Evolved emergency medicine · residency didactics

Choose the patients. Choose the time.
Every team on one live virtual board.

Running The Board is a live, multi-patient emergency department simulation. A team leader runs the digital console with the patients from a dynamic, interactive script while learners run the board. Every team plays the same board at once, scores in real time, and anyone can watch the projected virtual cases and scoreboard play out. Debrief at the end and get the case pearls emailed to you.

Pre-brief0:00

RUNNING THE BOARD

Session #5 · 9.23.26

Simulation14:09
Debrief5:00
Theresa Delgado 61 FPassed out at home, now feels “fluttery.”Room 1 2 3
1Night Shift
HR88BP104/62SpO₂97RR18
5/10 critical actions12
2Trauma Bay
HR94BP104/62SpO₂97RR18
1/10 critical actions3
1stNight Shift12 pts2ndTrauma Bay3 pts3rdResus One11 pts4thRed Blanket9 pts5thFast Track8 pts6thPod C7 pts7thAmbo Bay6 pts8thTriage Two5 pts9thZone 44 pts10thObs Unit2 pts
The board, mid-session. Each card is one team’s copy of the room: their monitor, their vitals, their score.
The casesRun as many patients as a session needs, drawn from a library of authored cases — each one a timed script with its own rhythms, results and scored actions.
The libraryWrite your own cases, or run someone else’s. A shared library where programs publish what they have authored and borrow what they have not.
Ten teamsUp to ten teams run the same patients simultaneously, each with its own copy of the room and its own score on the projector.
Every levelEngages the whole program at once — interns through senior residents, and the medical students rotating with them.
The pearlsTeaching points go home the moment the session ends: a PDF of the case and the hyperlinked resources behind it, delivered by email.

What it is

The department, as a game the whole room can see.

The cases

Each patient is a timed script: a presentation, blue prompts to think about, red critical actions that score, nurse and consultant interruptions, and deteriorations that change the monitor when a team lets them happen. Cases are written once and run on any session.

The teams

A team leader runs each team from a console on an iPad or laptop. They check the critical actions their team secures, fire the deteriorations the script calls for, and announce the nurse who is asking why nobody has seen Room 2.

The board

The projector shows every team’s copy of the room at once: monitors, vitals, a flag when a patient turns, the standings as they move. Scored actions show as a category word, never the answer, so the board never leads.

How a session runs

You choose the time over three phases.

  1. Pre-brief

    Read the room in

    The room reads the presentations and the teams are named on the board. Long enough to set the scene, as long as you want it.

  2. Simulation

    Every team at once

    Every team runs the board at the same time. The clock, the monitors and the standings are live on the projector; the room hears the call bell and the alarms. You set the length before you start.

  3. Debrief

    Reveal and take home

    The podium reveals from last place up. The core actions no team secured are named, because they are about the case. Learners scan a code and the Pearls arrive by email.

The screens

Each session viewed by three surfaces.

The Team Console: three room lanes with live rhythm strips and the timed checklist
Team Console. The team leader’s instrument, on an iPad or a laptop: one lane per room, telemetry above and the timed checklist beneath. Every check scores on the projector.
The projected board: two team cards showing the same patient, each with its own live monitor, vitals and score
The board. The projector, left alone all session: title, pre-brief, teams, the live stage, the podium, and the QR that takes the Pearls home.
The Director: the presentation controls, the clock, sound and the reveal switches on a phone-sized remote
The Director. The projector’s remote, on any second device: step the presentation, run the clock, cycle the rooms, cue the sound and stage the reveal.

What it isn’t

Not a mannequin

Nothing is examined and nothing is intubated. It trains the part of emergency medicine that happens at the trackboard: who first, what now, who to call.

Not an exam

Scores exist to make the room care and the debrief land. They are not recorded against a resident and they do not leave the program.

Not patient data

Every patient is authored. Names, vitals and rhythms are written for teaching and describe no real person.