Simulators and curricula for anesthesia, ICU, emergency medicine, internal medicine and surgical clinicians

Place the probe. Aim the plane. Find the view.

Transthoracic cardiac ultrasound from the parasternal, apical and subcostal windows: PLAX, the short-axis levels, the apical views, subcostal four-chamber and the IVC.

Ribs and lung are modelled and they shadow, so finding a clear window is part of the score. Supine or left lateral decubitus; screen orientation switches between the cardiology and EM conventions.

Explore freely, or Acquire a named view and be scored on how close your plane lands.

Move the probe. Watch the plane. Find the view.

Drive a TEE probe with its real controls — omniplane, flexion, advance, withdraw and rotation — and see where the imaging plane falls. Standard views follow the ASE/SCA guidelines.

Three modes: Explore freely, Acquire a target view for a score, or Identify a view from the image. Biplane imaging included.

Find the window. Follow the pleura. Read the pattern.

A six-zone supine exam with the linear, sector and curvilinear probes, B-mode with M-mode when you want it, and five lung phenotypes to tell apart.

Acquire asks you to optimise the view and record a full breath cycle. Read gives you ten animated clips with the probe settings hidden until you commit to an answer.

Find the antrum. Measure it. Estimate the volume.

Slide, rotate, fan, rock and press on a supine or right-lateral patient, with the stomach, pancreas, aorta and IVC shown in 3D beside the image so you can see where your plane is cutting.

Explore, Acquire and Measure. Volume comes from the Perlas formula, and the score reflects both the plane you found and the calipers you placed.

How little free fluid can you still see?

The peritoneal views of the FAST exam — right upper quadrant, left upper quadrant, pelvic transverse and pelvic sagittal — on a case you build yourself.

Set free fluid anywhere from nothing to two litres, seed it diffusely or into one quadrant, then change the patient’s sex, bladder fullness and tilt and watch where the fluid goes.

Engine preview: the planes and the physiology are calibrated; probe controls, scoring and reading rounds come next.

Grade the hydro. Read the bladder.

Both kidneys in long and short axis and the bladder in two planes, on a case you configure: hydronephrosis in four grades, kidney size, cortical thickness and echogenicity, cysts, stones and masses.

The bladder runs from empty to distended, with wall thickening, clot, a Foley balloon in or out, and male or female pelvic anatomy.

Engine preview: probe controls, Acquire scoring, Measure and the reading rounds arrive in the next versions.

Press and hold. The vein either flattens or it doesn’t.

Proximal lower-extremity compression ultrasound at six calibrated points from the common femoral vein to the popliteal, plus a sweep down the femoral vein for the clot that hides between them.

Compression is under your hand: the vein flattens, the artery indents, and the app calls it compressible, non-compressible, or not pressed hard enough. Occlusive, non-occlusive and acoustically invisible clots, with a lymph node, a Baker’s cyst and a nerve as mimics.

Engine preview: the six points and the compression physics are calibrated; the full probe interface and reading rounds come next.

The patient is crashing. What do you do first?

Operating-room emergencies run on a live heart–lung model, with a monitor, anesthesia machine, defibrillator and drug cart at hand. Treatments help or hurt for physiological reasons, not because a script says so.

Cases cover the events in the Stanford Emergency Manual plus additional crises, compressed into minutes. Guided, Standard and Mystery modes, a room log of every action, and a scored debrief at the end.

One component has failed. Find it.

An anesthesia machine and ventilator with live pressure, flow, volume and capnography. In each scenario exactly one component has failed in the machine, circuit or patient interface; you find it from the waveforms and the dialed-in vs measured mismatch.

Three difficulty tiers, plus concept questions on gas physics, absorber chemistry, scavenging, cylinder math and safety interlocks.

Separation from bypass is a sequencing problem.

Assemble the order of 27 events across surgeon, perfusionist, anesthesiologist and shared roles. The engine grades precedence and safety, not style.

Learn and Exam modes, a reference timeline anchored to the venous clamp, and seven “never events.” Built with input from a group of senior cardiac anesthesiologists.