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First public release. Interactive offline ECMO teaching simulator for medical education.
Interactive CRRT training for ICU — dosing, anticoagulation & acid–base.
CRRT Advanced Simulator is an offline training tool for ICU nurses and doctors learning continuous renal replacement therapy (CRRT). Set up a circuit, enter blood-gas values, advance time hour by hour, and watch how the labs evolve — with teaching notes and guideline citations on every choice. WHAT YOU CAN PRACTISE • Four modalities in one app: CVVHDF and CVVH, each with Heparin or Regional Citrate Anticoagulation (RCA). • Effluent dose & clearance — set blood, dialysate, replacement and net-ultrafiltration flows and see the delivered mL/kg/h against the KDIGO 20–25 target. • Pre- vs post-dilution and its effect on clearance. • Regional citrate anticoagulation — citrate dose, calcium reinfusion, post-filter and systemic ionised calcium, and the citrate-accumulation / toxicity scenario. • Acid–base and electrolytes — bicarbonate, pH, potassium, phosphate, sodium and calcium kinetics. HOW IT WORKS • A step-by-step workflow: pick a scenario → review the patient → enter starting labs → set the pumps → choose mode & circuit → advance time → read the results, treatment goals and assessment. • Preset ICU patients: refractory hyperkalaemia, septic AKI, rhabdomyolysis, cardiorenal overload and metformin-associated lactic acidosis (MALA). • Clinical Case Challenge: decide mode, anticoagulation and settings for realistic cases (active GI bleeding, HIT, cirrhosis with shock, diuretic-resistant overload, and more), then get scored feedback. • Theory & Principles: a built-in reference covering CRRT basics, CVVH vs CVVHDF, clearance, dilution, anticoagulation, citrate and fluids. DESIGNED FOR LEARNING • Every number and rule shows its source (KDIGO 2012 and key critical-care literature). • Plain-language glossary tooltips on the terms that matter. • Works fully offline — no account, no internet, no ads, no data collection. IMPORTANT This is a training and education tool only. It is NOT a medical device and must not be used for real patient decision-making. All values are simplified, guideline-based approximations — always follow your local CRRT protocol. PrisMax™ and Prismaflex™ are trademarks of Baxter International Inc. This app is independent and is not affiliated with, endorsed by, or sponsored by Baxter.