Clinical governance
Educational use only. Not clinically reviewed.No clinician has signed any content in this build. The pharmacology parameters are transcribed from the primary literature but have not had the independent second-source check this project requires before a model may be called published. The face-validity review has not been run. Use it to see how the simulator works, not to learn clinical facts from.
The editorial board
The board is empty. Recruiting at least three credentialed clinician reviewers is in progress and has not completed. Until it does, nothing in this build is signed, no scenario is described as reviewed, and the release gate refuses to publish.
This page is about signatures. What each item is actually published as, meaning the maturity status the interface labels it with, is on the review-status page, item by item.
Review coverage
Every outstanding item is named below. No aggregate figure is reported without its list.
No named reviewer. Clinical content cannot ship signed by nobody.
scenario- routine-induction, rapid-desaturation, hypotension-after-induction, bronchospasm, unexpected-intraoperative-hemorrhage, rapid-sequence-induction, awareness-under-paralysis, laryngospasm-after-airway-stimulation, perioperative-anaphylaxis-after-antibiotic, early-malignant-hyperthermia-during-volatile-anesthesia, routine-pediatric-iv-induction, difficult-airway-supraglottic-rescue, local-anesthetic-systemic-toxicity, persistent-vf-cardiac-arrest, high-spinal-after-epidural-top-up, venous-air-embolism-during-line-removal, repeated-laryngoscopy-harm, capnography-sampling-line-obstruction, dilutional-coagulopathy, arterial-pressure-transducer-artifact, circle-system-rebreathing, routine-inhalational-maintenance, blood-bank-handoff, routine-geriatric-induction, quantitative-neuromuscular-reversal, routine-pediatric-inhalational-induction, obstetric-general-anesthesia, preeclampsia-urgent-delivery, pneumothorax-under-positive-pressure, aspiration-risk-recognition, emergence-with-residual-blockade, delayed-emergence-differential, extubation-readiness, post-extubation-obstruction, opioid-induced-ventilatory-impairment, hypothermia-and-rewarming, perioperative-hyperglycemia, pacemaker-and-cautery-planning, postoperative-handoff, undifferentiated-shock, septic-shock, hemorrhagic-shock, obstructive-shock-tension-pneumothorax, cardiac-tamponade, anaphylaxis, adult-asthma, copd-exacerbation, acute-pulmonary-edema, pulmonary-embolism-deterioration, stemi, unstable-narrow-complex-tachycardia, unstable-bradycardia, persistent-vf-arrest, pea-arrest, status-epilepticus, acute-ischemic-stroke, intracranial-hemorrhage-deterioration, diabetic-ketoacidosis, hyperkalemia-with-ecg-change, severe-hyponatremia-with-seizure, opioid-toxicity, exertional-heat-stroke, trauma-primary-survey, acute-aortic-syndrome, ards-lung-protective-ventilation, escalating-hypoxemia, ventilator-dyssynchrony, auto-peep, mucus-plugging, unplanned-extubation, spontaneous-breathing-trial, post-intubation-hypotension, cardiogenic-shock, mixed-shock, right-ventricular-failure, massive-pulmonary-embolism, upper-gi-hemorrhage, status-epilepticus, targeted-temperature-management, intracranial-hypertension, acute-kidney-injury-with-fluid-overload, severe-acidemia, icu-handoff-with-hidden-deterioration, ventilator-circuit-disconnection, delayed-vasopressor-delivery, pulse-oximeter-motion-artifact, endotracheal-tube-migration-after-repositioning, septic-shock-resuscitation, stable-chest-pain-evaluation, stemi-recognition-and-first-actions, nstemi-risk-reassessment, acute-decompensated-heart-failure, post-infarction-cardiogenic-shock-escalation, atrial-fibrillation-with-rapid-response, regular-narrow-complex-tachycardia, wide-complex-tachycardia, symptomatic-sinus-bradycardia-reassessment, complete-heart-block, torsades-de-pointes, hyperkalemic-conduction-disturbance, pericardial-tamponade, right-ventricular-infarction, hypertensive-emergency, pacemaker-capture-failure, transcutaneous-pacing-mechanical-capture-reassessment, acute-severe-asthma, copd-exacerbation-transition-reassessment, community-acquired-pneumonia-hypoxemia-reassessment, post-pulmonary-embolism-persistent-dyspnea, acute-pulmonary-edema-respiratory-support-reassessment, spontaneous-tension-pneumothorax-post-drainage-reassessment, large-unilateral-pleural-effusion-reassessment, bronchiectasis-mucus-plugging-reassessment, chronic-opioid-related-hypoventilation-reassessment, neuromuscular-respiratory-failure-reassessment, obesity-hypoventilation-reassessment, noninvasive-ventilation-selection, high-flow-nasal-oxygen-escalation, oxygen-device-failure, acute-tracheostomy-obstruction, pediatric-respiratory-distress, bronchiolitis, croup, pediatric-status-asthmaticus, pediatric-sepsis, pediatric-septic-shock, pediatric-dehydration-with-hypovolemia, pediatric-diabetic-ketoacidosis, pediatric-hypoglycemic-seizure, pediatric-febrile-seizure, pediatric-status-epilepticus, pediatric-anaphylaxis, pediatric-supraventricular-tachycardia, pediatric-bradycardic-arrest, pediatric-foreign-body-airway-obstruction, pediatric-injury-safeguarding-escalation, minor-nondisabling-acute-ischemic-stroke, basilar-artery-occlusion-escalation, spontaneous-cerebellar-intracerebral-hemorrhage, aneurysmal-subarachnoid-hemorrhage-deterioration, focal-motor-status-epilepticus-escalation, nonconvulsive-status-epilepticus-recognition, myasthenic-crisis-escalation, guillain-barre-respiratory-decline, acute-bacterial-meningitis-first-hour, suspected-herpes-simplex-encephalitis, raised-intracranial-pressure-visual-threat, acute-transtentorial-herniation-pattern, metastatic-spinal-cord-compression, acute-delirium-reversible-causes, autonomic-dysreflexia-authored-trigger, methemoglobinemia-saturation-gap, carbon-monoxide-reassuring-monitor, acetaminophen-clock-and-nomogram, salicylate-falling-number, tricyclic-sodium-channel-cardiotoxicity, beta-blocker-cardiogenic-shock, calcium-channel-blocker-shock, digoxin-rhythm-potassium, cholinergic-pesticide-respiratory-failure, anticholinergic-hyperthermia-delirium, serotonin-toxicity-hyperthermia-clonus, sympathomimetic-hyperadrenergic-hyperthermia, methanol-visual-acidosis-gaps, delayed-local-anesthetic-cns-cardiac-toxicity, opioid-xylazine-persistent-sedation, postpartum-hemorrhage-uterine-atony, maternal-sepsis-postpartum-deterioration, concealed-placental-abruption-hemorrhage, postpartum-severe-preeclampsia-warning-signs, eclampsia-first-seizure-response, suspected-amniotic-fluid-embolism-pattern, maternal-cardiac-arrest-coordinated-response, shoulder-dystocia-cognitive-sequence, umbilical-cord-prolapse-urgent-birth-coordination, suspected-uterine-rupture-recognition, magnesium-sulfate-toxicity-recognition, high-neuraxial-block-obstetric-coordination, failed-obstetric-intubation-oxygenation-first, maternal-to-neonatal-resuscitation-handoff, oxytocin-associated-uterine-tachysystole, term-newborn-transition, neonatal-apnea, ineffective-ventilation-correction, neonatal-bradycardia, meconium-stained-transition, preterm-respiratory-distress, neonatal-hypoglycemia, neonatal-sepsis, thermoregulation-failure, delivery-room-to-nicu-handoff, neonatal-tension-pneumothorax, dka-resolution-transition, hhs-osmolality-trajectory, severe-hypoglycemia-recurrence, adrenal-crisis-treatment-before-tests, thyroid-storm-hemodynamic-risk, myxedema-coma-ventilation-and-steroid-sequence, hypercalcemic-crisis-volume-and-bridge, hypocalcemic-tetany-rescue-and-recurrence, hyponatremia-aquaresis-and-overcorrection, hypernatremic-dehydration-avp-deficiency, refeeding-electrolyte-shift, perioperative-diabetes-insulin-continuity, hyperkalemia-cardioprotection-and-rebound, hypokalemia-magnesium-and-ongoing-losses, hyponatremia-symptoms-and-reassessment, hypernatremia-water-access-and-losses, hypocalcemia-ionized-calcium-and-ckd, hypermagnesemia-antagonism-and-removal, meningococcal-sepsis-recognition-and-escalation, obstructed-infected-kidney-decompression, febrile-neutropenia-blind-examination, necrotizing-infection-score-cannot-exclude, endocarditis-mechanical-failure-on-a-surgical-clock, severe-pneumonia-the-score-answered-another-question, toxic-shock-a-definition-that-cannot-close, possible-sepsis-a-clock-that-runs-either-way, septic-shock-a-label-the-treatment-creates, meningitis-imaging-a-rule-that-does-not-agree, low-score-what-the-threshold-does-not-exclude, counted-rate-a-number-nobody-counted, paired-reading-a-number-wrong-in-one-direction, afferent-limb-a-threshold-met-and-a-call-not-made, quiet-patient-a-screen-that-was-never-done, proxy-scale-a-number-without-a-standard, last-known-well-a-time-nobody-can-supply, oxygen-target-scale-a-score-that-should-be-lower, lost-contingency-a-plan-that-was-not-said, delayed-immune-event-a-drug-that-stopped-months-ago, incidental-clot-a-decision-the-evidence-cannot-make, normal-test-toxicity-the-dose-in-his-bag, prognosis-question-a-number-he-asked-for, laboratory-tls-a-syndrome-he-does-not-have-yet, rare-early-myocarditis-a-base-rate-is-not-a-threshold, lowering-the-count-a-number-that-can-be-moved, inherited-urgency-an-emergency-that-mostly-is-not-one, trial-rule-a-rule-written-for-a-database, silent-interaction-a-harm-with-nothing-to-find, easy-label-a-label-that-fits-too-easily
explainer- hysteresis-and-effect-site-lag, preoxygenation-and-safe-apnea-time, hypnotic-opioid-synergy, vasodilation-versus-hypovolemia, capnogram-morphology, airway-assessment-predicts-poorly, depth-monitoring-and-its-limits, train-of-four-and-residual-blockade, malignant-hyperthermia-early-pattern, aspiration-risk-is-more-than-fasting-time
drug-card- propofol, remifentanil, rocuronium
region-profile- US, GB
Reporting a clinical error
Every content item carries a control that opens a public issue with the item id, the content version and the application version pre-filled. Reports are acknowledged within five working days and every correction is appended permanently to the corrections log.