Full Code will improve your clinical decision-making and patient care through realistic medical simulation. Take on the challenge of complex clinical cases in a virtual emergency room with the highest environmental fidelity. Whether you are an experienced clinician or in the first year of PA school, you will enjoy the challenge of solving Full Code cases!
Begin by taking a history and performing a physical exam, then click on equipment in the virtual resuscitation bay to order tests and perform interventions. Choose amongst a host of drugs, bedside tests, labs, and imaging to help you narrow the differential diagnosis. Our physiology engine will change the vitals based on your interventions and the patient’s condition just as they would in real life. While you zero in on the final diagnosis and definitively treat the patient you can consult with specialists and nursing staff for assistance, but the patient’s survival rests in your hands.
At the end of each case, you receive a score in six core clinical competencies to guide your continuing education. Run through the case as many times as you like to improve your score and hone your resuscitation skills. After each attempt you have the choice of revealing partial answers which can give you valuable insight into the correct diagnosis. By revealing the full case answer you gain access to our detailed debrief notes which walk you through each case’s essential diagnostic and therapeutic interventions required to save the patient. Finally, we provide you with further reading through high-quality relevant web-links and references related to each case.
The Full Code team prioritizes environmental fidelity in every case and we strive to replicate the complexity of managing critically ill patients from presentation to disposition. The medical content of each case is created by our team of emergency physicians lead by James Kimo Takayesu, a Harvard faculty member and ED attending at Massachusetts General Hospital with 15 years of experience training emergency medicine residents. He has received 16 teaching awards in his career for educational innovation and bedside teaching. Each case is peer reviewed twice, and our team continuously updates our clinical content to reflect the best in clinical and educational practice.
FOLLOW FULL CODE
This version fixes a number of minor issues.
Ratings and Reviews
Not well planned out.
This app is obviously knocked made by ER personnel. This product was obviously not beta tested. It is full of errors. Take case 16, an elderly man with an ischemic stroke. After the exam and stabilization, I ordered bloodwork and a CT scan immediately, as we do in the ER. The CT scan came back normal so I ordered MRI/MRA which showed a significant MCA stroke, which by the way, would have been revealed by the CT. The case results gave me a 74% on investigation. It stated that the CTA was critical but the MRI/MRA was unnecessary, even though it was the MRI/MRA that showed the stroke. Also, the patient seemed to have a new onset of atrial fabulation. He was not on any anti coagulant therapy. Yet, the cardiologist did not know why he was called and neither did the neurologist for that matter.
It seems that most scenarios that I do have stupid mistakes such as the ones described above. Again, this app should’ve been tested by people that work in the ER such as RNs, physician’s assistants or ER doctors. I am sorry that I ever purchased it.
Developer Response ,
I can assure you every Full Code case is created by board certified emergency medicine physicians - and then peer-reviewed by two others. Regarding the MRI/MRA action on case #16, the author of the case had this to say in response to your comments:
"Thank you for your feedback. In this specific case, the MRI imaging study is scored as unnecessary because the standard of care for acute stroke is to obtain an emergent noncontrast head CT scan so that if there is no evidence of bleeding, TPA can be administered within the three hour window for acute ischemic stroke. In most institutions, obtaining an MRI would put the patient outside of the window for TPA administration. After TPA administration, MRI imaging is typically performed however this is not part of the initial management of acute ischemic stroke."
No Prehospital care at all but great app
A little pricey subscription but it’s worth it to just give it at least a try. The cases are good too and there’s a lot to learn. I wish it were possible to re-examine pt or to see a vital trends after notable interventions. The few times it allows you to re-examine this is after intubation to reassess lung sounds and also it allows to rerunning labs. The patient doesn’t also decompensate over time. If time could be a factor that you can switch on or off in the app that would be impressive as this is an emergency medicine app. Worth the money I think and very time consuming. Too easy to get drawn in to the whole case.
It’s fun, but hardly accurate
I’ve only played one scenario so far and noticed quite a few errors in the desired treatments. The case is “#22 Found Down” and is a CPR turned MI.
The patient is unconscious and unresponsive yet to get a 100% rating on interventions one must give them Aspirin. That drug is administered oral only and is absolutely contraindicated on an unconscious patient who cannot chew and swallow it.
Also it rates chest x-ray as not a recommended procedure. Any patient who is intubated must have a chest X-ray to confirm tube placement. No exceptions.
Also I disagree with the Heparin Drip for a patient about to go in for a surgical procedure. Granted it may be necessary, but anything affecting PT, PTT and/or INR in the presence of any surgical procedure should only be ordered by the physician performing the procedure. Unless the Cardiology consult comes back with “start Heparin prior to sending to cath lab” it shouldn’t be done in the ER.
Otherwise this is a very fun app and so far I’ve enjoyed it.
Developer Response ,
Thank you for your interest in Full Code and your thoughtful feedback! We are always working hard to improve the app and make sure it reflects the complex and nuanced practice of medicine as much as possible.
Regarding your points:
1) Aspirin or other antiplatelet therapy is one of the most important interventions in acute myocardial infarction. You are certainly correct that oral administration is contraindicated in this situation. However aspirin can be given rectally (300-600mg suppository). We will amend the case to indicate this more clearly.
2) Thank you for mentioning the need for chest X-ray after intubation. This is certainly appropriate in this case to confirm tube placement and we will be adding it to the recommended actions.
3) Heparin or anti-platelet therapy is a critical component of STEMI management and is typically given as a bolus in the emergency department or en route to/in the cath lab. Catheterization is not considered the same as a surgical procedure and some form of anti clotting agent is appropriate and necessary. At our institution, a bolus of heparin is given in the emergency department prior to transfer although the decision and timing of ordering may vary across settings.
We are glad to hear from you with such thoughtful feedback! We put a create deal of effort into the clinical accuracy and teaching points of these cases, which are all written by practicing emergency physicians. We invite you to try out the full library of 50 cases!
Thanks for playing!
- Minerva Medical Simulation, Inc.
- 98 MB
- Requires iOS 10.0 or later. Compatible with iPhone, iPad, and iPod touch.
- Age Rating
- You must be at least 17 years old to download this app.
- Frequent/Intense Medical/Treatment Information
- © 2018 Minerva Medical Simulation Inc.
- In-App Purchases
- 1 Month $7.99
- 3 Month $15.99
- 12 Month $47.99
With Family Sharing set up, up to six family members can use this app.