SimShockPad vs AdmitNote

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.

AdmitNote is an AI-powered clinical documentation app built for hospital medicine and internal medicine physicians. Designed to eliminate the burden of admission note writing, AdmitNote transforms spoken patient encounters into complete, structured History & Physical notes in seconds. RECORD & TRANSCRIBE Speak naturally during or after the patient encounter. AdmitNote transcribes your recording and automatically structures it into a full H&P with all sections populated: Chief Complaint, HPI, Review of Systems, Past Medical and Surgical History, Medications, Allergies, Family and Social History, Physical Exam, Labs, Imaging, Assessment, and Plan. AI-POWERED STRUCTURING Powered by Claude (Anthropic) and Whisper (OpenAI), AdmitNote understands clinical language, expands medical shorthand, and routes information to the correct section automatically. Say "PE normal except bilateral crackles" and the app generates a complete physical exam with all systems documented as normal except the lungs. Say "ROS negative except chest pain and shortness of breath" and all 13 systems populate instantly. EVIDENCE-BASED ASSESSMENT & PLAN Tap Restructure Full Note to generate a complete clinical Assessment and Plan, including differential diagnosis ranked by likelihood, ICD-10 codes, CPT admission code, and referenced clinical guidelines from ACC/AHA, IDSA, GOLD, KDIGO, ADA, Surviving Sepsis Campaign, and more. CLINICAL SCORING CALCULATORS 18 built-in validated scoring tools organized by specialty. Results compute live and paste directly into your note's Assessment section: Liver/GI: MELD-Na, Child-Pugh, Maddrey DF, Glasgow-Blatchford, Ranson's Cardiology: HEART Score, CHA₂DS₂-VASc, HAS-BLED, TIMI, GRACE Pulmonary/ID: CURB-65, PSI/PORT, SOFA, Wells PE, Wells DVT, PERC Nephrology: FENa, FEUrea, CKD-EPI eGFR General: Glasgow Coma Scale, CIWA-Ar, Braden Scale, LRINEC ADD MORE INFO — ANYTIME As labs return and imaging comes back, dictate new findings into Add More Info. Tap Restructure and the AI incorporates everything, updates the Assessment and Plan, and regenerates codes — preserving all prior content. SMART DICTATION Press-and-hold or hands-free recording with live transcript preview. Voice commands include "scratch that," "next line," and "go to end." Smart capitalization preserves medical acronyms. 120+ custom pronunciations and 450+ medical terms optimized for clinical speech recognition. QUICK-ENTRY CHIPS One-tap templates for CBC, BMP, ABG, LFTs, troponin, and more. Full physical exam system chips with normal templates. Lab value dictation with automatic blank-filling. HIPAA-ORIENTED DESIGN Audio deleted immediately after transcription. Notes auto-delete after 48 hours unless locked. All data stored on-device only. No cloud sync. No analytics. No ads. Clinical text transmitted via encrypted HTTPS only. EXPORT & SHARE Export complete notes via email or share sheet. Toggle inclusion of Differential Diagnosis, ICD-10/CPT codes, and Clinical Guidelines. Copy directly into your EHR. AdmitNote is built by a physician, for physicians. It is a clinical decision support tool and does not replace physician judgment. By subscribing, you agree to Apple's Standard License Agreement and Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/