not respond during media import.

Camera
Corrected an issue causing the Video Module display to appear upside down. Recordings now display with correct orientation, and previewed and saved videos match the live feed.

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## More apps by iSimulate Pty Ltd

- [ALSi](https://appshunter.io/ios/app/alsi/id664980820)
- [AURiS](https://appshunter.io/ios/app/auris/id1316807618)
- [REALITi Engage](https://appshunter.io/ios/app/realiti-engage/id1327065057)
- [CTGi](https://appshunter.io/ios/app/ctgi/id1342875195)
- [iSimulate CPR](https://appshunter.io/ios/app/isimulate-cpr/id1473381233)

All apps by iSimulate Pty Ltd: https://appshunter.io/developer/494486341

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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 2026-08-05.*
