Run the calls your clinicals never gave you.
An AI EMS call simulator for paramedic & EMT students. Real-life scenarios, written by a paramedic.
Most students finish their program having led a handful of critical calls. The rest they read about.
Here an AI plays the patient, partner and scene on dozens of real-life calls, dispatch to handoff.
You type what you would do and the call answers: the vitals move, the line fails, the nurse asks what you have. EMT or Paramedic scope.
Try a 60-second call free, no account needed. Full calls come with a subscription.
One real call, start to handoff
You are not quizzed about the call. You are on it.
Every line below is from one call in the library as it was run, with an AI playing the patient and the crew. Nothing was scripted for this page.
Step 1 · Roll up
You typed
ppe/bsi. I assume the scene is safe... We will respond to code 3, I will have lead on the call... When we arrive, I would like the first aid bag, the stretcher with the O2 bottle, the cardiac monitor, and the airway bag. What do we see upon arrival?
The call
You roll up on a dock at the lake, floodlit by someone's truck headlights angled off the water. A knot of bystanders is clustered near the end of the dock, a couple of them kneeling. One waves you down urgently. ... A bystander, soaked to the waist, says "He dove in head first, right there. Hit bottom, it's only like three feet deep."
Step 2 · Direct the crew
You typed
Fire! Can we get a backboard out of our ambulance, and then we're going to log roll him, checking his back as we do so, and then get him secured on the backboard?
The call
With Owen maintaining in-line stabilization, you and fire log-roll the patient as a coordinated team, checking his back as you go: no step-offs, no wounds, no bruising along the spine, skin intact. ... Firefighter looks over. "Anything else you need from us right now?"
Step 3 · It does not always work
You typed
Because of low blood pressure, I would like to do a 500 m/l bag of normal saline wide open
The call
Attempt on the left AC didn't get you a working line. Flash, then lost as the vein rolled off. No line established yet from that stick. For the fluid bolus, you'll need working IV access first.
Ask the sim a question mid-call and you get the monitor, not a hint.
You typed
We're using a BVM with this patient with PEEP. Why is the SpO2 not changing?
The call
SpO2 reads 90% on the monitor, unchanged from the prior check.
There is no buzzer for a critical mistake. Miss it, and the patient shows you.
Step 4 · Radio and handoff
You typed
Medic 13, we are approximately 28 minutes out with a 19-year-old victim who dove off a dock into shallow water at 3 or 4 ft. Patient is stating that he cannot feel his body below his shoulders...
The call
"Copy, Medic 13. Trauma team will be waiting. No further orders. Continue as you're doing, we'll see you in 28."
The call
Ambulance pulls into the bay. ... You and the firefighter wheel the stretcher in through the ambulance bay doors, into the trauma room. A nurse steps up. "What do you have?"
Step 5 · The debrief
What to do differently
You also did not verbalize a general impression of sick versus not sick early in the call, which matters here specifically because this patient looks deceptively stable on room air saturations while his capnography is telling a different story.
A question from this call
Why do you see hypotension with bradycardia here instead of the tachycardia expected in shock?
What you did right
Moving to BVM at PEEP on 100% oxygen showed you recognized this as a ventilation failure rather than an oxygenation problem.
This call: 32 turns, 44 minutes, 214 graded actions, one patient. Then it went into the student’s Clinical Profile.
The library, 207 calls
Every one runs dispatch to handoff at EMT or Paramedic scope.
- 58 MCardiac or Respiratory Arrest
- 74 FUnconscious / Fainting
- 61 MChest Pain
- 27 FHeart Problem
- 19 MAbdominal Pain
- 58 MHemorrhage / Bleeding
- 24 FPregnancy / Childbirth
- 14 mo FAltered Mental Status
- 2 FChoking
- 34 MAllergic Reaction
- 14 MBreathing Problem
- 42 FCarbon Monoxide / Inhalation / Hazmat
- 24 MFall
- 45 MBurns
- All 207 calls
Who it's for
From your first clinical to your hundredth shift.
- Students
EMT and paramedic students
Lead the critical calls your clinicals did not give you, then see exactly what you missed.
For students - Providers
Working EMTs and paramedics
Run the calls that come once a year, between shifts, and keep a record of your continuing education.
For providers - Programs
EMT and paramedic programs
More critical calls for every student, before the real ones.
For programs
Built for Students & Working EMS Professionals
For the calls you have not run yet.
Before lab
Run the scenario your class covers next week. Walk in having already led it, and having read the debrief on what you missed.
After clinical
You watched someone else lead the call. Run it yourself tonight, at your scope, and see what you would have done.
Before the NREMT
Run the calls in the sections you keep missing until the rubric stops flagging them. Your Clinical Profile shows which sections those are.
Between shifts
The call that comes once a year. Run it tonight at EMT or Paramedic scope, and your CE portfolio logs your hours.
In their words
From students and providers using it.
As a new paramedic, Paramedic Simulator helped me bridge the gap between learning the medicine in the classroom and actually thinking like a paramedic. The realistic scenarios gave me valuable practice assessing patients, making treatment decisions, and working through challenging calls in a safe environment. It was an invaluable tool throughout paramedic school and helped build my confidence before taking those skills into clinicals and the field.
As a current paramedic student, Paramedic Simulator has been a great way to put what I’m learning in the classroom into practice. The realistic scenarios challenge me to assess patients, prioritize problems, and make treatment decisions under pressure. It has helped strengthen my clinical reasoning and build confidence as I prepare for clinicals and eventually working in the field.
As a recently certified EMT, Paramedic Simulator has helped me build confidence in my assessment and decision-making skills. The realistic scenarios gave me a chance to practice thinking through patient presentations and making decisions before facing those situations in the field. It has been a great tool for reinforcing what I learned in EMT school and preparing me for real-world calls.
What an AI chatbot cannot do
Why not just ask an AI chatbot to play a patient?
You can, and it will. It will also invent the blood pressure, the rhythm and whether your IV went in, and then grade you on its own opinion.
Here every scenario was written by a paramedic, based on real-life calls.
The AI plays the patient in it and reveals what you assess for; it cannot make up what is wrong with them. The line fails only when this patient's body says it should, and the debrief grades you against a rubric a paramedic wrote.
- full prehospital calls, each run dispatch to handoff
- 207
- things the debrief watches for, mapped to the NREMT skill sheets
- 181
- competencies in your Clinical Profile, so you see the gap, not just the score
- 49
The simulator is the subscription
Every call in the library. A profile that remembers each one.
Every full call in the library at EMT or Paramedic scope, played by an AI the way the one above was played, and debriefed against a rubric a paramedic wrote and mapped to the NREMT skill sheets. Every attempt lands in your Clinical Profile, skill by skill, with the gaps flagged and what to run next.
It is not a question bank, though the subscription includes one: practice questions organized by the NREMT cognitive content areas with the reasoning on every option. Skills stations from memory and history taking from a patient the AI plays come with it too. AEMT scope is coming.
One subscription, every module. Seven-day free trial and a 30-day money-back guarantee on your first purchase.
Free, no account
Get a debrief in sixty seconds. Keep the guides and tools for good.
A 60-second call
One patient, four vitals, your priority actions, and a debrief from the same rubric. EMT or Paramedic scope. It is the debrief, not the whole call.
Reference guides
Written references with worked examples. Each one links to the clinical tool that goes with it and ends with a call you can run.
Clinical tools
Every calculation runs in your browser. Each tool cites its source.
Certification and licensure
The pathways, the recertification model, and a per-state index linking to each state EMS office.
Read this before you use it
What this product is, and what it is not.
- EMT students
- Paramedic students
- NREMT candidates
- Working providers
What it is
- A practice tool
- Somewhere to run reps on prehospital decision-making and get graded against a stored, human-authored rubric.
- Educational guidance
- AI feedback here is educational guidance on your reasoning. It is not a clinical determination and it is not a passing or failing grade.
What it is not
- Training, not treatment
- Nothing here tells you how to care for a real patient. Run it at your desk, not at the bedside.
- Alongside your program, not instead of it
- Your didactic hours, lab time, and clinical rotations are the foundation. This adds reps on top.
- Your protocol wins
- If anything here differs from your agency's protocols or your medical direction, follow them. Every time.
Scenarios are written and graded at EMT or Paramedic scope, per the National EMS Scope of Practice Model. Subscribers choose the level on each one. The free 60-second call runs at EMT or Paramedic scope; you choose before it starts. AEMT scope is coming.