Critical Decision Training

Similar to flight simulators that airplane pilots use to train on and gain experience for a variety of dangerous scenarios, the Trauma Simulator is a free-play, virtual reality training platform capable of training medical personnel through dynamic and physiologically accurate patient injury simulations, and in doing so, provides for increased experience, practice, feedback, and critical decision training.

Trauma Simulator enables individual training for all level medical providers using a virtual reality headset and PC desktop. Does not need an instructor to be present, and everything fits inside a backpack.

The system tracks when a learner identifies an injury and their time to critical interventions. Therefore, the user can practice, develop experience, and receive feedback on advanced trauma life support (ATLS) repeatedly.

One-time Installation, Setup, and Training Includes:

  • Setup, implementation and training support session

Annual Enterprise Software License includes:

  • LEARNER access to the Trauma Simulator software-as-a-service. Current  environment includes four autonomous cases (external hemorrhage, internal hemorrhage, airway obstruction, and tension pneumothorax), 132 potential actions, case and multi-trauma builder and full integration with the Pulse-physiology engine.
  • LEARNER access to feedback system
  • Full support
  • Content and tech updates


  • User is presented with a trauma patient with multiple injuries in the Emergency Department: Injury sustained from an explosion
  • Uses objects in room to treat those injuries 
  • Order of treatment as per ATLS protocol is defined by the injuries - the user(s) experience a change in the vital signs of the patient at a defined rate determined by the users care action.
  • Goal
    • Keep the patient alive
    • Identify all the injuries and treat all injuries
    • Send to the correct next treatment location


"Afghanistan. 9am. A 22 year old male was a restrained passenger in a Humvee when an improvised explosive device detonated next to the vehicle, flipping it. There was extensive damage. He was extracted by fellow soldiers. The convoy took small arms fire during the event. The medical personnel on the scene were also injured in the attack and where unable to provide care. They were five minutes from the location and evacuated the patient to initial examination. No interventions were completed prior to arrival."


  • Airway injury
  • Pneumothorax
  • Internal bleeding injury
  • Hemorrhaging injury


The Virtual ‘Emergency Room’ includes a procedure table, crash cart, supply wall, and vital signs monitors, modeled after an existing ER

The virtual medical devices include: Oxygen Mask, Endotracheal Tube, Laryngoscope, Nasal Airway, Suction Catheter (Yanker Suction Catheter), Ambu Bag, Needle Decompression Device, Scalpel, Hemostat, Chest Tube, Gauze (Combat Gauze Packing), IV Catheter x3, Intravenous Fluid Bag (Normal Saline), IV Tubing (from Fluids, Blood to Intravenous line in arm), Blood Cooler (With Blood Products Bag inside), Interosseous Drill/Interosseous Needle, Tourniquet, C-Collar, Splint (SAM Splint), Trauma Shears, Blood Pressure Cuff (hanging of monitor or by crash cart), Cardiac Monitor Leads (5 Colors), O2 Saturation Probe, Otoscope, Ultrasound Probe, Pelvic Binder, Glove Box/PPE, Boxes With Labels, Vial  - Medicine (generic, with easy to change label), Blanket/Sheet, Betadine Swabs, Stethoscope, Tablet for Lab/Imaging review, and Cardiac Arrest/Defibrillation Pads.

The user is presented with a virtual patient where a standard physical exam is possible, including pupils that react to light, tympanic membrane exam, breathing (chest rise/fall), breath sounds, heart sounds, bowel sounds, pulse that can be felt at neck/wrists/groin/feet, patient moans in pain when player interacts with region with respective injury, shows a normal/abnormal fast ultrasound exam, can vomit, bleed, and responds to simple verbal commands.

The interactive vital sign monitors respond/react through correlating injury modules that include airway injury, pneumothorax, hemorrhage, extremity injury, and internal bleeding.

Incorporation of supporting characters – a Nurse and/or Medic that respond to directives through simple verbal commands and assist with aspects of the  simulation.

Simple animations are triggered by objects being placed in the respective location close to the patient includes: Putting on Gloves, Depiction of the initial Accident that Caused the Injuries, Tourniquet Placement, take an X-Ray, Intubation, Needle Decompression of Pneumothorax, Oxygen Mask Placement,  Ambu-Bag Use, Intravenous Line Placement, C-Collar Placement, Leg Splinting, Nasal Airway Placement, Clothing Removal, Intravenous Fluid/Blood hanging/initiation, Blood Product Initiation, Blood pressure cuff placement, Cardiac Monitor Placement, O2 Saturation Probe Placement, Pelvic Binder Placement, Interosseous (I/O) Needle Placement, Cardiac Arrest Pad Placement, Chest Tube Insertion, Cricothyrotomy Placement, and Central Line Placement.

A display for use throughout the simulation allows for order entry, lab retrieval, review of the radiology results, and the selection of the final disposition of the patient.