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What's new

What changed in Paramedic Simulator, about once a month, with a separate post for a major release.

October 2026: cardiac arrest calls and Event Medicine

Twenty-two cardiac arrest calls you can run from the first compression to the end of the call, and a new Event Medicine category of twenty-two calls set at a stadium.

Cardiac arrest calls

Twenty-two cardiac arrest calls are now in the library. Most begin with the patient already in arrest when you arrive. In one, the patient has a pulse when you get there and arrests while you are working.

At EMT scope you work the arrest with an AED. It analyzes and tells you shock advised or no shock advised, and you never see a rhythm strip. At Paramedic scope you run the ACLS algorithm on a manual monitor: you read the rhythm, choose the energy, and manage the drugs and the airway yourself.

Pulses coming back is never guaranteed. At each two-minute rhythm check the simulator decides whether there is a return of spontaneous circulation, and it only does that while the basics are running: compressions, and a shock when the rhythm is shockable. On some calls, treating the cause behind the arrest improves the odds. If you get pulses back, the call carries on into post-arrest care and transport.

Stopping resuscitation is your decision, usually made with medical control, and the debrief looks at it.

Every arrest call's debrief includes a resuscitation timeline: what your crew did and when, rhythm check by rhythm check. Adult arrest drug doses are graded against the 2025 American Heart Association adult cardiac arrest algorithm. Compression quality is not graded, because the simulator cannot see your hands.

Event Medicine

A new category of twenty-two calls set at a stadium during an event. You are not on an ambulance. You work on foot, the ambulances wait at the medical gate, and the receiving hospitals are at different distances with different capabilities.

Your role follows your scope. At EMT scope you are a roving BLS crew of two, with the ALS team a radio call away. At Paramedic scope you are the ALS team, and the roving BLS crew is already with the patient and can tell you what they found when you ask.

Each Event Medicine call is debriefed against a focused checklist for that kind of call.

Also new

  • The free 60-second call can now be run at EMT scope as well as Paramedic.
  • An accessibility pass across the site: a skip link on every page, focus that moves to the page content when you navigate, and screen reader fixes on the signed-in screens.