Train for the Patient That Changes Your Shift

Build attending-level clinical judgment through branching, consequence-driven scenarios — shock, airway emergencies, OMI, toxicology, sepsis, and pediatric crises. Designed for residents, attendings, and APPs who train to think, not memorize.

Why EM-Sim Is Different

Most simulation platforms teach protocols. EM-Sim trains clinical reasoning — the skill that separates good clinicians from great ones when the pressure is on.

Physician-Built

Every scenario is authored by a board-certified emergency physician. No committee-designed protocols. No generic medical content.

Cognitive Forcing Strategies

Scenarios are designed to expose anchoring bias, premature closure, and search satisfaction — the errors that cause real harm.

Branching Clinical Decisions

Your choices change the case. Manage the patient incorrectly and the scenario evolves — just like a real resuscitation bay.

Attending-Level Thinking

Cases are calibrated to the cognitive demands of independent practice — not intern-level checklists. Build the judgment unsupervised practice demands.

AI-Assisted Debriefing

After every scenario, the AI Tutor explains the reasoning behind each decision — referenced to AHA, ACEP, and ATLS guidelines.

Performance Analytics

Track decision accuracy, time-to-critical-action, and performance trends across attempts. Know exactly where your reasoning breaks down.

Decision Pathway Tracking

Every branch you take is recorded. Review your full decision pathway post-simulation to identify the exact moment your reasoning diverged.

Realistic Emergency Scenarios

32 cases spanning cardiac, trauma, airway, toxicology, sepsis, and pediatric emergencies — calibrated to real ED case mix and acuity.

The Cases You Cannot Afford to Miss

These presentations are rare enough that you may not see them for months — and lethal enough that hesitation costs lives. EM-Sim keeps your recognition and response sharp between real encounters.

Occlusion MI (OMI)

Posterior STEMI, Wellens pattern, de Winter T-waves — the ECG findings that kill when missed on a normal-looking tracing.

Tension Pneumothorax

Needle decompression timing, bilateral breath sounds that mislead, and the hemodynamic collapse that cannot wait for imaging.

Aortic Dissection

The chest pain that looks like ACS. Recognize the pulse differential, the widened mediastinum, and the contraindication that changes everything.

Septic Shock in the Elderly

Atypical presentations without fever, the lactate that is deceptively normal, and the window for source control that closes fast.

Pediatric Respiratory Failure

Epiglottitis vs. croup vs. foreign body — the airway that deteriorates in the time it takes to get a lateral neck film.

Toxicologic Emergencies

Tricyclic overdose, calcium channel blocker toxicity, and the antidotes with narrow windows. Recognize the pattern before the rhythm deteriorates.

32 Clinical Scenarios

From STEMI to sepsis, trauma to toxicology — master the full spectrum of emergency medicine

  • Cardiac
  • Trauma
  • Respiratory
  • Neurological
  • Pediatric
  • OB/GYN
  • Toxicology
  • Sepsis
  • Ethics