D RUSH 3D

Run the floor on foot. Nurses and EMS bring patients back to open beds. You work them up on the bedside tablet, do your own scans and procedures, sign your notes at a computer, and keep the phone from ringing off the hook. Every case comes from ED Rush.

Early access A work-in-progress 3D version of the ED Rush app for iPhone (Android coming soon). It gets regular updates, so expect a few rough edges and steady improvements. The web game is sold separately from the mobile app.

Your character

Mode

Pace

Clock

Shift length

Checking your license

What is ED Rush 3D?

ED Rush 3D: an emergency medicine simulator you play in your browser

ED Rush 3D puts you on the floor of an emergency department for a full shift. Patients arrive by ambulance and through triage, nurses bring them back to open beds, and you walk the department to see them. On the bedside tablet you take the history, examine, and order labs, imaging, medications, and consults. You do your own bedside ultrasound (POCUS) and procedures, run codes, sign EKGs, answer the phone, write your notes at a computer, and decide who goes home and who gets admitted.

What's in it

Over 160 emergency medicine cases from the ED Rush app, from chest pain and stroke to sepsis, trauma, pediatrics, toxicology, and OB.
Bedside ultrasound with exam-specific findings, procedures like lumbar puncture, arthrocentesis, intubation, and laceration repair, and codes with CPR.
A living department: nurses, techs, X-ray, EMS crews, consultants, family members, and interruptions that pull you away from the work.
Student Mode: an attending assigns you patients. You work them up, present how sick they are and where they should go, and get coached with teaching points after every case.
End-of-shift debrief with the diagnosis, what each case needed, and why.

Who it's for

Emergency medicine residents, physician assistant and nurse practitioner students and new grads, nurses, medical students on their EM rotation, and anyone curious how an ED actually runs.

Questions

Is it free?

There is a free 5 minute demo shift. The full game is a one-time $9.99 license that unlocks every pace, 5 to 60 minute shifts, and Student Mode.

What do I need to play?

A web browser on a computer, tablet, or phone. There is nothing to install.

Is it the same as the ED Rush app?

It uses the cases from ED Rush for iPhone (Android coming soon) in a 3D department you walk around. It is sold separately from the app.

Is this medical advice?

No. ED Rush 3D is for education and entertainment. The cases are fictional and simplified.

Paused

The shift

You are the only clinician on the floor for one shift. Patients walk in through triage or arrive by EMS, and nurses and medics bring them back to open beds. Work each one up, treat them, call the right people, and get them dispositioned before the board backs up. When the clock runs out, you get a case-by-case review with the diagnosis and teaching points.

Student Mode

Pick Student on the main menu. An attending runs the department, answers every call, and assigns you patients one at a time once you check in with them. See them, order what you think they need, and do your own procedures. When you have a plan, find the attending (look for the name tag) and hold Space to present: how sick, and where they should go. They step in before a harmful order, nudge you when something slips, put in the disposition, and review each case with you: the diagnosis, how it went, and the teaching points.

Controls

WASDMove (arrow keys work too). Hold Shift to sprint. Or click the floor to walk there, and click a bed to walk over and open the chart EOpen the chart at a bed. At any computer, opens every bedded patient's chart SpaceHold for procedures, scans, codes, call lights, cleaning, and notes. Hold near people to handle interruptions SpaceTap to grab or park the US machine, or grab a golden coffee 1 2Answer or defer a phone call while you walk P / EscPause

On a phone or tablet, use the joystick or tap the floor to move, tap a bed to walk over and open the chart, and use Action for anything you would hold or tap Space for.

Working a patient

Chart. HPI, exam, vitals, and how the patient is trending. The exam changes as they get better or worse, and so does how they look in bed.
Orders. Search, browse by category, or open an order set. Nurses give meds and fluids, the tech draws labs and EKGs, the X-ray tech brings a portable machine, and transport takes patients to Radiology for CT, MRI, and formal ultrasound.
Your hands. Procedures and POCUS are yours. Walk to the bed and hold Space. For POCUS, grab the US machine first and plug it back into its dock so the battery does not die.
Results. Land in the chart with a badge on the bed. Abnormal results are flagged.
Consults. Page a service. They call you back on your phone, then come down, see the patient, and leave a note.
Dispo. Discharge sends them home. Admitting calls the service for a bed, and transport takes them upstairs once they accept.
Notes. Every patient you see needs a note. Hold Space at any computer to write them.

Things that will happen to you

Codes. When someone loses a pulse, a code is called overhead. Get to the bed and hold Space to run it.
Interruptions. Phone calls, call lights, people walking up to you, EKGs to sign, and chores at the printer or supply room. Handle them for a point. A missed or deferred call, or walking away from someone talking to you, costs one. A patient question you never heard or a chore you never saw costs nothing.
Coffee rush. A golden coffee sometimes shows up at the work station. Grab it to move and work faster for a short time.

Scoring

You earn points for the right workup, the right treatment, the right consultant, and the right disposition, plus a bonus for speed and for POCUS that changes management. You lose points for harmful or unneeded orders, missed critical treatments, sending sick patients home, deaths, ignored interruptions, and notes left unsigned. Stars depend on the pace you picked.

Shift over

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