Clinical guidelines
The standards our scenarios are written against. Doses, thresholds and destinations come from these documents.
- Advanced Life Support Patient Care StandardsOntario Ministry of Health · v5.4 (in force 2 June 2025)www.ontario.ca/files/2025-04/moh-advanced-life-support-als-patient-care-standards-pcs-5.4-en-2025-04-23.pdf(opens in a new tab)
- Basic Life Support Patient Care StandardsOntario Ministry of Health · v3.4 (in force 10 March 2023)www.ontario.ca/document/patient-care-documents-reference/basic-life-support-patient-care-standards(opens in a new tab)
- Patient care documents by referenceOntario Ministry of Healthwww.ontario.ca/document/patient-care-documents-reference(opens in a new tab)
- 2025 Guidelines for CPR and ECC, Part 7: Adult Basic Life SupportAmerican Heart Association · 2025cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/adult-basic-life-support(opens in a new tab)
- 2025 Guidelines for CPR and ECC, Part 6: Pediatric Basic Life SupportAmerican Heart Association / American Academy of Pediatrics · 2025cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/pediatric-basic-life-support(opens in a new tab)
- Canadian Stroke Best Practice Recommendations: Acute Stroke ManagementHeart & Stroke Foundation of Canadawww.strokebestpractices.ca/recommendations/acute-stroke-management(opens in a new tab)
Data
Recorded data the app plays back, such as the ECG rhythms on the scenario monitor.
Literature
Where the in-app research search finds published papers.
How scenarios map to guidelines
Each scenario names the standard and the medical directive or protocol it follows. The same links appear in the app on the scenario brief, during the call and in the debrief.
- A four-year-old who won't stop seizing
- Advanced Life Support Patient Care Standards: Seizure Medical Directive
- Acute stroke inside the treatment window
- Adult cardiac arrest: BLS with an AED
- Anaphylaxis after a wasp sting
- Advanced Life Support Patient Care Standards: Moderate to Severe Allergic Reaction Medical Directive
- Catastrophic bleeding from a chainsaw injury
- Basic Life Support Patient Care Standards: Field Trauma Triage Standard
- Child pulled from a pool: two-rescuer BLS
- Hypoglycemia with altered level of consciousness
- Advanced Life Support Patient Care Standards: Hypoglycemia Medical Directive
- Inferior STEMI with right ventricular involvement
- Advanced Life Support Patient Care Standards: Cardiac Ischemia Medical Directive
- Basic Life Support Patient Care Standards: STEMI Hospital Bypass Protocol
- Opioid toxicity with respiratory depression
- Advanced Life Support Patient Care Standards: Opioid Toxicity Medical Directive
- Severe asthma in a tiring teenager
- Advanced Life Support Patient Care Standards: Bronchoconstriction Medical Directive
Not clinical advice
Imedica is a training tool for paramedics and students under supervision. It is not a medical device and not for clinical decisions. In practice, follow your local medical directives, your base hospital and your own clinical judgement. Where Imedica differs from them, they are right. Read the full medical disclaimer.
Credits
- ECG rhythms on the scenario monitor are real recordings from the PTB-XL ECG database (opens in a new tab) (Wagner et al., Scientific Data 7, 154, 2020) on PhysioNet, used under the CC BY 4.0 (opens in a new tab) licence.
- Paper search in Research is powered by Europe PMC (opens in a new tab).
- Debrief and teaching notes are drafted by an AI model (Claude, by Anthropic) and checked against these sources by our physicians. The AI can't change a score.