A rolling summary of everything added and improved since launch.
New in v1.4
- Torsades de pointes — a new polymorphic VT with the classic twisting-around-the-baseline morphology; it's shockable (unsynchronized) and decompensates under auto-physiology.
- Heart rate from the pulse ox alone — with just the SpO₂ probe connected (no ECG leads), the monitor now shows a pulse-derived HR. BLS crews get a rate before ALS arrives and applies the cardiac monitor.
- "Pulse search" indicator — when the SpO₂ probe is on but there's no pulse (PEA, V-Fib, asystole), the pleth reads pulse search and blanks the number, just like a real oximeter — instead of a confusing flat line.
- iPad now runs the full monitor — tablets get the complete landscape monitor, while phones keep the purpose-built portrait UI.
- Tap-to-connect fixed on touchscreens — tapping a waveform lane to connect ECG / SpO₂ / EtCO₂ now works reliably on iPad and other touch devices.
New in v1.3
- Live Monitor Preview in the Control Room — a shrunken, real-time mirror of exactly what the student sees on the monitor.
- CPR compressions toggle — overlays realistic chest-compression artifact on the ECG (~110/min). It also drives capnography: EtCO₂ falls toward 0 in arrest and rises to ~20 with good compressions, dropping again if compressions stop.
- PEA is now a pulseless toggle that applies to any rhythm — the patient keeps its underlying rhythm but has no pulse, and decompensates like an arrest.
- V-Tach now decompensates under auto-physiology — BP, SpO₂, and EtCO₂ fall over time.
- Sync/cardioversion markers land on each R wave, so the flags line up with the rhythm you convert into.
- "Shock converts to ___" — choose the rhythm the patient ends up in after a successful shock.
- Monitor-side NIBP auto-cycle — set the cuff to re-read on its own at a chosen interval.
- Rearrangeable control panel — drag any box by its title to lay out the Control Room your way; it packs tightly and remembers your arrangement.
Connectivity & reliability
- Fixed "connecting forever." Devices now sync through multiple servers at once, so they pair reliably on restrictive, guest, and international networks.
- Clear failure message if no server is reachable, instead of an endless "connecting…".
New rhythms
- SVT — narrow-complex tach (156 bpm), no P waves; converts with synchronized cardioversion.
- Junctional, and bundle branch blocks — RBBB (rSR′ rabbit-ears) and LBBB (broad notched R), both with a discordant T.
- Hyperkalemia progression — peaked T → flat P → wide QRS → sine wave.
Waveform & 12-lead realism
- Rate-aware T waves (no clipping at fast rates); Mobitz I vs II now distinct; V-Tach is wide, continuous and monomorphic.
- Rebuilt capnography and SpO₂ pleth waveforms; realistic coved/"tombstone" 12-lead ST elevation with selectable STEMI territory.
Defibrillation & pacing
- ZOLL-style 1 Energy → 2 Charge → 3 Shock workflow with charge/ready tones; Shock arms only once charged.
- Transcutaneous pacing with a control-room-set capture threshold the clinician must reach.
Physiology & debrief
- Auto-physiology — the patient deteriorates in arrest and recovers after a successful shock or pacing capture (EtCO₂ rises with ROSC).
- Competency debrief log — timestamped record of shocks, pacing, NIBP, 12-leads, ROSC and vitals, with a metrics screen and copy-log.
Control room & usability
- Type exact vital values; Temperature in °C or °F; hide EtCO₂; per-vital trend clocks (⏱).
- No diagnosis labels on the monitor (learners recognize the rhythm and check a pulse); tighter layout; "Suggest an Edit" box.
Have feedback or a rhythm you'd like added? Use the "Suggest an Edit" box in the Control Room.
FOAMfrat Control Room
Room
connecting…