The complete instructor guide to ACLSMED™ SIM — the tablet clinical suite — and ACLSMED™ CPR, the free compression-quality trainer for your learners' phones and Apple Watch. From the first sign-in to the debrief, one screen and one button at a time.
| Runs on | iPad and Android tablets | iPhone & Android phones — and Apple Watch |
| Price | Paid — one plan per account; every tablet in the room signs into it (§ 01) | Free no account, no ads |
| Held by | You + student roles | One per learner at the manikin |
| Does | Monitor/defib, instructor remote, IV pump, ventilator, CPR test board, 33 MegaCodes | Measures compression rate, depth & hands-on time on a manikin |
| Worn or placed | Stood at the bedside | Phone on the chest, or the watch on the compressing wrist — § 07 |
| Network | Local, tablet to tablet — no internet once signed in | Local, phone to tablet |
Because CPR needs no account, you can tell twenty learners to install it in the parking lot and it just works. Nothing they do touches your seat count, and nothing leaves their phone.
| § | Chapter | Read it when |
|---|---|---|
| 01 | Accounts, plans & seats | Setting up a new tablet, or a role "won't claim" |
| 02 | The room | Roles, pairing, the ten-minute build |
| 03 | MONITOR | Every button on the patient's screen |
| 04 | ORCHESTRATOR / REMOTE | Driving the patient from your iPad |
| 05 | IVmed | Programming the pump (Clinical Suite) |
| 06 | RESPmed | Running the ventilator (Clinical Suite) |
| 07 | CPR | Phones, watches and the six-station test |
| 08 | Playbooks | Timed lesson plans |
| 09 | Reference | Troubleshooting, checklists, scenario catalog |
← → or space to move · Home / End · P prints · F fullscreen. Add #n to the address to open slide n. The PDF is the same deck, one slide per page.
Each picture is a capture of the shipping app, not a mockup. Numbered markers on a figure match the numbered list beside it.
Prices — they live at aclsmed.com/#pricing and inside the app, so this manual never goes stale. Nothing here is medical advice: ACLSMED is training software, never a medical device.
One ACLSMED account runs the room. Each tablet signs into it and takes one role; learners' phones join with the free CPR app and never touch the account.
Patient monitor, defibrillator, pacer, 12-lead, X-ray, labs, meds, code summary.
The orchestrator remote: vitals, rhythms, MegaCodes, meds, patient voices, the log.
Six-station timed compression test with a scored debrief for each learner.
Dual-channel infusion pump with a drug library and dose guardrails.
Ventilator with nine modes, lung pathologies and an ABG drawer.
Measures each learner's compressions on the manikin and streams them to the Monitor or CPR Simulator.
One account for the whole room. Ten minutes once — then every tablet you add is a sign-in and a tap.
Every tablet in a room signs into the same ACLSMED account. Create it once, on whichever tablet you set up first.
Use an address you can check from the room — you'll tap the link before your first log-in.
Install ACLSMED™ SIM on every tablet. Learners install ACLSMED™ CPR on their own phones — no account needed.
Decide now which iPad is the Monitor and which is yours. A tablet keeps its role until you change it in Settings.
The account you create in the app is the same one that works at aclsmed.com — the web simulator, the web checkout and the app all read one profile.

Check spam, then try Forgot password? on the sign-in card — it resends a link to the same address. The Back arrow at the top left returns to log in at any time.

Sign every tablet into the same account. Tablets on different accounts are in different rooms and will never find each other.

Changing the password does not sign the other tablets out or release their seats. They stay in the room until you sign them out yourself.

After the first sign-in the app shows the Terms of Use (version and date at the top) with seven short sections: educational use only, no patient-care reliance, clinical accuracy, subscription & refunds, account security, intellectual property, CPR measurement & wearables.
The gate is remembered per account. When the terms are revised it appears once more, on every tablet. If it fails to load, tap Retry — the app also carries a built-in copy for offline first runs.
| Pro | Clinical Suite | |
|---|---|---|
| Roles | MONITOR · INSTRUCTOR · CPR SIMULATOR | Everything in Pro + IVmed + RESPmed |
| Tablets on the account | 2 at once | 4 at once |
| Monitors at once | 1 | 2 |
| Cadence | Monthly · Annual (auto-renew) · Lifetime (one-time) | |
| Where to buy | In the app (App Store or Google Play billing) or at aclsmed.com/#pricing — same account either way | |
| Learner phones | Unlimited, free, no seat used | |
Two-iPad code room — Monitor plus your remote — is Pro. Add the pump and the ventilator as separate task-load stations, or run two Monitors, and you need Clinical Suite. You can upgrade later from inside the app without losing anything.

Reinstalled, or the store says you already own it? Tap Restore purchases at the top right of the plan screen. Sign out at the top left leaves the account without buying.
Install SIM, sign into the room account, accept the terms, answer the units question. The plan is already there. Pick a role.
A web checkout activates the same account automatically. Sign into the app and the paywall is gone. Institutions and discount codes go through the web checkout too.
Buy through Google Play or on the web. One account can hold an iPad room and an Android room, but the two never pair with each other.
Settings → ACCOUNT → UPGRADE TO CLINICAL SUITE, or tap a locked role tile. The store handles the change; nothing is repurchased.
Site licences and humanitarian rates are arranged by email — support@aclsmed.com. They activate on a normal account exactly like a web purchase.

Between the terms and the role picker, every tablet asks "How should this iPad display vitals?" There is no default — pick one.
| Card | What every number becomes |
|---|---|
| METRIC | °C · kg · cm · SI labs (mmol/L) |
| IMPERIAL | °F · lb · ft/in · conventional labs (mg/dL) |
Both settings menus carry a UNITS switch, and the choice syncs to the paired iPad. Scenarios are authored in metric and converted for display only — both systems describe the same patient.
A tablet takes a seat the moment it picks a role. Seats belong to the account, so the caps below apply across every tablet signed into it — that is what stops one login from running a whole building.
| Plan | Tablets at once | MONITOR | INSTRUCTOR | IVmed | RESPmed | CPR SIMULATOR |
|---|---|---|---|---|---|---|
| Pro | 2 | 1 | 1 | — | — | 1 |
| Clinical Suite | 4 | 2 | 1 | 1 | 1 | 1 |
You tap a role and the picker answers with a panel: MONITOR IS HELD BY another iPad, or ACCOUNT FULL — RELEASE AN IPAD. That other tablet is usually one that went home still signed in. You do not have to walk to it.
The panel lists each blocking iPad by name with when it claimed the role. Tap RELEASE beside it — that iPad is signed out of the account from here and the seat is yours. Then tap the role again.
Empties every seat on the account in one go. This iPad keeps its role; every other device is evicted and must sign in again. Tap once to arm (TAP AGAIN — RELEASES EVERY DEVICE), again within four seconds to fire.
RELEASE ALL DEVICES kicks live rooms off the account — the Monitor in the next bay goes back to the sign-in card. Use it between sessions, or release one iPad at a time.
| Control | What it does |
|---|---|
| Email · Plan | Who this tablet is signed in as, and the plan it resolved to (Pro or Clinical Suite). |
| Manage subscription in the App Store | Opens Apple's subscription sheet — change cadence, cancel, or request a refund. Google Play does the same on Android. |
| UPGRADE TO CLINICAL SUITE / CHANGE PLAN | Reopens the plan screen in manage mode with your current plan marked. Upgrades, downgrades and cadence switches happen in the store; the app follows. |
| RELEASE ALL DEVICES | The seat failsafe from § 01.11 — this iPad keeps its role, all others are signed out. |
| SIGN OUT | Releases this iPad's seat, signs out, forgets the cached plan and terms, drops the role, and disconnects from the room. The next launch starts at the sign-in card. |
| DELETE ACCOUNT & DATA | Two taps (TAP AGAIN TO CONFIRM ACCOUNT DELETION). Permanently deletes the account, its seats and its remote data. Also available at aclsmed.com/privacy.html. |
Tap the gear on any role — Monitor, Instructor, IVmed, RESPmed, CPR Simulator — and scroll to ACCOUNT. The role picker's own gear (top right) offers Sign Out only.
Account, terms and plan are fetched and then cached. A basement classroom works fine after that.
Tablets pair with each other locally. Rhythms, shocks, drugs and CPR data never leave the room.
After 7 days without reaching the server the gear icon gets a yellow dot and Settings shows RECONNECT WITHIN N DAYS. At 14 days the tablet asks you to sign in again.
Any launch with internet re-verifies silently and restarts the count. A tablet that comes online before day 14 is never asked to log in again. If it does hit the gate, one sign-in with internet restores everything — the role and the room are remembered.
Roles, pairing, and the ten minutes that decide whether the session runs clean.
Place it where a real monitor lives — head of the bed, screen out. This is what the team treats.
Never in a learner's line of sight. Everything you touch appears on their monitor as if the patient did it.
Optional third and fourth tablets, stood where the pump and the ventilator would stand. A learner runs each one.
The suite never talks to manikin hardware. Tablets find each other peer-to-peer; no internet once signed in.
Charge above 80%, set Auto-Lock → Never, turn on Do Not Disturb. A monitor that sleeps mid-arrest is the most common avoidable failure in a live session.

Tap a tile and the tablet claims that seat and opens the role. This setting persists — a tablet labelled "Monitor" stays the Monitor across restarts until you change it under Settings → DEVICE ROLE. The gear at the top right offers Sign Out.

Any signed-in tablet can be a Monitor. What the plan limits is how many — one on Pro, two on Clinical Suite (§ 01.10).
Every tablet announces its role on the local network and looks for the others. Two tablets on the same account and the same Wi-Fi connect by themselves within seconds, and every message between them is signed — a stray tablet next door cannot drive your patient.
| Where to look | What "paired" looks like |
|---|---|
| Monitor · CONNECTION panel (right column) | One row per role; a green dot beside the Instructor row. |
| Remote · CONNECTION strip (bottom) | Role names light up; an unpaired role reads "Monitor offline". Beneath: HMAC hb 5s · uptime · seat usage. |
| Settings · CONNECTIONS + PAIRING DIAGNOSTICS | Transport in use, peers by name, last error, and a RECONNECT button. |
| Symptom | Cause | Fix |
|---|---|---|
| Nothing ever appears in CONNECTION | "Local Network" was declined on this iPad | Gear → PAIRING DIAGNOSTICS → Open ACLSMED Settings → turn Local Network on. Relaunch. |
| Both tablets say Searching… forever | Guest or enterprise Wi-Fi blocks device-to-device traffic | Put both on a phone hotspot — or turn Wi-Fi off on both and let them pair directly over Bluetooth. |
| Each tablet sees itself only | Different accounts | Sign out (Settings → ACCOUNT) and sign into the room account. |
| "MONITOR IS HELD BY…" when picking a role | Another iPad still holds the seat | RELEASE it from the panel (§ 01.11). |
| Your remote drives the wrong Monitor | Two rooms share one account | One account per room. Tablets on one account will pair with each other across a corridor. |
| An Android tablet never appears | iPad and Android never mix | Rooms are iPad-only or Android-only. Use one platform per room. |
| Paired, then dropped mid-code | Wi-Fi roamed or the iPad slept | Settings → CONNECTIONS → RECONNECT. Auto-Lock → Never. If it stays stuck: force-quit both, launch the Monitor first. |
Re-picking on both tablets one at a time briefly leaves the room with two Monitors or none. A swap is a single change on the account, so the caps in § 01.10 are never tripped mid-class.
Sign in with the room account; the five roles, the terms gate and the units question are the same. Plans are bought through Google Play or on the web.
Android tablets on the same Wi-Fi join each other automatically — the CONNECTIONS panel reads LAN (Wi-Fi) with a green dot per peer, Searching… while it looks, and offers RECONNECT.
An Android tablet cannot join an iPad room, and an iPad cannot join an Android one. Learner phones follow the same rule: iPhone to iPad, Android phone to Android tablet (§ 07).
Android pairs over the router only, so client-isolated Wi-Fi needs a phone hotspot that every tablet joins.
The instrument the team treats. Every key on it belongs to the learners — this chapter tells you what each one does before they press it.
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Every key visible at once. The layout this chapter is drawn from.
Hardware rail plus an 11-key softkey strip along the bottom.
Machined deck with a rotary ENERGY SELECT dial and a hidden drawer under a pull-tab.
Field unit: numbered 1 ENERGY · 2 CHARGE · 3 SHOCK rail, a printer deck, and a drawer.
Pick the face that matches the machine your learners will meet: ⚙ → DEVICE SHELL, then a colour swatch. The patient, the keys and the sounds are identical underneath.
| Key | Monitor | Hospital Defib | MEDIC Defib | Transport Defib |
|---|---|---|---|---|
| MEGA CODES · RHYTHM · SUMMARY | Simulator zone, bottom left | Softkey strip | Hidden drawer | MEGA CODES + SUMMARY on the printer deck · RHYTHM in the drawer |
| 12-LEAD · X-RAY · LABS · MEDS | Quick actions | Softkey strip | Hidden drawer | 12-LEAD on the deck · X-RAY, LABS, MEDS in the drawer |
| CPR · PADS · NIBP | Quick actions | Softkey strip | Hidden drawer | Printer deck |
| SILENCE | Quick actions | Softkey strip | Hidden drawer | Drawer |
| Energy | − / + and 120 · 200 · 300 · 360 | − / + and presets | ENERGY SELECT dial: tap = next detent, drag = turn · −50 J / +50 J keys | 1 ENERGY SELECT: −50 J / +50 J around the joule LCD |
| CHARGE · SHOCK | Defib zone | Chassis keys | Deck keys | 2 CHARGE · 3 SHOCK on the rail |
| Mode tabs · PACER | DEFIB / AED / SYNC / ANALYZE and the pacer controls sit beside the defib keys on every shell | |||
| POWER · ♩ · timer · ⚙ | Present on every shell; the top bar carries the metronome, code timer and gear | |||
MEDIC: a pull-tab at the top of the glass — tap it or drag down to open; tap outside, tap the handle, or swipe up to close. Transport: a five-key drawer (RHYTHM · X-RAY · LABS · MEDS · SILENCE) beside the six-key printer deck. Nothing is missing on the compact shells; it is just folded away.
Boots the monitor to its baseline: sinus 60, 120/80, SpO₂ 100, EtCO₂ 40, energy 150 J, DEFIB mode, alarms normal — with the power-on chime. Off blanks every channel and stops every sound. The Remote's power key does the same thing from across the room.
A continuous 110/min click — compression-only guidance, no ventilation pause. Independent of the CPR key; the AED cycle turns it on for you.
Tap to start or stop. Double-tap to reset to 00:00. (On the Remote the timer resets on a long-press only, so a stray tap never zeroes a running code.)
Device role, Reset Scenario, audio switches, device shell, units, connections, the CPR device, pairing diagnostics and your account (§ 03.18). A yellow dot on the gear means the tablet has been offline for a week — reconnect (§ 01.13).
Turning the Monitor off wipes the Code Summary and drops SILENCE, CPR and any charge. Debrief or screenshot the summary before you power down.
| Button | Where | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|---|
| POWER ON / OFF | simulator zone | Boots to baseline, or blanks the screen. Broadcast to the room. | — | Power-on chime · "powering off" |
| MEGA CODES | simulator zone | Opens MEGA CODE SCENARIOS — 33 cases. Tap a card, read the chart, ▶ the handoff, START SCENARIO. | — | The recorded handoff plays here |
| RHYTHM SELECT | simulator zone | Opens the rhythm catalog — 47 rhythms in five columns. A tap applies the rhythm and its preset vitals at once. | — | Alarm if the new rhythm is out of range |
| CODE SUMMARY | simulator zone | The timestamped event log: shocks with energy and mode, CPR intervals with duration, AED cycles, drugs, rhythm changes. | Wiped by POWER OFF and Reset Scenario | — |
| ♩ Metronome | top bar | Toggles the 110/min click. | — | Click, continuous |
| Code timer | top bar | Tap: start / stop. Double-tap: reset to 00:00. | — | — |
| ⚙ Gear | top bar | Opens Settings (§ 03.18). | — | — |
| Button | Where | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|---|
| 12-LEAD | quick actions | Generates a 12-lead from the rhythm on screen and opens the viewer (§ 03.15). | Power off · arrest rhythm (no perfusing rate to trace) | — |
| X-RAY | quick actions | Shows the loaded case's chest film. | Dims when the case carries no film | — |
| LABS | quick actions | Shows the case's LABORATORY RESULTS with high/low flags. | Dims with no case loaded; "NO LABS AVAILABLE AT THIS TIME" if the case has none | — |
| CPR | quick actions | Toggles CPR: compression artifact on the ECG, the tile pulses at 110/min, the interval is logged. | — | — (turn ♩ on separately) |
| PADS | quick actions | Attaches or removes the pads. Removing them while charged disarms. Attaching them in AED mode starts an analysis. | — | "Pads detected" |
| MEDS | quick actions | Opens MEDS · BEDSIDE DRAWER — 54 drugs by category. Tapping a drug records it as given and raises a banner. | — | — |
| SILENCE | quick actions | Mutes the alarm tone; the key reads SILENCED with a red ring. The visual alarm keeps flashing. | Cleared by Reset Scenario and power-off | Alarm stops |
| NIBP | quick actions · or tap the NIBP tile | Runs a cuff cycle — about 8 s — and posts the reading on the completion beep. | — | Cuff inflating, then the beep |
| Button | Where | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|---|
| DEFIB · AED · SYNC · ANALYZE | mode tabs | Sets the mode. Leaving SYNC cancels a shock that was waiting for an R-wave. AED with pads on starts analysing by itself. | Locked while charging or charged | "Defib selected" · "AED mode" · "Sync mode" |
| − / + | energy | Steps the energy: 1 J at a time below 100 J, 10 J above, 0–360 J. (MEDIC dial: tap = next detent; ±50 J keys on MEDIC and Transport.) | Locked while charging or charged | — |
| 120 · 200 · 300 · 360 | presets | Jumps to that energy. | Locked while charging or charged | — |
| CHARGE | defib zone | A 2-second ramp to the selected energy; the key reads CHARGING… then DISARM. Press again to dump the charge without a shock. | Pads off — nothing charges | Charge whine · "Pads not detected — place pads on the patient" if pads are off |
| ⚡ SHOCK | defib zone | Delivers the energy: flash, tone, log entry Shock #n delivered · J · mode. In SYNC it waits for the next R-wave. In AED it starts the two-minute CPR cycle. | Dead until charged | Shock thump · "Shock delivered" |
While the machine is charged the mode tabs, dial and presets are all frozen — exactly like a real unit. To change anything, DISARM first.
| Control | Where | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|---|
| PACER / PACER ON | side panel | Toggles transcutaneous pacing; the LED lights while it runs. Power-up defaults: rate 30, output 5 mA. | — | "Pacer on" / "Pacer off" |
| RATE − / + | side panel | Pacing rate, 30–180/min in steps of 5. | — | — |
| mAMP − / + | side panel | Output, 0–200 mA in steps of 5. Capture from 40 mA: below it the spike fires and nothing follows. | — | — |
| NIBP tile | vitals column | Same as the NIBP key — a cuff cycle. | — | Cuff, then the beep |
| CONNECTION | side panel | Not a key. One row per role; a green dot means that role is paired (§ 02.04). | — | — |
| CPR bar | below the chassis | Appears when a learner's ACLSMED™ CPR phone is streaming: a colour-banded bar with a one-word verdict, and real compressions drive the ECG artifact, the pressure pulse and EtCO₂ (§ 07). | Reads NO PHONE until one connects | — |
| Vent badge | top of the waveforms | Not a key. When a RESPmed is paired: mode · rate · volume · PEEP · FiO₂ ride onto the Monitor (§ 06). | — | — |

Press DISARM, or take the PADS off — both drop the charge without a shock. Watch who reaches for which.
The held shock is the lesson: the unit is looking for a QRS to land on. In VF there is no QRS to find — which is why SYNC is the wrong mode for an arrest.
The patient with a pulse is awake. Push the analgesia and sedation from MEDS before the charge — the log will show whether the team did.
| What happens | What the room hears |
|---|---|
| Tap AED with pads on — or attach pads with AED already selected. | "AED mode" · "Pads detected" · then, by itself, "Analyzing rhythm" |
| Shockable rhythm: the AED charges itself and waits for the operator. | "Shockable rhythm detected" · charging · "Press shock button" |
| Not shockable: nothing charges. | "No shockable rhythm — no shock advised", or "…with pulse" |
| Operator presses SHOCK. Three seconds of quiet so the post-shock rhythm can be read. | Shock tone · "Shock delivered" |
| Still pulseless: CPR and the metronome switch on and a 117-second countdown runs, then the AED re-analyses on its own (if the pads are still on). | "Resume CPR" · click at 110 |
| Rhythm converted (the Remote queued a ROSC rhythm on the shock): the loop stops. | "Pulse detected" |
Switching mode, removing the pads, POWER OFF, or Reset Scenario. Otherwise it repeats — analyse, shock, two minutes of CPR — exactly like the unit on the wall.

Learners stop at the first captured spike. Ask for the blood pressure. Then ask what they gave for pain before they turned the current up.
| Channel | Alarm band |
|---|---|
| HR | 50–120 |
| Pressure | SYS below 160 · DIA above 30 at power-on; 90–160 / 60–90 when the Remote drives it |
| SpO₂ | 90–100 at power-on · 92–100 once a rhythm or case is loaded · 90–100 from the Remote |
| EtCO₂ | 35–45 at power-on · 30–45 once a rhythm or case is loaded · 30–50 from the Remote |
The band in force is printed on each tile ("normal · 92–100"), so read it there.
The tile flags, the alarm tone sounds and the display flashes. A rhythm change from the Remote can trip several at once — that is the point.
SILENCE mutes the tone only. The flash continues, the patient is unchanged, and the key reads SILENCED until someone presses it again — or the scenario is reset. Watch who reaches for it first.
The cuff cycle takes about 8 seconds and the reading lands on the completion beep. Press the key or tap the tile. With an arterial line up, the cuff still works — two pressures, two lessons.
Three switches in ⚙ → AUDIO: mute-all must be off, Master volume up, and NIBP cycle on. Then the cuff inflates out loud and beeps when the reading posts.

Toggles simulated compressions: artifact rides the ECG, the tile pulses at 110/min, and the interval — start to stop, with its duration — lands in the Code Summary.
Turn it on when you want the click. The AED cycle turns both on together.
Their real compressions drive the artifact, the pressure pulse and the EtCO₂, and the CPR bar under the chassis grades them live. Pause the compressions and the trace goes flat — no key needed.
Which phone feeds this Monitor is set on the phone (CONNECT) and released here under ⚙ → CPR DEVICE → Release CPR device.

| Key | What opens |
|---|---|
| 12-LEAD | 12-LEAD ECG traced from the rhythm on screen on true-millimetre paper. Pinch to zoom, drag to pan; − + with the zoom %, fit, share (save or AirDrop), print, ✕. |
| X-RAY | CHEST X-RAY for the loaded case. |
| LABS | LABORATORY RESULTS — the case's panel with high/low flags, in the units this tablet was set to. |
The team opens these here; you can push the same 12-lead, film or panel onto this screen from the Remote's LIBRARY the moment they ask (§ 04). The 12-lead needs a perfusing rhythm and power on — in an arrest the key is dark.


The summary is cleared by POWER OFF and by Reset Scenario, and it reads "Log starts when a scenario is running" until a case or a rhythm is live. Screenshot it or read it aloud in the debrief first.


A single Monitor runs any of the 33 cases: the patient chart, the recorded EMS handoff and the opening rhythm all live on this screen. With a Remote you gain a hidden hand — queued rhythms, slider-driven vitals, patient voices (§ 04).

| Section | What it does |
|---|---|
| DEVICE ROLE | Switch this iPad's role, or swap with another iPad (§ 02.07). |
| RESET TO DEFAULTS | Reset Scenario — confirm, then vitals return to sinus 60 · 120/80 · 100 · 40, the case is cleared, the log restarts. |
| AUDIO | Mute-all switch, Master volume %, and one switch each for Alarm · HR beep · SpO₂ pulse · NIBP cycle · Voice cues · Patient sounds. |
| DEVICE SHELL | Monitor · Hospital Defib · MEDIC Defib · Transport Defib, with colour swatches (§ 03.02). |
| UNITS | METRIC / IMPERIAL (§ 01.09). |
| CONNECTIONS · PAIRING DIAGNOSTICS | Peers, transport, last error, RECONNECT, Open ACLSMED Settings (§ 02.05). |
| CPR DEVICE | The learner phone feeding this Monitor — Release CPR device to free it. |
| ACCOUNT · DEVICE INFO | Plan, subscription, release all devices, sign out, delete account (§ 01.12); version and the training-only notice. |
You set the patient from the Remote; the team operates the instrument. Three keys teach more than any lecture:
A synchronized shock waits for a QRS. Whether they choose it — and whether they sedate first — is graded reality.
The same iPad becomes an AED with voice prompts, so one Monitor covers BLS and ACLS audiences.
It mutes the alarm without fixing the patient. Who reaches for it first is the best teaching moment in the app.
| Learners ask | Answer |
|---|---|
| "Why won't it charge?" | Pads. Always pads. |
| "Why is 12-LEAD dark?" | No perfusing rhythm — or the monitor is off. Get a pulse, then trace. |
| "The shock didn't fire." | SYNC is waiting for an R-wave; in VF it never comes. Change the mode. |
| "The cuff isn't reading." | Give it eight seconds — the number posts on the beep. |
Your private control surface. Everything you touch here appears on their Monitor as if the patient did it.
12345678| Button | Where | Press → what happens on the Monitor | Ignored or locked when |
|---|---|---|---|
| CPR | top bar | Starts or stops simulated compressions room-wide — artifact on the ECG, the interval in the log. | — |
| PADS | top bar | Puts the pads on or takes them off, exactly as the PADS key on the Monitor does. | — |
| ♩ | top bar | Toggles the 110/min metronome on the Monitor. | — |
| 🔊 | top bar | Opens the SOUNDS sheet (§ 04.13). | — |
| ⏻ | top bar | Powers the Monitor on or off from across the room. | — |
| Code timer | top bar | Long-press (about half a second) resets it. A tap does nothing on purpose — a stray thumb never zeroes a running code. | Tap ignored |
| ⚙ | top bar | Opens the Remote's SETTINGS (§ 04.13). | — |
| NIBP · CYCLE CUFF | dock | Runs a cuff cycle on the Monitor — about 8 s, the number posts on the beep. | — |
| CHARGE · nnn J | dock | Charges the Monitor's defib to its selected energy; reads CHARGING… then DISARM. Press again to dump it. | Monitor's pads off — nothing charges |
| ⚡ SHOCK · nnn J | dock | Delivers the shock — and fires any rhythm you armed with TRIGGER (§ 04.07). | Dark until the Monitor reports it is charged |
| 🔔 | dock | SILENCE on the Monitor — mutes the alarm tone, not the flash. | — |
The strip under the top bar is the learners' Monitor, live: mini traces for ECG, ABP, PA and CVP, and tiles for HR, ABP or NIBP, SpO₂ and EtCO₂. When something is out of range it shows ⚠ ALARMS · n active, how long, and which channels.
During an arrest read the mirror, not the students' narration. Shock count and energy tell you whether they are following the algorithm better than their words do.

| Control | What it does |
|---|---|
| HR · SpO₂ · ABP/NIBP · EtCO₂ · RR | Drag the slider; the Monitor follows a moment later. The alarm band is marked on each card, and a card flashes when its value is out of range. |
| Enable dot | Turns the channel off — the trace and numeric leave the Monitor entirely — or back on. |
| ABP → / NIBP | Switches the pressure lane between an arterial line and the cuff. |
| PRESETS | Pressure in one tap: 0/0 · 35/20 · 45/23 · 58/34 · 60/39 · 75/41 · 90/60 · 110/70 · 120/80 · 140/90. |
| ADVANCED LINES | Adds PA, CVP and TEMP cards. HIDE ADVANCED LINES folds them away. |
| DEFIB & PACER | Folds out the defib and pacer cards (§ 04.05); the header shows the energy and PACER ON / OFF at a glance. |

| Control | Card | Press → what happens | Ignored or locked when |
|---|---|---|---|
| 50J · 150J · 200J · 360J | DEFIB | Sets the Monitor's energy. | Locked while the Monitor is charging or charged |
| DEFIB RESET | DEFIB | Back to 50 J, DEFIB mode, disarmed. | — |
| RATE − / + · mA − / + | PACER | Steps the pacer rate (30–180) and output (0–200 mA) in fives. | — |
| PACER on / off | PACER | Starts or stops pacing on the Monitor — capture from 40 mA (§ 03.12). | — |
| RESET | PACER | Pacer back to its power-up defaults. | — |
| CHARGE · SHOCK | dock | The charge and the shock themselves live in the action dock (§ 04.02), so they are one thumb away from any tab. | — |
Normally the team charges and shocks on the Monitor. Use the dock when you are running a demo alone, or to show a capture failing at too low an output.
A selected rhythm never reaches the Monitor by itself. Every change is a deliberate PLAY, PLAY NOW, or a TRIGGER fired by a shock — so a stray tap in the catalog cannot arrest your patient.

| Bar reads | Keys | What each does |
|---|---|---|
| SELECTED · name | QUEUE · TRIGGER · PLAY | QUEUE parks it for later. TRIGGER arms it to fire on the Monitor's next shock. PLAY sends it now. |
| SELECTED while one is queued | CANCEL · REPLACE · PLAY NOW | REPLACE swaps the queued rhythm for this one. PLAY NOW skips the queue. |
| QUEUED · name | CLEAR · TRIGGER · PLAY | Play the parked rhythm now, arm it on the next shock, or clear it. |
| ARMED ⚡ | CLEAR · DISARM · PLAY NOW | Waiting for the shock. DISARM keeps it queued but stops it firing. |
Select NSR / ROSC, tap TRIGGER, sit back. The instant the team delivers a shock the rhythm converts — no reaction time, no "did you see that". In AED mode the Monitor then announces "Pulse detected".
Arm coarse VF on the next shock instead, and the "shock" was the thing that degraded the patient. Same three taps, opposite lesson.
Loading a case sets the stage — patient, opening rhythm, vitals. It does not step forward or grade anyone. You decide when the patient deteriorates, converts or achieves ROSC (§ 04.16).

Giving epinephrine records epinephrine. The pressure rises when you slide it. Keep the physiology in your hands and the log honest: "epi at 4:10" is a fact the team can debrief against.

| Key | What it does |
|---|---|
| 12-LEAD · X-RAY · LABS · VOICE | The quick actions on the HUB open the four library folders: 12-LEAD ECG LIBRARY (36 tracings), CHEST X-RAY LIBRARY (9 films), LABORATORY LIBRARY, PATIENT VOICE. HUB brings you back; LIBRARY reopens the last folder. |
| Tap a row | Preview — opens it on this iPad only, so you can read it before the team does. |
| SHOW | Mirror — sends it to the Monitor. The header then reads ON MONITOR · name. |
| CLEAR | Takes it off the Monitor again. Two verbs, never merged: an instructor reads first, then decides. |
The team can open the loaded case's 12-lead, film and labs on the Monitor themselves (§ 03.15). The library lets you push any tracing or film — including one that contradicts what they expect.

If the Monitor's Patient sounds switch is off the folder shows PATIENT SOUNDS ARE OFF — NOTHING WILL PLAY with a TURN ON key. Tap it; the switch flips on the Monitor.

The LOG tab is the same CODE SUMMARY the Monitor keeps — every rhythm change, shock with its energy and mode, drug, CPR start and stop with duration, and AED cycle, each stamped HH:mm:ss, newest first. Until something happens it reads "No events yet".
Reset Scenario and a Monitor power-off both clear it. Open the LOG the moment you call the code; screenshot it if you want to keep it.
"You gave epi at 4:10 and the second shock at 4:55" is a conversation. "I think you were slow" is an argument.

| SOUNDS (🔊) | |
|---|---|
| ALARM VOLUME | Slider with presets LOW 25 · TEACH 40 · NORMAL 70 · MAX 100 — sets the Monitor's master volume. |
| SILENCED / ACTIVE | The same silence as the dock bell. |
| SOUND ENABLES | One switch per cue — Alarm, Heart Beep, NIBP Cycle, SpO₂ pulse, voice cues, patient sounds — mirrored to the Monitor. |
| SETTINGS (⚙) | |
|---|---|
| DEVICE ROLE | Switch or swap roles (§ 02.07). |
| RESET TO DEFAULTS | Reset Scenario: sliders back to sinus 60 · 120/80 · 100 · 40; log cleared. |
| AUDIO | Mute all sound, six cue switches, Master volume — the Monitor's switches, reachable from here. |
| INSTRUCTOR DISPLAY | Disable Alarm Flashing — stops the cards on your Remote flashing out of range. The Monitor keeps alarming. |
| CONNECTIONS · DEVICE INFO · ACCOUNT | Peers and RECONNECT; this iPad and the paired Monitor's name; plan and sign-out (§ 01.12). |
⚙ → INSTRUCTOR DISPLAY → Disable Alarm Flashing. Comfort for you only. It is separate from SILENCE, which mutes the alarm sound on the Monitor and never the flash.
Drag HR, SpO₂, ABP, EtCO₂, RR or Temp. Small increments simulate a decline; large ones an event. The Monitor follows a moment behind your thumb.
Step with ‹ › or pick from the 47 — sinus, blocks, tachycardias, arrest rhythms, artifact — then PLAY, or arm it on the next shock.
Real patients don't jump. Drop pressure and saturation first, give the team a beat to notice, and only then convert to VF. When they shock, have ROSC armed on the trigger — or don't.
| Category | n | Examples |
|---|---|---|
| ACLS — Cardiac Arrest | 4 | Pulseless VT · Refractory VF · PEA (hypovolemia) · Asystole (opioid) |
| ACLS — Tachycardia | 4 | Stable & unstable VT · SVT · AF with RVR |
| ACLS — Bradycardia | 3 | Symptomatic sinus brady · Complete block · Mobitz II |
| BLS | 2 | Witnessed arrest with AED · Drowning |
| PALS / Neonatal | 4 | Pediatric VF · Infant brady · Peds SVT · NRP |
| Stroke | 2 | Ischemic — tPA decision · Hemorrhagic — BP management |
| ACS / STEMI | 4 | Anterior · Inferior (RV) · Anterior → VF · Posterior |
| H's and T's | 5 | Tension pneumo · Tamponade · Hyperkalemia · PE · Hypothermia |
| Medical Emergencies | 4 | Anaphylaxis · Sepsis · Submassive PE · TCA overdose |
| Advanced Resuscitation | 1 | Post-ROSC / post-cardiac-arrest care |
Each ships with a patient record, dispatch scene, history, opening vitals, expected monitor interpretation, labs, an optional chest film, and learning objectives.
ACLSMED does not step a scenario forward on its own and does not score the team's decisions. Loading a MegaCode sets the stage — patient, starting rhythm, opening vitals. You decide when the patient deteriorates, converts, or achieves ROSC.
This is deliberate. It keeps clinical judgment with the instructor instead of with a script — which is why the same scenario can teach a first-year nurse and a senior resident differently. The cost is that you must plan your beats before class.
| Beat | You do | You're testing |
|---|---|---|
| 1 · Present | Load the scenario, read the dispatch scene, let them assess. | Primary survey, rhythm recognition |
| 2 · Confirm | Fire the 12-lead or labs when asked — not before. | Whether they ask for the right data |
| 3 · Pressure | Slide pressure and saturation down. Say nothing. | Trend recognition, closed-loop comms |
| 4 · Event | Convert the rhythm — arrest, block, tachyarrhythmia. | Algorithm execution, shock/drug timing |
| 5 · Resolve | Reward correct care with ROSC, or continue the arrest. | Post-ROSC thinking — or an honest debrief |
A dual-channel infusion pump on its own tablet. Someone has to program it while the code runs — that task load is the point.
Present on the panel, not active in 2.5.0. Teach it as "a real pump has one"; nothing happens when it is pressed.
12345| Key | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|
| ON / OFF | Boots the pump — a screen sweep, then SELF-DIAGNOSTICS (cassette, sensors, battery, memory). Off blanks it. | — | Power chime |
| START | From Program Line: straight to the confirm page without the dose guardrails (use softkey 3 Confirm instead). From the confirm page: starts the line. From an infusing line: nothing (it is already running). | Pump off · line already PUMPING or KVO | Start tone |
| STOP | Stops the selected line, or clears an alarm, or returns to the main page. On the KVO alarm page it finishes the line. | — | Alarm stops |
| AUDIO PAUSED | Silences the current alarm tone without clearing the alarm. | — | Tone stops |
| BACK PRIME | Not active in 2.5.0. | Always | — |
| 1–9 · 0 · . | Type a value into the active field (Rate, Volume, Dose, Weight). In the drug list the letters on each key jump to that initial. | — | Key click |
| C | Clears the field you are typing. On a HARD LIMIT page it returns you to the entry page. | — | — |
| ▲ ▼ | Scroll a list (care areas, drugs, settings), move between entry fields, or select Line A / B. | — | — |
| Softkeys 1–4 | Whatever the LCD labels them on that page — next slide. | — | — |
| LCD page | Key 1 | Key 2 | Key 3 | Key 4 | Prompt line |
|---|---|---|---|---|---|
| SELF-DIAGNOSTICS | — | — | — | Continue | Press any softkey to continue |
| New patient? | — | Yes | No | — | Select Yes or No |
| Select Clinical Care Area | — | — | Choose | Back | Use arrows to select, then Choose |
| Main · Infusing | Line A | Line B | Settings | Clear | Select Line A or B to program |
| Drug Library | — | — | Choose | Back | Arrows to scroll, Choose to select |
| Program Line · Delivery mode | — | — | Confirm | Back | Enter value, arrow to next field |
| Confirm | — | Yes | No | — | Press Yes to start, No to go back |
| SOFT LIMIT | — | Yes | No | — | Yes to override, No to re-enter |
| HARD LIMIT | — | — | Clear | — | Press Clear to re-enter |
| KVO alarm | Line A | Line B | Silence | Clear | Press Clear to finish, or select a line to reprogram |
| Settings | — | — | Choose | Back | Arrows to select, Choose to enter |
| Volume Log | — | Clear All | — | Back | — |

Pick the wrong care area on purpose once. The drug the team wants is missing, and they have to notice why.

Softkey 2 Line B programs the second channel. It first asks the delivery mode — piggyback (Line A pauses, then resumes when B completes) or concurrent (both run through a Y-site) — then runs the same pages. Line A is always primary and is never asked.


Every dosed drug carries a fixed soft maximum and hard maximum — the same limit wherever the drug appears. Confirm a rate above the soft line and the pump asks Yes to override, No to re-enter — a real dose-error-reduction prompt, and the override is remembered on the line. Above the hard line the pump refuses: Clear and re-enter. Titration becomes a teachable moment instead of a guess.
| Situation | What the pump does | What you press |
|---|---|---|
| Change the rate | Select the line, re-enter the value, Confirm — the room hears it as a titration. | Line A / B → new Rate → Confirm → Yes |
| Stop a line | The line reads STOPPED; the VTBI and Vol Inf are kept. | STOP with the line selected |
| Volume runs out | The line drops to KVO and the KVO alarm page opens with the tone. | Silence · Line A / Line B to reprogram · Clear to finish |
| Any alarm | The line reads ALARM; the prompt line names the alarm. | AUDIO PAUSED to hush it · STOP to clear |
| Settings page | Volume Log (what each line has delivered; Clear All resets it) · Change CCA · Switch Role. | Softkey 3 Settings → ▲ ▼ → Choose |
| STANDBY | Line A pauses itself while a piggyback Line B runs, then resumes when B completes. A programmed line that has not started reads STOPPED. | Nothing — it resumes by itself |
Starting, stopping or titrating a line sends the event to the Monitor and the Remote, so the log can carry norepinephrine started next to the shocks. The pump does not move the vitals — you do that from the Remote when the drip should be working.
Norepinephrine, epinephrine, vasopressin, dopamine, dobutamine, phenylephrine; amiodarone, lidocaine, procainamide, esmolol and more — dosed in mcg/min, mcg/kg/min or mg/min with guardrails.
Crystalloids and colloids in mL/hr, blood products, potassium, magnesium, calcium, bicarbonate.
Propofol, dexmedetomidine, midazolam, fentanyl; paralytics; antidotes, antihypertensives, thrombolytics, obstetric and neonatal drips.
Load a septic-shock case on the Remote, pressure 75/41. Learner one programs norepinephrine at the starting dose. You hold the pressure. They titrate up; you raise the pressure only when the dose is right — and push a SOFT LIMIT on the way. Debrief from the pump's rate history and the Remote's log together.
A ventilator with real lung mechanics on its own tablet. Nine modes, seventeen pathologies, and an ABG to prove whether the settings are working.
1234567
Lung-protective ventilation targets 6 mL/kg of predicted body weight; lungs do not grow with the waistline. Set an obese patient's height and let the class watch the target stay put.
| Key | Where | Press → what happens | Ignored or locked when | What you hear |
|---|---|---|---|---|
| ⏻ | lower left | Powers the ventilator on or off. | — | Chime |
| O₂ 100% | chassis | Two minutes of FiO₂ 100%, then it reverts by itself. The Monitor is told. | Power off | — |
| SILENCE | chassis | Silences vent alarms for two minutes; a banner shows the countdown. | Power off | Alarm tone stops |
| ALARMS | chassis | Opens the five alarm limits: High pressure (default 40), Low pressure (5), Auto-PEEP (3 cmH₂O), High rate (30), Low minute volume (3.0 L/min). | Power off | — |
| PANEL | chassis | The instructor panel — Scenarios · Pathology · ABG tabs, and OPEN ABG DRAWER (§ 06.06). | Power off | — |
| LOCK | chassis | Freezes the parameter tiles (they dim) so a learner cannot change settings until it is unlocked. | Power off | — |
| Encoder knob | chassis | Cycles the housing: Classic (black) · Sentinel (white) · Nightshift (hospital blue). | Power off | Click |
| Mode circle | status bar | Opens the mode picker. | — | — |
| Parameter tile | settings zone | Opens the editor for that setting: − / + steppers and exact-value chips. | LOCK on | — |
| LABS · XRAY pills | bezel | The loaded case's lab panel and chest film. | Hidden when the case has none | — |
| ⚙ | bezel | PATIENT SETUP, SOUNDS (Vent alarms · Vent breaths · Button clicks, each with a volume), RESET, device role, account. | — | — |
| Group | Mode | What it is | Tiles you get |
|---|---|---|---|
| Volume Control | AC / VC | Volume-targeted, assist-control | VT · Rate · FiO₂ · PEEP · Flow · Trig · Rise |
| SIMV / VC | Mandatory VC + spontaneous PS | VT · Rate · FiO₂ · PEEP · PS · Flow · Trig · Rise · Cyc% | |
| PRVC | Pressure-regulated, volume-targeted | VT · Rate · FiO₂ · PEEP · Trig · Rise | |
| Pressure Control | AC / PC | Pressure-targeted, assist-control | PC · Rate · FiO₂ · PEEP · Ti · Trig · Rise |
| SIMV / PC | Mandatory PC + spontaneous PS | PC · Rate · FiO₂ · PEEP · PS · Trig · Rise · Cyc% | |
| Spontaneous & NIV | PSV | Patient-triggered, pressure-supported | PS · FiO₂ · PEEP · Trig · Rise · Cyc% |
| CPAP | Continuous positive airway pressure | PEEP · FiO₂ · Trig | |
| BiPAP | Two-level pressure (NIV) | IPAP · EPAP · FiO₂ · Rate · Trig · Rise | |
| APRV | Sustained CPAP with timed release | P-high · P-low · T-high · T-low · FiO₂ · Trig |

Set the vent up, press LOCK, and hand it over. The team can read everything and change nothing until you unlock — the way a charge nurse would have it.

| Tab | What it does |
|---|---|
| Pathology | Seventeen lungs by group — Normal; ARDS mild / moderate / severe; Obstructive COPD, asthma, bronchospasm, mucus plug; Restrictive fibrosis, pulmonary edema, pneumonia, atelectasis, pleural effusion; Mechanical pneumothorax, obesity, stiff chest wall; Vascular massive PE. Each sets a compliance and a resistance, and the waveforms change underneath every mode. |
| Scenarios | Thirteen QUICK SCENARIOS that set a pathology, settings and a gas together: Post-Intubation · ARDS (mod) · ARDS Severe · COPD Exac · Status Asthmaticus · Acute Pulm Edema · Pneumonia + Sepsis · Auto-PEEP / Stacking · Patient Dyssynchrony · Alarm Trouble · Weaning / SBT · Failed Extubation · DKA / Kussmaul. |
| ABG | Steppers for the gas the next draw will show, and OPEN ABG DRAWER. |

| Alarm | Default limit |
|---|---|
| HIGH PRESSURE | Ppeak above 40 cmH₂O |
| LOW PRESSURE | Ppeak below 5 cmH₂O |
| AUTO-PEEP | above 3 cmH₂O — incomplete exhalation |
| HIGH RR | above 30 /min |
| LOW MV | below 3.0 L/min |
Change any limit under ALARMS. The banner names the alarm and its value; SILENCE buys two minutes.
Load ARDS Severe. Ask for a tidal volume of 6 mL/kg of the predicted weight from the patient strip. Pplat should fall under 30; if the team chases the PaO₂ with volume instead of PEEP and FiO₂, the pressure alarm makes the argument for you. Draw the gas before and after.
When a RESPmed is paired, the Monitor carries a badge over the waveforms — mode · rate · volume · PEEP · FiO₂ — so the code team reads the vent without turning round.
The two-minute oxygen boost is announced to the room. Whether the saturation follows is still yours to decide on the Remote.
The LABS and XRAY pills on the vent show the case the Remote loaded — one chart, four instruments.
Post-Intubation scenario, AC / VC, LOCK on. Learner one reads the numeric row aloud; learner two calls the first change. Unlock, let them make it, and pull the gas. Then switch the pathology to Pneumothorax without a word and watch who notices Ppeak first.
Six learners, six phones, one board. Free, no account — and it measures what they actually did.
ACLSMED™ CPR is a training aid for use on a manikin only. It is not a medical device, it is not for use on or during the care of a real patient, and its readings are for education and feedback in a simulation setting.
Say it out loud before the first test — it is part of using the product correctly. The app enforces it too: every learner passes a training-only acknowledgement before they can start.
The phone works without a tablet — it just has no board to stream to. So the homework is real: "practice at home, bring me your rate and depth next week."





| Bar reads | Verdict | Say this |
|---|---|---|
| Reaches the green band | Good | "That's the depth. Hold it — don't drift." |
| Stalls in the yellow band | Almost | "Nearly there. A centimetre more, same rate." |
| Stays in the red band | Push harder | "Straight arms, shoulders over your hands, use your body weight." |
| Overshoots past green | Too deep | "Ease off slightly — over 6 cm has its own harms." |
Run the first round with the board hidden. Learners who see live feedback from the first compression never find out what their unassisted CPR looks like — and that gap is the entire lesson.

| Component | Target band | Weight | Note |
|---|---|---|---|
| Rate | 100–120 / min | 37.5% | Full marks inside the band, tapering outside it. |
| Depth | 5.0–6.0 cm | 37.5% | Penalised for shallow and excessive. |
| CCF | ≥60% floor · 80% target | 25% | Guideline floor 60%; full marks at the high-performance 80%. |
Targets follow the AHA 2025 Guidelines, Part 7: Adult Basic Life Support. Scores use a rolling average, not a single compression — so measurement scatter doesn't dock textbook technique. The three rings you see are the score; there is no hidden fourth dimension.
| Limitation | Tell learners |
|---|---|
| Recoil isn't measured | One phone sensor cannot detect leaning. Full recoil still matters enormously — you coach it by eye. The app is silent on it, not forgiving of it. |
| Depth is an estimate | A sensor estimate on a manikin, not a calibrated measurement. Use it to drive behaviour, not to certify a millimetre. |
| Placement changes it | Same technique, different phone position, different number. Standardise before comparing learners. |
| Surface matters | A manikin on a soft bed reads differently from one on the floor. Keep it constant within a session. |
| Manikin only | Never on a person. Not in a real arrest, not "just to see." |
A leaderboard is only fair when every station is identical. Strapped to the back of one hand and gripped in another's fist ranks phone position, not CPR.

On the manikin's chest under the learner's hands (§ 07.02) — the phone is a sensor puck, the iPad is the feedback surface. Its screen is not meant to be watched.
| Moment | What happens |
|---|---|
| START | The iPad's play key (it needs at least one phone connected), or any connected phone's START — first press wins and the board sends every phone the same two-minute clock (§ 07.19). |
| RUNNING | The TEST lamp lights, the clock counts down from 2:00, and each slot's quality bar rides its colour band live. Bars, not numbers — on purpose (§ 07.08). |
| END EARLY | Only the phone that pressed START can end its own test early; an END from a different phone is refused — six learners share one surface, and one pocket tap must not stop the other five. A test you started from the iPad runs its full two minutes. |
| 0:00 | The chime; the bars run a moment longer while the last frames land; then the DEBRIEF: one ring card per learner — OVERALL with RATE · DEPTH · CCF minis and a focus chip — and the ★ LEADERBOARD. Each phone shows TEST COMPLETE with the same score (§ 07.06). |
| AGAIN | Start another test; slots and names persist while the phones stay connected. |

ACLSMED™ CPR for Android measures with the same method and the same rate · depth · fraction weights. No account, nothing uploaded.
An Android phone streams to an Android tablet running SIM; an iPhone streams to an iPad. Rooms never mix platforms — the two cannot see each other.
Mirrors the Apple Watch design: the watch measures, the phone relays, the pair is one learner and one slot. The wrist pre-flight and lamp states in § 07.17 apply.
Manikin only. Training only. Never on a person. The phone and watch apps carry the same acknowledgement on every platform, and so should your first sentence of the class.
Wear the sensor instead of placing it. Same free app, same score, same slot on your board — and the rhythm cue arrives through the wrist that is doing the compressing.
Apple Watch on watchOS 10 or later, paired to an iPhone on iOS 17 or later. Your iPad needs ACLSMED™ SIM 2.1.0 or later for watch students.
No second purchase, no separate download, no account, and no seat on your plan. The watch is part of the free companion app.
The moment the app sees a paired watch with the companion installed, it asks once per launch which device is measuring. No watch, no question — the picker never appears where the choice cannot be made.
One iPhone contributes exactly one stream — its watch or itself, never both. That is what stops a learner appearing twice on a six-slot board. Switching mid-class keeps the same slot and the same name.
Change it any time on the phone: the SENSOR ROLE button top-left, or Settings (gear) → APPLE WATCH.

| On screen | What it tells you |
|---|---|
| APPLE WATCH ACTIVE | Red watch glyph = the wrist hasn't opened the app yet. Green = it is streaming. |
| Watch Metronome | 110 bpm wrist taps and clicks, switched from here or from the watch itself. |
| SIM MONITOR LINK | Green = this phone is in your room. The FRAMES counter climbing is proof the chain is carrying data, not just connected. |
| SENSOR ROLE | Back to the picker — one tap to hand measurement back to the phone. |
In watch mode the wrist owns the run. The phone is a relay and a settings console; it never measures at the same time.

| Section | What to do with it |
|---|---|
| CONNECTION | Your iPad should be listed as ACLSMED™ SIM — monitor with a green tick. No row = this phone is not in your room, so neither is the watch. |
| STUDENT | The name you will read on the board. Fill this in before the first test — an unnamed learner shows as "Slot 3". |
| APPLE WATCH | Which device is measuring, the wrist metronome, and Watch status — Paired → Ready, open the app on your watch → Streaming. |
| METRONOME | The phone's own 110 bpm click. Independent of the wrist's. |
Read it before you touch anything else. Paired means the app is not open on the wrist. Ready means it is open but not measuring. Streaming means the problem is somewhere else.


| ● ACLSMED™ SIM CONNECTED | Green means the whole chain is up — phone reachable and your iPad receiving. Grey means the watch will still measure for the learner, but you will not see it. |
| The name | Pushed from the phone. Blank = nobody typed one in Settings → STUDENT. |
| START | Begins measuring — and asks your room to run its two-minute test (§ 07.19). |
| ♩ | Wrist taps and clicks at 110/min. Red = on. |
The watch carries the same manikin-only acknowledgement as the phone, and the same mark on every face. A worn device makes that boundary easier to blur — say it out loud anyway.




| Who presses | What happens | Who can end it early |
|---|---|---|
| You, on the iPad | The two-minute window opens for every connected station at once. | You only — a student device cannot end an instructor-started test. |
| A learner, on the watch or phone | Their START asks the room to run its test; your iPad opens the window for everyone. | That device — STOP finishes early and jumps to their debrief. |
| Six learners at once | First press wins. The rest are already in the test they just asked for — nobody restarts anyone's clock. | The one who started it. |
Overall score with a band — EXCELLENT · GOOD · KEEP PRACTISING · NEEDS WORK — then RATE · DEPTH · HANDS-ON out of 100. Scores, never centimetres.
The wrist's grade is sent with guaranteed delivery, so a watch that dimmed mid-test still lands its result on your board.
Student-started tests turn a queue into a station. You watch the board and coach; each learner runs their own two minutes when the manikin is free.

| Symptom | Fix |
|---|---|
| Watch says NOT CONNECTED | Open ACLSMED™ CPR on the phone and check it is in your room. The watch reports the whole chain, and the room end is the phone's. |
| Learner vanishes from the board mid-test | Their phone locked or they left the app. Keep it awake, on screen, beside the manikin. |
| Screen dims while compressing | Expected, not a fault. The wrist is face-down so watchOS dims it; the lamp stays on and readable and the data keeps flowing. |
| No compressions recorded | The watch must be on the wrist that is doing the compressions, not the free arm. |
| Board shows a slot but no name | Phone Settings → STUDENT. |
Reaching for a bag-valve mask, ventilating or gesturing does not inflate the count — the app rejects motion that isn't compression-shaped. A slow posture change during compressions is deliberately still counted; that's a rescuer adjusting, not an error.
The wrist and the sternum are different measurement sites. Both are honest estimates; they are not the same estimate. Within one comparison round, keep everyone on the same kind of sensor — and everything else identical: same manikin, same surface, same wrist.
Every limit in § 07.08 still applies — recoil is not measured, depth is an estimate, and it is a manikin trainer, never a patient device.
Three sessions that work out of the box, and the debrief that makes any of them stick.
| Time | Block | What you run |
|---|---|---|
| 0–5 | Orient | Show the Monitor. Point at SYNC, ANALYZE, SILENCE. They work the machine; you are the patient. |
| 5–15 | Rhythm drill | Step the catalog, call each cold. Fast, high-repetition recognition. |
| 15–25 | Skill isolation | One skill each: charge/shock · sync cardioversion · pace to capture. |
| 25–45 | Two MegaCodes | One shockable, one not — Pulseless VT, then PEA — Hypovolemia. Five-beat structure. |
| 45–60 | Debrief | Open CODE SUMMARY, walk the timeline. One keep + one change per learner. |
| Time | Block | What you run |
|---|---|---|
| 0–5 | Scope + setup | State manikin-only scope. Install, fill slots, standardise phone placement. |
| 5–10 | Baseline | Two-minute test. No coaching, board hidden. The honest starting point. |
| 10–18 | Coached round | Board visible. Coach live off the bars with the verdict words. Rotate compressors. |
| 18–25 | Re-test | Two minutes again — same placement, same surface. Compare to baseline. |
| 25–30 | Debrief | Sub-rings and focus badges. Name the limits. One target each for next time. |
Four tablets + phones on the compressors.
Learner first — "walk me through what you saw." They usually name their own error.
Then the data — timeline, shock count, compression scores. Timestamped and unarguable.
One change each — not five, stated as an action.
Close on competence — they remember the last thing you said.
| Time | Block | You do |
|---|---|---|
| 0:00 | Set the scene | Remote: load Sepsis → Septic Shock (#30). Pressure 75/41, HR 118. IVmed on its own tablet, care area Critical Care. |
| 3:00 | Program | Learner one programs norepinephrine on Line A at the starting dose (§ 05.05). Weight first. Confirm, START. |
| 6:00 | Titrate | They ask for a higher dose; you raise the pressure on the Remote only when the dose is right. Push a SOFT LIMIT on purpose (§ 05.06). |
| 12:00 | Line B | Add a fluid bolus on Line B; delivery mode concurrent. Let the VTBI run out and hear the KVO alarm (§ 05.07). |
| 16:00 | Debrief | Remote LOG beside the pump: dose changes against pressure changes. Who was leading whom? |
Weight-based maths under time pressure, respect for the guardrail prompt, and whether anyone watched the patient while the pump was being programmed.
| Time | Block | You do |
|---|---|---|
| 0:00 | Set up | Height and sex for the patient (§ 06.02). PANEL → Scenarios → Post-Intubation. AC / VC. LOCK on. |
| 5:00 | Read the vent | Learner one reads the numeric row aloud — fTOT, VTE, VE, Ppeak, Pplat, PEEP. Learner two names the first change they would make. |
| 10:00 | Make it | Unlock. They set VT to 6 mL/kg of the predicted weight, then draw a gas (§ 06.07). |
| 17:00 | Change the lung | PANEL → Pathology → Pneumothorax, without a word. Watch who notices Ppeak. Then ARDS Severe: PEEP and FiO₂ before volume. |
| 25:00 | Debrief | Two gases side by side, the alarm banner history, and the Monitor's vent badge (§ 06.08). |
Whether the team reads the ventilator before touching it, and whether a rising pressure sends them to the patient or to the settings.
Troubleshooting by chapter, the pre-class checklist, one button card per role, the 33-case catalog, and what every icon means.
| Symptom | Fix | See |
|---|---|---|
| Can't sign in on a new iPad · "ACCOUNT FULL" | All seats held. RELEASE the retired iPad from the picker, or RELEASE ALL DEVICES from Settings → ACCOUNT. | § 01.11 |
| Paywall shows again on a tablet that was working | Sign in with the room account, then Restore purchases; a web purchase needs one sign-in with internet. | § 01.07 |
| "RECONNECT WITHIN N DAYS" · yellow dot on the gear | Get the tablet online once; the 14-day clock resets silently. | § 01.13 |
| Instructor and Monitor won't link | Same Wi-Fi · Bluetooth on · Airplane off · Local Network allowed · same account. Relaunch Monitor first. | § 02.05 |
| Worked yesterday, fails on hospital Wi-Fi | Guest/enterprise networks block device-to-device. Phone hotspot, or Wi-Fi off and pair directly. | § 02.05 |
| Monitor sleeps mid-scenario | Auto-Lock → Never, on every tablet, before class. | § 02.01 |
| Remote changes don't land | CONNECTION strip; Settings → CONNECTIONS → RECONNECT; confirm with one rhythm change. | § 04.13 |
| "It won't charge" · "12-LEAD is dark" · "The shock didn't fire" | Pads · no perfusing rhythm · SYNC waiting for an R-wave. | § 03.19 |
| Selected a rhythm, nothing changed | Nothing auto-plays: PLAY, PLAY NOW, or TRIGGER on the next shock. | § 04.07 |
| Patient voice line plays nowhere | Monitor's Patient sounds switch is off — TURN ON from the VOICE folder. | § 04.11 |
| Code Summary is empty | Wiped by power-off and Reset Scenario — capture it first. | § 03.16 |
| IVmed refuses the dose | HARD LIMIT: Clear and re-enter. Weight-based drugs need a weight first. | § 05.06 |
| RESPmed tiles won't change | LOCK is on, or the ventilator is off. | § 06.03 |
| Symptom | Fix | See |
|---|---|---|
| A phone won't take a slot | All six full, the phone is on another network, or it is an Android phone and this is an iPad room. | § 07.09 |
| The phone reads SEARCHING FOR MONITOR forever | Same Wi-Fi as the iPad; Local Network allowed on the phone; Settings → CONNECT. | § 07.03 |
| Depth reads implausibly low or high | Re-seat the phone flat against the back of the hand, screen up. Keep the surface identical between learners. | § 07.08 |
| A learner's END does nothing | Only the phone that started the test can end it; an instructor-started test runs to 0:00. | § 07.10 |
| Start does nothing on the iPad | No phone is connected yet — the board needs at least one. | § 07.10 |
| A watch learner never reaches the board | The chain runs watch → their iPhone → your iPad. Check the phone is in your room first. | § 07.12 |
| A watch learner drops out mid-test | Their phone locked or they switched apps. Keep it awake, in the app, beside the manikin. | § 07.21 |
| Two bars for one learner | They switched from phone to watch mid-class on a fresh install; the pair is one identity only when the phone relays. | § 07.14 |
| "Why no depth in centimetres?" | By design: a single phone's depth error is about half the acceptable band. The bar and the post-test averages are honest; a live number would not be. | § 07.08 |
| Parameter | Target | Scored |
|---|---|---|
| Compression rate | 100–120/min | 37.5% |
| Compression depth | 5.0–6.0 cm | 37.5% |
| Compression fraction | ≥60% · 80% | 25% |
| Full chest recoil | Every one | Coach by eye |
| Test length | 2:00 | One cycle |
| Stations per tablet | 6 | One phone each |
| Sensor per learner | Phone or watch | Never both |
| Monitor baseline | Sinus 60 · 120/80 · 100 · 40 | 150 J · DEFIB |
| Pacer capture | ≥ 40 mA | Rate 30–180 |
▢ Tablets >80%, Auto-Lock off, DND on
▢ Every tablet signed into the room account; plan active; seats free
▢ One network; Local Network allowed on every device
▢ Roles assigned; CONNECTION all green
▢ Reset Scenario before the first case; beats planned
▢ Suite: IVmed care area chosen · RESPmed height & sex set
▢ CPR: app installed, names typed, slots filled, placement standardised
▢ Watch learners: phones awake & in the room
▢ Scope stated: manikin only, training only
Support support@aclsmed.com · Downloads aclsmed.com/download · Plans aclsmed.com/#pricing
| MONITOR | |
|---|---|
| POWER | Baseline: sinus 60 · 120/80 · 100 · 40 · 150 J |
| PADS | First. Nothing charges without them. |
| DEFIB · AED · SYNC · ANALYZE | Mode; frozen while charged |
| − + · presets | Energy; frozen while charged |
| CHARGE → DISARM | 2 s ramp; press again to dump |
| SHOCK | Dead until charged; SYNC waits for R |
| PACER · RATE · mA | Capture from 40 mA |
| NIBP | ~8 s, number on the beep |
| CPR · ♩ | Artifact + log · 110/min click |
| SILENCE | Tone only; the flash stays |
| 12-LEAD · X-RAY · LABS · MEDS | Data; 12-lead needs a pulse |
| MEGA CODES · RHYTHM · SUMMARY | Cases · 47 rhythms · the log |
| REMOTE | |
|---|---|
| Top bar | CPR · PADS · ♩ · 🔊 · ⏻ · timer (long-press resets) · ⚙ |
| Mirror | Their screen, live; EXPAND / COLLAPSE |
| Tabs | HUB · RHYTHMS · CODES · MEDS · LOG · LIBRARY |
| Sliders | HR · SpO₂ · ABP/NIBP · EtCO₂ · RR (+ PA · CVP · TEMP) |
| PRESETS | Pressure in one tap |
| ‹ › · CHANGE RHYTHM | Select; then QUEUE · TRIGGER · PLAY |
| TRIGGER | Fires on the next shock |
| CODES → START SCENARIO | ▶ handoff first, then start |
| MEDS | Tap = given, logged, banner |
| LIBRARY | Tap = preview here · SHOW = on the Monitor |
| Dock | NIBP · CHARGE · SHOCK · 🔔 |
| IVmed | |
|---|---|
| ON / OFF | Diagnostics → New patient? → Care area → Main |
| Softkeys | Line A · Line B · Settings · Clear (main page) |
| Program | Drug → Rate · Volume · Dose · Weight → Confirm → START |
| SOFT LIMIT | Yes overrides · No re-enters |
| HARD LIMIT | Clear only |
| STOP · AUDIO PAUSED | Stop / clear alarm · hush the tone |
| KVO alarm | Silence · reprogram a line · Clear |
| BACK PRIME | Not active in 2.5.0 |
| RESPmed | |
|---|---|
| First launch | Height + sex → predicted weight → ACCEPT |
| Mode circle | AC/VC · SIMV/VC · PRVC · AC/PC · SIMV/PC · PSV · CPAP · BiPAP · APRV |
| Tiles | Tap to edit; only the mode's own settings show |
| O₂ 100% · SILENCE | Two minutes each |
| ALARMS | High P 40 · Low P 5 · Auto-PEEP 3 · High RR 30 · Low MV 3.0 |
| PANEL | Pathology · Scenarios · ABG · OPEN ABG DRAWER |
| LOCK | Freezes the tiles for the learner |
| CPR SIMULATOR | |
|---|---|
| Slots | Six, first come first served, named from the phone |
| Start | iPad play key or a phone's START; first press wins; 2:00 |
| End | Only the starting phone; an iPad start runs to 0:00 |
| Debrief | OVERALL · RATE · DEPTH · CCF · ★ leaderboard |
| # | Category | Case | Film |
|---|---|---|---|
| 01 | ACLS — Cardiac Arrest | Pulseless Ventricular Tachycardia | |
| 02 | ACLS — Cardiac Arrest | Refractory Ventricular Fibrillation | |
| 03 | ACLS — Cardiac Arrest | PEA Arrest — Hypovolemia (Trauma) | X-ray |
| 04 | ACLS — Cardiac Arrest | Asystole — Opioid Overdose | |
| 05 | ACLS — Tachycardia | Stable Monomorphic Ventricular Tachycardia | |
| 06 | ACLS — Tachycardia | Unstable Ventricular Tachycardia → Synchronized Cardioversion | |
| 07 | ACLS — Tachycardia | SVT — Vagal Maneuvers & Adenosine | |
| 08 | ACLS — Tachycardia | Atrial Fibrillation with Rapid Ventricular Response | |
| 09 | ACLS — Bradycardia | Symptomatic Sinus Bradycardia | |
| 10 | ACLS — Bradycardia | Third-Degree (Complete) Heart Block — Emergent Pacing | |
| 11 | ACLS — Bradycardia | Mobitz II Second-Degree AV Block | |
| 12 | BLS | Witnessed Cardiac Arrest — BLS with AED | |
| 13 | BLS | Submersion / Drowning — Rescue Breathing | X-ray |
| 14 | PALS / Neonatal | Pediatric Ventricular Fibrillation — Cardiac Arrest | |
| 15 | PALS / Neonatal | Infant Symptomatic Bradycardia | |
| 16 | PALS / Neonatal | Pediatric SVT — Vagal Maneuvers & Adenosine | |
| 17 | PALS / Neonatal | Neonatal Resuscitation — NRP Algorithm |
| # | Category | Case | Film |
|---|---|---|---|
| 18 | Stroke | Acute Ischemic Stroke — tPA Decision | |
| 19 | Stroke | Hemorrhagic Stroke — Blood Pressure Management | |
| 20 | ACS / STEMI | Anterior STEMI — Cath Lab Activation | |
| 21 | ACS / STEMI | Inferior STEMI — Right Ventricular Infarct | |
| 22 | ACS / STEMI | Anterior STEMI → Ventricular Fibrillation Arrest | |
| 23 | ACS / STEMI | Posterior STEMI — The Missed MI | |
| 24 | H's and T's | Tension Pneumothorax → PEA Arrest | X-ray |
| 25 | H's and T's | Cardiac Tamponade → PEA Arrest | X-ray |
| 26 | H's and T's | Hyperkalemia → Wide Complex → VF Arrest | |
| 27 | H's and T's | Massive Pulmonary Embolism → PEA Arrest | X-ray |
| 28 | H's and T's | Hypothermic Cardiac Arrest — Accidental Hypothermia | |
| 29 | Medical Emergencies | Anaphylaxis → Cardiovascular Collapse | |
| 30 | Medical Emergencies | Sepsis → Septic Shock | X-ray |
| 31 | Medical Emergencies | Submassive PE — Thrombolytic Decision | |
| 32 | Medical Emergencies | TCA Overdose — Wide Complex Tachycardia | |
| 33 | Advanced Resuscitation | Post-ROSC Management — Post-Cardiac Arrest Care | X-ray |
| Icon looks like | Means |
|---|---|
| ECG trace | MONITOR role · 12-LEAD · RHYTHMS tab |
| Three sliders | INSTRUCTOR role · RESPmed ALARMS |
| Drop | IVmed role · SpO₂ pulse switch |
| Lungs | RESPmed role · X-RAY · patient sounds |
| Heart with a down arrow | CPR SIMULATOR role |
| Gear | Settings; a yellow dot = reconnect soon |
| Metronome | 110/min click |
| Clock | Code timer |
| Bell with a slash | SILENCE / SILENCED |
| Dashed circle | PADS |
| Vial with a cross | MEDS drawer |
| Two test tubes | LABS |
| Gauge | NIBP cuff |
| Icon looks like | Means |
|---|---|
| House · 2×2 grid · pills · list | HUB · CODES · MEDS · LOG tabs |
| Speech bubble | VOICE — patient lines |
| Television / crossed television | SHOW on the Monitor / CLEAR |
| Tray with arrow · lightning · play | QUEUE · TRIGGER · PLAY |
| Crossed lightning | DISARM the trigger |
| Two arrows swapping | REPLACE the queued rhythm |
| Speaker | SOUNDS sheet |
| Power symbol | Monitor / ventilator power |
| Padlock | Role not in your plan · RESPmed LOCK |
| Wi-Fi with a mark | Reconnect-within-N-days banner |
| Door with an arrow | SIGN OUT |
| Cloud with an X | RELEASE ALL DEVICES |
| Wind | RESPmed O₂ 100% |
ACLSMED™ SIM and ACLSMED™ CPR are education and simulation software for use with simulated patients and training manikins. Neither is a medical device; neither is intended for use on, or during the care of, a real patient; and neither replaces an accredited AHA course or your own clinical judgment. Clinical targets follow the AHA 2025 Guidelines for CPR and ECC.