Month: September 2019

Available for download on the Downloads page.

This is a maintenance release that improves behind-the-scenes functionality of Infirmary Integrated, improving performance and fixing a few lingering bugs, mainly:

• Asystole now draws correctly; instead of turning into blank space, it correctly draws as a flat line
• Running through large scenarios, especially back and forth through the steps, has faster performance

In addition to the ACLS Practice Case #1 simulation scenario for Infirmary Integrated that was posted last week, 4 new scenarios for Infirmary Integrated simulating ACLS Practice Megacodes are available for download.

Advanced Cardiac Life Support (ACLS) Megacode Practice Case 49 by the American Heart Association (Instructor Manual, page 159). Anoxic event due to airway obstruction, scenario starts with patient being given rescue breaths via bag valve mask in symptomatic tachycardia, proceeds to cardiac arrest with multiple rhythms, results in return of spontaneous circulation.

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Advanced Cardiac Life Support (ACLS) Megacode Practice Case 50 by the American Heart Association (Instructor Manual, page 161). Severe myocardiac infarct presenting with symptomatic tachycardia, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.

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Advanced Cardiac Life Support (ACLS) Megacode Practice Case 51 by the American Heart Association (Instructor Manual, page 163). Inferior myocardiac infarct presenting with symptomatic bradycardia with an ECG notable for ST changes in inferior leads, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.

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Advanced Cardiac Life Support (ACLS) Megacode Practice Case 52/55 by the American Heart Association (Instructor Manual, page 165). Symptomatic bradycardia with an ECG notable for ST changes in III and aVF, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.

Available for download now at the Downloads page.

This release really expands Infirmary Integrated’s functionality as a simulator with the ability to play scenarios. Scenarios are patient simulations that can progress and change as you go step by step through the scenario. For example, a scenario could have a patient progress from being mildly unstable to drastically critical, or can progress from a lethal cardiac rhythm to stable rhythm if the proper intervention is chosen.

Creating scenarios is also simple with the new Scenario Editor that is included with Infirmary Integrated. Using the Scenario Editor, you can create scenarios using the visual designer that acts like a flowchart. It is simple to create steps for the scenario, plugging in what you want the patient’s parameters to be, and then add progressions from one step to the other, including optional progressions that can change the course of the scenario.

The possibilities are limitless with Infirmary Integrated and its included Scenario Editor. For example, scenarios could be easily created and played to simulate teaching points for critical care classes, and could be used as adjunct teaching aids for the American Heart Associations’s (AHA) courses including Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

Additionally, freely available scenarios will be available for download at Infirmary Integrated’s website, located at https://www.infirmary-integrated.com/simulations/ and some are posted below.