Simulation guides for EMS & nursing educators

Practical, no-fluff guides on monitor/defibrillator training — how to buy, how to teach, and how to get your students more reps. Written by the team behind the X·Sim simulator.

BUYING GUIDEPatient Monitor Simulators: The Complete GuideManikins vs screen-based vs browser sims — real costs, a feature checklist, and where each belongs in your program. TRAINING PLANHow to Get Fast at ECG Rhythm RecognitionThe 5-question method, the rhythm pairs students confuse most, and a 4-week timed-drill plan. INSTRUCTORSACLS Megacode Practice OnlineRun realistic code simulations without a sim lab — live sessions, auto-deteriorations, and debriefs with receipts. CLINICAL SKILLTeaching Transcutaneous Pacing ProperlyCapture vs spikes, mA thresholds, demand-mode inhibition, and simulating TCP honestly.

Frequently asked questions

What is X·Sim?

X·Sim is a browser-based patient monitor and defibrillator training simulator for EMS, paramedic, nursing, and ACLS education. It simulates 27+ ECG rhythms, defibrillation, synchronized cardioversion, transcutaneous pacing with capture thresholds, 12-lead ECGs, and live instructor-led classes. It's a training tool — not a medical device.

Is X·Sim free for students?

Yes — solo monitor practice and the timed rhythm quiz are free with no account or download. Instructor features (live multi-student sessions, attendance, auto-scoring, saved cases, debrief reports) are part of Instructor Pro ($29/mo) or Organization plans, with a free trial.

Does it work on iPad and Chromebook?

Yes. It runs in any modern browser with nothing to install — iPads, Chromebooks, laptops. Landscape on a tablet or a desktop screen is the best monitor experience.

How do live instructor-led sessions work?

Open a classroom from the console and share a room code. Each student joins in their own browser and gets their own interactive monitor. You drive the patient — or let saved cases run themselves with timed deteriorations and treatment-triggered transitions — while every student action is logged by name for scoring and debrief.

Which rhythms and skills are included?

Sinus variants, AFib/flutter, SVT, all AV blocks, junctional rhythms, PVCs, VT, VF, torsades, idioventricular, paced rhythms, asystole, and STEMI patterns on 12-lead. Skills: defibrillation, synchronized cardioversion, transcutaneous pacing with realistic capture, NIBP, 12-lead acquisition, CPR feedback, and treatment logging.

Is X·Sim a medical device?

No. Education and training only — never for real patient care. Not affiliated with ZOLL Medical Corporation or any device manufacturer. Clinical practice follows current AHA/ERC guidance and your medical direction.

Try the free simulator Take the rhythm quiz Instructor plans
X·Sim (xsimlab.com) — a Brickell Bay Group LLC training tool. Not a medical device. Terms · Privacy