SimShockPad vs ACLSMED Sim

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.

ACLSMED Simulator turns iPads into a high-fidelity clinical training rig: one iPad becomes the patient monitor + defibrillator + pacer, another the instructor remote driving the scenario — and, new in 2.0, a six-station CPR skills trainer. Built for nursing schools, paramedic programs, residency simulation labs, and ACLS courses. Aligned with AHA 2025 guidelines (effective March 2026). WHAT'S IN THE APP • MONITOR ROLE — Full patient monitor with up to six clinical channels: HR/ECG, ART/NIBP, PA, CVP, SpO₂, and EtCO₂. Real-time waveform engine, alarm flash, integrated defibrillator (charge → shock → reset), and transcutaneous pacer. New in 2.0: hardware device shells — hospital defib, brushed-metal, and transport styles with color variants. • INSTRUCTOR ROLE — Educator-facing control panel. Drive vitals, switch among 47 rhythm presets (sinus, atrial, SVT, junctional, ventricular, AV blocks, paced, arrest), run 33 megacode scenarios, trigger alarms, toggle CPR artifact, and step through 12-lead ECG presentations. • IVMED ROLE — Infusion pump trainer with a 61-drug library, weight-based dosing, and soft/hard limit alerts. • RESPMED ROLE — Ventilator trainer: AC/VC, PRVC, BiPAP, and PSV modes with lung pathologies and ABG presentation. • CPR SIMULATOR ROLE (NEW IN 2.0) — A multi-station CPR skills trainer on one iPad. Up to six students place an iPhone running the free ACLSMED CPR app on a training manikin's sternum, hands on top: a two-minute timed test with a live quality bar per student, ring-gauge results for rate, depth zone, and hands-on time, a focus area for each student, a class leaderboard — and every student's grade delivered to their own phone. WORKS WITH ACLSMED CPR (FREE) ACLSMED CPR is our free iPhone companion — a CPR counter and feedback trainer for manikin practice. The phone lies on the manikin's chest under the student's hands and measures every compression: rate, honest depth zones, and hands-on time, with a 110/min metronome. Alone it scores solo practice; paired, it powers the CPR Simulator test and drives the monitor's compression artefact, vitals response, and code-debrief hands-on fraction. Student phones never need a seat. • PAIRING — Automatic discovery over local Wi-Fi with Bluetooth fallback; signed envelopes keep every device in lockstep. • AUDIO — Synthesized HR beep tracking SpO₂, ICU alarms, defib charge ramp + shock thump, 110 bpm CPR metronome, and voice prompts. • OFFLINE — Once paired, the simulation runs entirely on-device. WHO IT'S FOR Nurses, paramedics, EMTs, medical students, residents, and ACLS instructors who need a portable, repeatable, clinically credible megacode environment and can be used with CPR manikins. SUBSCRIPTION REQUIRED ACLSMED Simulator requires a plan, purchased in the app. Two tiers, each as an auto-renewing monthly or annual subscription or a one-time lifetime license: • ACLSMED Pro Patient Monitor + Instructor Remote + CPR Simulator (licenses 2 devices) • ACLSMED Suite adds IVmed pump + RESPmed ventilator (licenses 4 devices) Payment is charged to your Apple ID. Subscriptions auto-renew unless cancelled at least 24 hours before the period ends; manage or cancel in Settings → Apple ID → Subscriptions. One account activates every iPad in your bundle. Privacy Policy: https://www.aclsmed.com/privacy.html Terms of Use (EULA): https://www.aclsmed.com/terms.html REQUIREMENTS • iPad only (9th generation / A13 or newer), iPadOS 17 or later • Local Wi-Fi or Bluetooth between devices • An active ACLSMED plan (purchased in-app) • CPR Simulator: free ACLSMED CPR app on student iPhones (iOS 17+) IMPORTANT Educational only not diagnostic. ACLSMED Simulator is a teaching tool for clinical education and exam preparation. CPR features are for practice on training manikins only. It is not a medical device, is not for use on patients, and must never be used to make diagnostic or treatment decisions. SUPPORT Email: support@aclsmed.com Web: https://www.aclsmed.com