Rules first. Then the reason.
Imedica keeps judgement and explanation apart. People with clinical authority write the rules, software applies them the same way every time, and an AI model explains the result.
HR
54
BP
96/60
SpO₂
95
V4R
ST↑
- Correct
Fluid bolus 250 mL
within 3:00
- Suboptimal
Fluid bolus 250 mL
after 3:00
- Acceptable
Repeat 12-lead
any time
- Harmful
Nitroglycerin 0.4 mg SL
RV involvement
Reason. The right ventricle depends on preload. Nitrates drop it, and the pressure with it.
Four stages, two kinds of authority.
Stage 1 of 4
- A physician writes the call
- A paramedic runs it
- The rules score it
- The debrief explains it
Stage 1 of 4
A physician writes the call
Each scenario is a sequence of moments: the scene, the patient, the vitals on the monitor. For every moment the physician lists what a paramedic might do and what each choice means: correct, acceptable, suboptimal, harmful, or critical. They add the reason, the directive it comes from, and how long the right action can wait.
Draft → review by a second physician → published. Every edit is on the audit log.
Stage 2 of 4
A paramedic runs it
The scenario opens with dispatch. Vitals change as the patient responds, the clock keeps running, and the action menu holds everything a crew can do on scene, not just the right answers. A harmful choice changes the patient. A critical one ends the call.
Works in a browser on a phone, tablet or station computer. Ten to fifteen minutes.
Stage 3 of 4
The rules score it
Scoring is deterministic. The same decision at the same moment earns the same verdict every time, and the right action taken too late is marked late. Required steps that never happened are listed in the debrief.
No model decides a score. The grade is reproducible and auditable.
Stage 4 of 4
The debrief explains it
Each decision comes back with its triage-coloured verdict and the physician's reason. Claude then writes a short explanation tying the run together: what went well, the decision that mattered most, and what to practise next. It sees the scenario and the decisions, never who made them.
Physicians can approve or flag any explanation from the review queue.
Five verdicts, coloured like triage tags.
Paramedics already read these colours without thinking, so a debrief can be scanned in seconds.
- Correct
- The right action at the right time.
- Acceptable
- Defensible, but not the strongest choice.
- Suboptimal
- Not indicated here, or the right action given too late.
- Harmful
- Contraindicated. The patient gets worse.
- Critical
- Serious harm. The scenario ends.
See it with your own directives.
We'll walk your training team through a live scenario and show how it maps to your service's protocols.
Book a demo