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SCENARIO BUILDER

Build your own case

Set the patient, the picture on arrival and the targets the case is graded against. Every field has an adult default behind it, so edit what matters to your teaching point.

The case

Category
Difficulty
Acuity

The patient

Sex
Predicted body weight 73.0 kg · 6 mL/kg = 438 mL · 8 mL/kg = 584 mL
Volume statusPreload decides how much mean airway pressure this patient can carry.
ComplicationA problem that develops mid-case. Only the matching DOPE step clears it.
Airway

Acuity (Moderate) scales the starting compliance and resistance and sets how fast the patient deteriorates — the values above are the baseline a moderate case starts from.

Targets & grading

Who grades this case?

Target settings — A/C — VC

A clinician is scored on how close they come to these values, whether they picked this mode, and how much of the case they held both gases on target. The remaining controls are stored at the mode's defaults.

Your case is graded, not just played. Whoever runs it gets the same debrief as a built-in case — the airway decision, the mode, every setting marked against the targets you set above, time held on target, and the outcome. Run it yourself from "Your cases" to see the score.

Your cases

You have not saved a case yet. Build one above and it will appear here — and in the scenario library alongside the built-in cases.

A case filed here lives on the server and opens on any device you enter the code on — but the code cannot be recovered if it is lost, so write it down. Anything not filed or taken out for six months is deleted.

Back up your cases & progress

Cases live in this browser only. Once you have one, back it up here so clearing the browser or changing phones does not lose it.

Your cases are saved on this device with no account needed — they appear in the library here and run on any of the three devices. Any case can be shared as a link or a code, and whoever receives it saves it to their own device. File one in the vault and it also lives on the server, under a code only you hold — and once a code is open, every case you save is filed there as you save it, so the library follows the code to any device and any web address it is entered on. They are training material, not validated clinical protocols.

For training & education only. Not for patient care. This project is a work in progress.ContactPrivacy PolicyTerms of Use
© 2026 Joseph D. Silver. App design, interface, simulation engine and case library — all rights reserved. Education content is credited to its published sources; ventilator names and designs belong to their manufacturers.Contact: josephdsilver44@gmail.com