Build log
What we've shipped — the engine, the scenarios, and the tools behind them.
4 Oct 2026
Real triage isn't eyeballing a color. It's walking a protocol to a color you can defend. Every patient now comes with a START assessment, and the Triage room shows you the protocol, one question at a time.
Read the full update →19 Sept 2026
Low blood pressure with bleeding doesn't resolve with one fix. It takes a second IV line, fluids, and a transfusion together. A deterioration's rescue can now require a full set of interventions instead of just one.
Read the full update →18 Jul 2026
A normal X-ray and a critical lab value used to look identical on a patient card — nothing. Now a flag appears the moment a result is worth interrupting for, and clears the moment you've seen it.
Read the full update →10 Jul 2026
Real EDs are never empty when disaster strikes. Now a scenario doesn't have to start that way either — trainees can walk into a shift already underway, patients already triaged and treated, before the incident even begins.
Read the full update →9 Jul 2026
Staffing Setup gets the floor ready. Now there's a next step — walk every patient already in the ED to a decision before the casualties start arriving.
Read the full update →4 Jul 2026
A confirmed disaster buys you a little time before the ambulances arrive. Now you can spend it — open Staffing Setup from the protocol checklist, clear the patients off the board, and stock every room before the first one shows up.
Read the full update →23 Jun 2026
A confirmed disaster forces a decision before a single patient arrives: how big is this, really? You now declare the hospital's alert level straight from the Disaster Confirmed message — and live with the call you make.
Read the full update →3 Jun 2026
Two patients in the same room shouldn't have to wait for each other's nurse. We made commands team-aware so care runs in parallel — and gave you a staff pool to deploy people across rooms by dragging an avatar.
Read the full update →3 May 2026
The first message of a major incident isn't a paragraph of prose. It's a METHANE report. We rebuilt pre-arrival and disaster notifications to follow the protocol exactly, field by field, the way the radio call actually comes in.
Read the full update →28 Mar 2026
In a mass casualty event, every click is time you don't have. We tore out the modal-heavy ordering flow and rebuilt the whole interface around a single room view — patients, staff, and order queues in one place, no windows stacking on windows.
Read the full update →22 Feb 2026
A bug that happens at minute 14 of a chaotic scenario is a nightmare to debug — unless you can play it back like a movie. We built a deterministic replay engine that captures, shares, and reconstructs any simulation session with bit-perfect accuracy.
Read the full update →8 Feb 2026
Managing a mass casualty event requires more than clinical knowledge — it requires the ability to sequence interventions under time pressure. This update adds real-time order prioritization and staff management across the full patient trajectory.
Read the full update →1 Feb 2026
Generic progress bars tell you something is happening. In a mass casualty scenario, that's not enough. We replaced them with activity-specific icons that pull live metadata directly from the patient's state machine.
Read the full update →17 Jan 2026
The emergency department never sees the same day twice. We overhauled the core architecture to support multiple distinct crisis scenarios — different events, different patient loads, different environmental conditions.
Read the full update →7 Jan 2025