SimShockPad vs ER NAV

SimShock is a hemodynamic simulation game. It is not a teaching or instructional tool, nor is it a clinical simulator. Think of it as a home flight simulator: true to the spirit, carefully made, but still a game. One critically ill patient, vital signs changing in real time, and very little room for error. The patient may arrive with heart failure, massive hemorrhage, septic shock or an arrhythmia. Each condition behaves differently, and what saves one patient can sink another. NEW HEMODYNAMIC ENGINE A new model links heart rate, stroke volume, cardiac output and vascular resistance to filling pressures. The baroreflex has two arms and can become exhausted, each patient has an individual sensitivity to each drug, and infusions have a therapeutic window: inside it they do their job; outside it, they do something else. No drug has a hard ceiling — if you overdo it, you will see the consequences. Real physiology is far more complicated. Many rules have been deliberately simplified to make the game playable. THE THREE SCREENS · Monitor — real-time ECG and pulse waveform, with systolic pressure, heart rate and venous pressure shown in traffic-light colors. Ventricular and supraventricular arrhythmias may develop spontaneously during a case. · Hemodynamics — cardiac output, cardiac index, vascular resistance, capillary and pulmonary pressures, stroke volume, blood volume and ventricular work, displayed as either values or a profile. · Trends — 1-, 5- and 10-minute evolution with an event log: this is where you can see exactly where the game went wrong. ACTION BUTTONS · Norepinephrine — at high doses, increased resistance chokes the ventricle: capillary pressure rises and cardiac output falls. · Dobutamine — increases cardiac output without increasing blood pressure. At high doses: tachycardia and hypotension. · Dopamine — above 20 µg/kg/min it irritates the ventricle: ectopic beats after ten seconds, ventricular tachycardia after twenty-five. · Nitroglycerin — unloads the lungs quickly, and can take the blood pressure down with it if the patient has little to spare. · Furosemide — makes a difference in the fluid-overloaded patient, not in the dry one, no matter how high you turn it up. · Saline and transfusion — finite bags: every milliliter counts. · Antibiotics — three regimens and one source of infection. Only the regimen that covers it works, and the infection itself must be controlled (Infection Control button). · Antiarrhythmics — adenosine, diltiazem, esmolol, propranolol, procainamide and amiodarone. · Defibrillator, non-invasive ventilation and transfer to intensive care. · Transfusion — transfusing alone is not enough: the bleeding must also be controlled (Bleeding Control button). THE CONTROLS · Notes — the assistant tells you what the patient still needs to become stable. · The doctor — tap to switch between a male and female doctor. If things go wrong, the expression changes. · Events — a log of what you did and when. · Pause — freezes time. Speed makes it run faster or slower. · Difficulty — changes how the patient evolves, not the reference ranges. · Arrhythmias — from off to a randomized 30% probability, or automatic according to difficulty. · Patient — variable or standard. Switch it off if you want reproducible games. · Random — hides the condition name and switches off the traffic lights: you have to read the numbers. · Exam — ten consecutive cases with scoring. · Cockpit — switches between the classic interface and the command-station view without losing the current game. · Language, Instructions and volume from 0 to 100 next to the clock, with a separate mute control. NOTICE SimShock is a game that represents pathophysiological situations in a simplified way. It is not an educational tool or a clinical guide, and it does not provide medical advice or recommendations. Always consult healthcare professionals.

Built for EMS, by EMS — ER NAV gives you the fastest way to the ambulance bay. ER NAV was inspired by navigation units on aircraft. These systems allow pilots to instantly go direct to an exact destination. ER NAV brings this tech into EMS by allowing EMT's and Medics to quickly find the nearest hospital and route direct to the ambulance bay using your preferred navigation app. Ambulance Bay Navigation Go directly to the correct EMS entrance, not the hospital’s main lobby. No guessing service roads or circling parking lots in the dark. Hospital Information See trauma, stroke, burn, pediatric, and specialty designations instantly — before committing to a route. No digging through outdated documents or memory. Use Your Preferred Apps Tap once to open your route in Apple Maps, Google Maps, or Waze. ER NAV works with the navigation app you're already used to. Ambulance Bay Images See user-submitted images of the ambulance bay so you know what you're looking for. Filter by Specialty Filter nearest hospitals by specialty including Trauma, Stroke, Burn, and Pediatric. Trauma and Stroke hospitals will also show their correct designations such as Level II Trauma Center, Comprehensive Stroke Center, etc. NJ EMS Protocols Access the full NJ EMS Clinical Practice Protocols & Guidelines directly in the app. Smart search with medical synonym support lets you find the right protocol in seconds, even mid-call. Med Reference Full in-app drug reference with indications, contraindications, and dosing — built for EMS. Filter by EMS medications or patient medications, and search by name, class, or brand name. Favorite Hospitals Favorite hospitals that you visit often for easy routing in the future. Call the ER Call the ER with one click on the home page. Hospital Notes Add hospital notes such as access tips, door codes, contact numbers — all stored securely only on your device. Live Map View View a live map of all hospitals and filter by specialty. Smart Search Search any hospital in your state by name, address, or specialty. O2 Tank Duration Calculator Calculate how long your O2 tank will last before it drops below 500 PSI or empty. Start a countdown that will alert you when the tank is running low. (Supports tank sizes C, D, E, F, M, G, H, J, K) Traffic Flow See real-time traffic conditions on routes to every nearby hospital, color-coded by severity. A scrolling alert ticker highlights active delays so you can pick the fastest route before you move. Route Traffic on Map View traffic-colored routes to all nearby hospitals directly on the map — green, yellow, and red overlays show you exactly where the slowdowns are before you commit to a route. Call Log & Auto-Mileage Log your calls with automatic GPS-based mileage tracking. Tap Departed Location and Arrived at Destination — ER NAV calculates the miles for you. Includes decimal mileage display and call timestamps. Community Notes View and submit community-sourced notes for hospitals — access tips, alerts, and more. Submitted notes are reviewed before publishing to keep information accurate and trustworthy. Suggest a Hospital Don't see a hospital in your area? Suggest it directly from the app. New submissions are reviewed and added weekly. Report an Issue Found incorrect hospital information? Report it in-app with pre-filled fields for easy submission. Our team verifies and corrects flagged entries. EMS Room Ratings Rate the EMS room at any hospital and see ratings from other providers. To see the list of supported hospitals, visit our website at https://ernavapp.com. We're working hard to expand to additional states in the upcoming weeks. If you need support, want to contribute feedback, or apply for your agency, email us at ernavapp@gmail.com. All features described above require a subscription. Terms of Service: https://ernavapp.com/pages/terms_of_service_page Privacy Policy: https://ernavapp.com/pages/privacy_policy_page