SimShockPad is an interactive emergency simulator designed to train and challenge your skills in managing critical hemodynamic situations. Experience realistic scenarios where the patient may present acute heart failure, major bleeding, or septic shock. Make fast and accurate decisions under pressure to keep the patient alive.

MAIN FEATURES
• Three pathological modes: heart failure, bleeding, and sepsis, with real time parameter changes based on your actions.
• Seven combinable therapies: diuretics, vasopressors, inotropes, nitrites, BIPAP, and transfusion, with dose dependent effects.
• Advanced treatments: correct antibiotic choice for septic focus, transfusion in bleeding, and defibrillation in severe arrhythmias.
• Emergency responses: tachycardia, atrial fibrillation, asystole, and cardiac arrest.
• Multiparameter monitoring: dynamic bars, animated ECG strip, and respiratory wave.
• Game speed options: slow, normal, or fast.
• Adjustable difficulty with three levels.
• Professional multilingual interface in Spanish, English, German, and Chinese.
• Compatible with iPhone, iPad, and macOS.

PATHOLOGICAL MODES

Heart Failure High Type
Severe congestion with very high filling pressures and high vascular resistance. Mean arterial pressure tends to be high and stroke volume low.
Goal: stabilize heart rate, mean pressure, and venous pressure.

Heart Failure Low Type
Low mean pressure, moderately elevated venous pressure, low stroke volume, reduced cardiac output, and low vascular resistance.
Goal: normalize vital signs.

Bleeding
Very low blood volume with reduced filling pressures and increased heart rate. Vascular resistance increases as compensation.
Cure: transfusion plus stable mean pressure above safe levels for several seconds.

Septic Shock
Very low vascular resistance, variable cardiac output, reduced blood volume, low venous pressure, and low mean pressure.
Cure: correct antibiotic followed by stabilization.

THERAPEUTIC MODES

BIPAP in heart failure with adequate pressure: reduces preload, lowers mean pressure, increases heart rate.
Dopamine: inotropic at low doses and vasopressor at higher doses.
Saline fluids: increase blood volume and cardiac output. Reduced effect in heart failure or untreated sepsis.
Furosemide: reduces blood volume, pressure, and congestion.
Nitroglycerin: venous and arterial dilation, reduces workload and mean pressure.
Dobutamine: strong inotrope, increases output and stroke volume, especially when pressure is low.
Norepinephrine: strong vasoconstrictor, increases resistance and venous pressure, may slow heart rate when pressure is high.
Transfusion: essential in bleeding.
Antibiotic: cures sepsis and enables effective use of fluids and vasopressors.

BUTTONS AND CONTROLS
• Monitor toggle with reset.
• Heart button to restart.
• Doctor button to switch character.
• Defibrillator for ventricular arrhythmias.
• Transfusion button to start therapy.
• ECG button to change display.
• Exam mode with ten cases and cumulative score.
• Bottom panel for pause, language, difficulty, instructions, modes, therapies, antibiotic, and ICU mode.

LEGAL NOTICE
SimShockPad is a simplified hemodynamic simulator. It is not an educational or clinical tool. It provides no medical advice. Always consult qualified professionals.