ER & Rapid Response Training vs 心電図ドリル

From emergency response to consciousness assessment, auscultation and history taking. An educational app for practicing four core skills on the ward and in the ER: leading the initial response when a patient suddenly deteriorates, assessing impaired consciousness and finding its cause, telling heart and lung sounds apart, and narrowing the differential from the history. Work through 3D cases, real recordings and Q&A as often as you like. ■ Emergency Response Training • Scenario simulation: A patient on the ward suddenly arrests. As team leader, take charge from recognition and BLS through defibrillation, drug administration and tracheal intubation to post–cardiac arrest care (3 cases, with scoring) • Skill drills: 6 hands-on drills covering chest compressions, bag-mask ventilation, defibrillation, ECG, drugs and tracheal intubation • Lessons: the BLS and ALS sequence, the 4 cardiac arrest rhythms, defibrillation, drugs, the 4 Hs and 4 Ts, and post–cardiac arrest care, taught with 3D visuals and quizzes ■ Consciousness Assessment Training • Clinical mode: Watch how a 3D patient responds to voice and to pain, grade the JCS (Japan Coma Scale) and GCS, then work out the cause of impaired consciousness one question at a time (12 cases, about 2 minutes each). • JCS quiz / GCS quiz: Practice scoring with 30 fictional cases, complete with timer, points and ranks • Learn: JCS and GCS quick reference, Pupil atlas (try the pupillary light reflex in 3D), and AIUEOTIPS, the Japanese take on the AEIOU TIPS mnemonic ■ Heart & Lung Sounds • Sound library: 102 recordings of 12 heart and 6 lung findings, from S3, S4 and murmurs to wheeze and crackles, by auscultation site, with waveforms and ECG timing • Challenge mode: as many right answers as you can in one minute, at Beginner and Intermediate levels, with ranks and a review of your misses • Listening quiz: listen, then choose from four answers (heart, lung or mixed; 10 questions a round) • Recordings: HLS-CMDS (McMaster University, CC BY 4.0) and the University of Michigan Heart Sound & Murmur Library (CC BY-SA 3.0) ■ NEW: History-Taking Training • 9 chief complaints, from headache and abdominal pain to dizziness and cognitive decline: how far can the history alone narrow the differential, without any tests? • Answer Yes, Don’t know or No and watch the probabilities of 145 candidate diagnoses change. Can’t-miss diagnoses are flagged • Differential lists, region-based differentials for numbness and abdominal pain, and disease cards with likelihood ratios. The probabilities come from a learning model based on published data ■ Who it's for • Nurses, medical residents, paramedics and EMTs, and healthcare students • Anyone who wants more confidence scoring JCS and GCS • Anyone who wants to run through the BLS and ALS sequence hands-on • Anyone who wants to feel surer listening to the heart and lungs • Medical students and residents who want to build a differential from the history ■ PRO mode (one-time purchase) • All 12 cases in Clinical mode of Consciousness Assessment Training (4 are free), Favorites, and retrying questions without scoring • Unlocks cases 2 and 3 of the emergency Scenario simulation (case 1 is free) • Heart & Lung Sounds: all 18 findings and 102 recordings, the listening quiz and the Intermediate challenge (free: 5 findings, 39 recordings and the Beginner challenge) • History-Taking Training: all 9 chief complaints (headache is free) • No ads • Everything we add in the future is included • No subscription. Restore your purchase on any device signed in with the same Apple Account. Important: This app is for educational training only. All cases are fictional, and the patient responses shown are simulations for learning. Do not use it for diagnosis, treatment or any other real clinical decision. Always follow your institution's protocols and the judgment of physicians and other qualified professionals.

波形を計算で作るので、問題が尽きません。 心電図の判読を、実際に手を動かして練習するアプリです。収録した画像を出しているのではなく、心臓の電気ベクトルから12誘導へ投影して、その場で波形を作っています。だから同じ問題が繰り返されず、軸や心拍を連続で振ることもできます。 ■ 出題は4つ ・調律：洞調律・洞徐脈・洞頻脈・心房細動・心房粗動・房室ブロック・期外収縮・心室頻拍 ・緊急度：いま人を呼ぶか、様子を見てよいか ・電気軸：Ⅰ と aVF から象限を読む ・所見：脚ブロック・梗塞・WPW・高カリウム・左室肥大 ■ 答え合わせは図の上で 根拠の行に触れると、その行が指している誘導が図の中で光ります。心拍数・電気軸・QRS幅は、いま出ているその波形から測った値です。間違えたときは「その答えを選ぶ条件」も一緒に出します。 ■ 読み方（講義） 調律・所見・電気軸・対応の要点を、条件の1行と手本の波形で確かめられます。手本もその場で計算しているので、問題に出る形と必ず一致します。 ■ 復習箱 間違えた問題は自動で貯まります。正解した問題も「あとで解き直す」で残せます。保存しているのは波形の設定だけなので、何問貯めても軽いままです。 ■ 紙の作法のまま 25mm/s・10mm/mV、校正波、4×3／6×2／12×1 の並べ替え、P・QRS・T の印。拡大して横に送りながら読めます。 ■ 出典・参考文献 条件や判定の根拠は、米国心臓協会ほかの心電図判読の勧告（AHA/ACCF/HRS）と、日本循環器学会・日本蘇生協議会などの診療ガイドラインに基づいています。書誌と各資料へのリンクは「設定 → 出典・参考文献」にまとめてあり、答え合わせの「出典」欄と「読み方」の各項目からも開けます。 ■ ご利用にあたって 本アプリは、計算で生成した学習用の波形を用いた判読トレーニングです。 疾病の診断、治療又は予防に使用されることを目的としていません。 実際の患者の心電図を取り込む機能はありません。 実際の診断や治療の判断は、必ず医師（指導医・主治医）にご確認ください。 対象：看護師・救急救命士・臨床工学技士・研修医・医学生の方の学習用