Terms of use

Last updated 6 August 2026

The content is AI-generated, and reviewed by clinicians

Cases, patient responses, laboratory values, debriefs and teaching points are produced or assisted by a large language model. Cases are checked against published clinical guidelines and are reviewed and signed off by named physicians before they serve — but review reduces error, it does not eliminate it. Treat everything here the way you would treat a colleague's teaching case: useful, considered, and not authoritative.

Where a case teaches a threshold, a dose or a target, the current published guideline is the authority and this simulator is not. If the two disagree, the guideline is right.

Images

ECGs and chest films are real teaching images from openly licensed sources, described by reviewing clinicians. They are illustrative of the scenario, not of any particular patient. Attribution and licences are listed on the image credits page.

Do not enter patient information

Do not type protected health information, real patient identifiers, or anything you would not put in a public forum. What you type is sent to a third-party model provider to generate the response, and is stored with your session so your debrief can be produced.

This service is not offered as a HIPAA-covered service and no business associate agreement is in place. If you need one, do not use this tool for anything involving real patients until that has been arranged.

What is recorded about you

Per simulation: which case you ran, when, how many actions you took, whether you completed the debrief, your critical-action score, and the diagnosis the case taught. Your transcript is held for the length of your session so the debrief can be generated.

If your organisation provides your access, your organisation's administrators can see that you used it and how often. Whether they can see your scores is a separate setting that is off unless you turn it on, and you can turn it off again. Departmental weak-area reporting is pooled and anonymous, and is withheld entirely below a minimum cohort size.

No continuing education credit

This activity is not accredited, and no CME or CE credit is offered for it. Your completed cases are recorded with their dates so you have your own record of what you practised. Nothing here should be submitted to a board or licensing body as accredited education.

A case counts as completed when you have taken at least 3 actions, obtained the patient's vital signs, and received your debrief — all three. Your progress page explains it in full.

Acceptable use

• Use it for your own education, or your trainees'.
• Do not present its output as clinical guidance, protocol, or a source.
• Do not attempt to extract the case bank, or use the simulator to generate content for a competing product.
• Share your access only as your licence permits.

Availability, and the limits of what is promised

This is offered as-is, without warranty. It may be unavailable, may change, and may occasionally be wrong. It depends on third-party model providers and inherits their outages. To the extent the law allows, liability is limited to what you paid for access.

Nothing in these terms limits liability for anything that cannot lawfully be limited.

Questions, and reporting something wrong

If a case teaches something you believe is incorrect, please say so — the feedback link in the simulator reaches the people who maintain the case bank, and clinician corrections are how the content has improved. Contact: [email protected].