Vital Signs: Emergency Department

I do not recommend this as a simulator or game. There are some critical flaws that keep this from being playable. 1. The scoring system is ludicrously specific. It's a "guess what I'm thinking" format. A patient presents with a migraine. I order a standard migraine cocktail. Nope... you missed a critical medication. 2. The medical management is just not correct. The cases are basically structured backwards; they have the diagnosis and they are wanting you to only order investigations and treatments for that diagnosis. But in medicine you don't KNOW the diagnosis.. For example, in a trauma patient that has hit their head in a car accident and smells of alcohol, the ONLY "approved" lab is an alcohol level. If you order anything other than that, you are deducted points. Just about every ED has a trauma lab panel but even if you didn't and you felt that somebody was altered enough to warrant drawing bloodwork, it would be unusual to only check the alcohol level. What if they have undiagnosed diabetes? What if they're septic? What if they're in alcoholic ketoacidosis? 3. There is no feedback. The game just ends and you're never told what the game wanted you to do or what the diagnosis was. 4. You are on a time limit to see a certain number of patients but it's certainly not reflected in reality. You have two hours to see six patients, but it's actually something like 10 minutes in game time. In real life you can typically only see 6-10 patients in a two hour period. Even ordering as fast as possible I could not finish everything in time. There's also no time penalty to examining body systems (other than how fast you can read). It'd be a far better representation of the emergency department if you decided to do a full neuro exam on your abdominal pain and lost 5 minutes of game time. 5. It's just not interesting. It's basically some med student cases that have been pasted into a semi text based interface with a few interruptions thrown in. 6. The game interface is harder to use than a hospital EMR. That's saying something. If you're a medical professional you'll be quickly irritated by what is presented here. if you're a layperson you'll never learn anything using this; in fact I think you might learn some things incorrectly. If you're really interested in medicine you'd be far better off reading medical student cases that actually guide you through some of the reasoning.

A LOT of work needs to be done on this game. There are duplicate medications in different categories, and although meds and concentrations/admin routes are identical, choosing the wrong category will give a critical fail. I am finding that often, there are treatments that I know for a fact are protocol for certain conditions/presentations are coming back as neglect or unnecessary. Almost every time this happens, it's something that I know could cost me my license if I failed to administer in the given scenario. Patients do not respond as they should to certain treatments. Treatments often lag/bug out and do not show up as administered until "hours" later - which, for some, MIGHT make sense in an ED, but it doesn't take any physician 1.5 hours to perform any type of vagal maneuver, for example, nor does it take an hour to do an emergent EKG, or to administer Ativan to an actively seizing patient. The only way to assist ventilation is via intubation or bi-pap on this game, which leaves out several other options and will also cause a failed scenario. The "grading" system for this game is absolute garbage, and without explanation of WHY any treatment would count against you (especially for those of us who work in emergency medicine and know damn good and well that said treatment is standard protocol and indicated) it seems there is no winning. To top it off, the biggest gripe is that NO DOCTOR IS GOING TO PESTER ANOTHER DOCTOR TO CHIT CHAT ABOUT ADMISSIONS WHILE THE SECOND DOC IS IN THE MIDDLE OF ASSESSING ANOTHER PATIENT!!! That just doesn't happen, and it's crap that it counts against you when you're attending what would be considered a legitimate emergency because you are forced to drop everything and spend 5 minutes "discussing differentials" with Dr. Google there. And the consults? A specialty consult should be giving hints about what to do, not blowing the player off. What a joke. Seriously, who wrote this? Quit creating new scenarios and maybe actually fix the broken ones you've already released.

⠀

[Another med student review] ／＞　　フ　 Rating: ★★☆☆☆ 　　　 　　| 　_　 _ l 　Genre: Simulation 　 　　 　／` ミ＿xノ 　 Type: Medical Simulation 　　 　 /　　　 　 | 　　 Replay value: Varied 　　　 /　 ヽ　　 ﾉ　 　 Graphics: Okay 　 　 │　　|　|　| 　 　 Stories: Okay 　／￣|　　 |　|　| TL:DR: Not meeting the potential it has. 　| (￣ヽ＿_ヽ_)__) As is: I do not recommend unless you have EXTENSIVE medical knowledge. 　二つ Comments: This game HAS the potential to be an excellent learning tool but isn't currently meeting that potential. Adding in a difficulty setting or even a pre-learning/study mode would be a massive benefit for both those with a medical background. The speed is unbalanced for the platform it's on and doesn't really portray the other team members like reception, nurses, triage etc well. IF you're a student looking for a sim where you can learn at your own pace and set the difficulty level but still time yourself I recommend the mobile Full Code: Medical Simulation app. New York: ER, the board game is also fairly accurate in the information pack it has. Unfortunately I don't have any Steam recommendations for this genre yet. ~XPCat

Diagnose: Improper game balance. Summary: Balancing your game is a critical step to be successful and this game suffers from an acute lack of balance by assuming players have gone to or are in medical school. As a result the game suffers form a low review score / rating resulting from bad player experiences. Recommendations / Prescription: Allow the player to select their current knowledge level and adjusting the game play experience accordingly. Example: If you have a medical knowledge of 'none' (the most likely level to encounter in a general audience and therefor an extremely important one to consider), the game could be taken from pointless and unplayable to interesting and informative with a few simple adjustments. 1. Guide the player. Do this by then graying out invalid steps and/or placing an indicator on valid steps, given the current information and adjust these recommendations after each finding. 2. Provide simple explanations of each medical term should be should shown when hovering over them. 3. More time is provided for players to spend reading and understanding the explanations. Players with some medical knowledge (medical students) could have a game play experience more like the current one and players with medical practice experience could be given less time and face additional challenges. Followup: Balance the game according to player knowledge level and rerelease. Submitted updated game for re-review.

ignore the store description, its impossible to figure out what you're supposed to be doing without baseline medical knowledge. it gives you absolutely no guidance whatsoever. if you're a med student who wants some practice, you might have a good time, but otherwise? nah. ts an interesting concept for a game, plus its free, so you aren't losing anything by giving it a whirl, but if you're looking for a medical sim that's grounded in reality, maybe give project hospital a try instead.

I've played this game with a real doctor and gave all my patients Ketamine, my friend was shocked, I was highly entertained while having absolutly no idea what I'm doing.

As someone with knowledge in the medical field, I knew what I was doing for the most part. This game would be hard for people who are clueless. Also, they score you off of textbook treatment, not on realistic alternatives we see and use everyday in the ED. The game is not updated so it is good for fun, nothing more, nothing less. I recommend this game for people who have knowledge and know when the game is dishonest. I do not recommend this game for people who are not versed in medical knowledge and seek to further their medical understanding as this game is misleading in its review of cases.

Hayati Belirtiler: Acil Servis'te bir doktoru oynayın ve o gün acil servise gelen çok çeşitli karakterlerin tedavisine yardımcı olmak için tıbbi bilginizi sınayın.

I tried the medicine drug, only idiots try the medicine drug. I got sued and am writing this review from federal prison.