ShockRef vs UPDATE SIM

ShockRef is a focused educational reference for clinicians and learners managing shock, hemodynamics, vasoactive therapy, and temporary mechanical circulatory support. It integrates bedside physiology, shock phenotyping, resuscitation workflows, monitoring pitfalls, drug references, MCS troubleshooting, source citations, and practical calculators for structured, physiology-based critical care. This app is intended for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition, and never disregard or delay seeking professional advice because of information provided by this app. About Rishi Kumar, MD, FACC ("RK.MD") I'm an adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist practicing in academic medicine. I'm passionate about teaching with free, open-access medical education. Learn more on my site: https://rk.md

Carry a simulated patient monitor, defibrillator, and transcutaneous pacer on your iPhone or iPad. UPDATE SIM helps instructors, universities, and simulation centers run ACLS, PALS, and emergency scenarios with a portable, bilingual tool that works without an internet connection. IDEAL FOR • Resuscitation and emergency instructors • Clinical simulation centers • Universities and healthcare programs • Hospital and prehospital teams KEY FEATURES • Vital signs monitor with ECG, SpO₂, blood pressure, and capnography • 38 cardiac rhythms for varied clinical scenarios • Defibrillation, synchronized cardioversion, and transcutaneous pacing • More than 100 preconfigured scenarios, including ACLS, PALS, PREHOSP, MAVACRIT, OBSTACRIT, EPC, and AEROCRIT • More than 50 medications with simulated physiological effects • Chest compressions with visual feedback • Spanish and English interface • Works without an internet connection • Layouts adapted for iPhone and iPad A PORTABLE TOOL FOR TEACHING AND TRAINING Organize scenarios, change vital signs, and use defibrillation and pacing functions from a single app. UPDATE SIM is designed to support practical, repeatable educational sessions. Download UPDATE SIM and bring clinical simulation to your next training room. For education and simulation only. Not a medical device and not intended to diagnose, monitor, or treat real patients. UPDATE SIM does not claim official affiliation with or certification by AHA, NAEMT, or other organizations.