■ New ・28 patient-chart cases (shared with our SIM-Chart simulated EHR). Advance the phase and learners receive the records and results up to that point. ・Add your own images to the imaging list — your hospital's X-rays or self-made results, with findings. ・Alarm limits can now be set. Tap a value tile to open the settings. Respiratory-rate alarm added. ・Scenario presets now also set a matching blood gas (26 cases). ・A pulse on/off toggle on the bottom bar of the remote. Palpating when there is no pulse now shows a notice. ・During chest compressions a compression-generated pulse can now be felt even in pulseless rhythms (it sounds different from a native pulse). ■ Improvements ・Larger monitor area and defibrillator dial in the learner view. ・EtCO₂ and arterial pressure can be set during cardiac arrest; if left alone they show 6 mmHg and 62/16 mmHg during CPR. ・S1 and S2 heart sounds are easier to tell apart. ・Larger text in the control panel and exam screens. ・Fixed remaining Japanese text in the English interface. ■ Fixes ・Fixed version 1.92 showing an outdated interface on some devices. We apologise for the inconvenience. ・Fixed the top buttons being hidden behind the status bar when using an iPhone as the monitor in portrait. ・Fixed the NIBP "Measure" button going off-screen on an iPad in portrait. ・Fixed some leads appearing nearly flat on the 12-lead during VF and torsades. ・Fixed the 12-lead automated interpretation not showing findings for the shark-fin ST elevation rhythm.

■ New ・28 patient-chart cases (shared with our SIM-Chart simulated EHR). Advance the phase and learners receive the records and results up to that point. ・Add your own images to the imaging list — your hospital's X-rays or self-made results, with findings. ・Alarm limits can now be set. Tap a value tile to open the settings. Respiratory-rate alarm added. ・Scenario presets now also set a matching blood gas (26 cases). ・A pulse on/off toggle on the bottom bar of the remote. Palpating when there is no pulse now shows a notice. ・During chest compressions a compression-generated pulse can now be felt even in pulseless rhythms (it sounds different from a native pulse). ■ Improvements ・Larger monitor area and defibrillator dial in the learner view. ・EtCO₂ and arterial pressure can be set during cardiac arrest; if left alone they show 6 mmHg and 62/16 mmHg during CPR. ・S1 and S2 heart sounds are easier to tell apart. ・Larger text in the control panel and exam screens. ■ Fixes ・Fixed the top buttons being hidden behind the status bar when using an iPhone as the monitor in portrait. ・Fixed the NIBP "Measure" button going off-screen on an iPad in portrait. ・Fixed some leads appearing nearly flat on the 12-lead during VF and torsades. ・Fixed the 12-lead automated interpretation not showing findings for the shark-fin ST elevation rhythm.

■ New ・28 patient-chart cases (shared with our SIM-Chart simulated EHR). Advance the phase and learners receive the records and results up to that point. ・Add your own images to the imaging list — your hospital's X-rays or self-made results, with findings. ・Alarm limits can now be set. Tap a value tile to open the settings. Respiratory-rate alarm added. ・Scenario presets now also set a matching blood gas (26 cases). ・A pulse on/off toggle on the bottom bar of the remote. Palpating when there is no pulse now shows a notice. ■ Improvements ・EtCO₂ can be set during cardiac arrest; if left alone it drops to 6 mmHg. ・The arterial pressure during CPR can now be set by the instructor; if left alone it shows 62/16 mmHg. ・S1 and S2 heart sounds are easier to tell apart. ■ Fixes ・Fixed the top buttons being hidden behind the status bar when using an iPhone as the monitor in portrait. ・Fixed some leads appearing nearly flat on the 12-lead during VF and torsades. ・Fixed the 12-lead automated interpretation not showing findings for the shark-fin ST elevation rhythm.

■ New ・28 patient-chart cases (shared with our SIM-Chart simulated EHR). Advance the phase and learners receive the records and results up to that point. ・Add your own images to the imaging list — your hospital's X-rays or self-made results, with findings. ・Alarm limits can now be set. Tap a value tile to open the settings. Respiratory-rate alarm added. ・Scenario presets now also set a matching blood gas (26 cases). ・EtCO₂ can be set during cardiac arrest; if left alone it drops to 6 mmHg. ■ Improvements ・S1 and S2 heart sounds are easier to tell apart. ■ Fixes ・Fixed some leads appearing nearly flat on the 12-lead during VF and torsades. ・Fixed the 12-lead automated interpretation not showing findings for the shark-fin ST elevation rhythm.

■ New ・Heart sound auscultation: normal, S3 gallop, aortic stenosis, mitral regurgitation, pericardial friction rub and muffled sounds (tamponade). Sounds follow the ECG beats — irregular in AF, fast in VT, silent when there is no pulse. ・Pupil examination: normal, miosis, mydriasis, anisocoria (right / left) and sluggish reflex. Shine the penlight to see the direct and consensual light reflex. ・Added snoring respiration (tongue obstruction) to breath sounds. ・Added a Code Blue overhead announcement to ambient sounds. ■ Improvements ・Remote buttons in three columns, with device controls moved to the top. ・Removed vital presets; use the individual sliders. ・The two devices now connect more reliably, with automatic retries and a connection guide on the home screen. ・New app icon. ■ Fixes ・Fixed buttons at the top of the screen being hidden in portrait orientation. ・Fixed the 12-lead report remaining in Japanese when the app was set to English. ・Fixed blood pressure values overflowing their panel.

■ New ・Added four ECG rhythms: hypokalemia with U waves, pericarditis with diffuse ST elevation, ventricular paced rhythm, and shark-fin ST elevation — 35 in total. ・Added eleven blood gas cases, including six stages of cardiac arrest (prolonged resuscitation, immediately after ROSC, asphyxia, hyperkalemia, hypokalemia), plus tension pneumothorax and diabetic ketoacidosis — 23 in total. ・Added a chest X-ray of tension pneumothorax. ・Pulse palpation now works before the monitor is switched on, following the rhythm you have set — for checking the pulse before the monitor is attached. ・CCF (chest compression fraction) is now shown on the remote as well, changing color below 60%. ■ Improvements ・The two devices now connect more reliably. If the first attempt fails, the app keeps retrying on its own, and the remote shows that it is connecting. ・Added guidance on the home screen for connecting two devices (Wi-Fi, Bluetooth and Local Network permission). ・Reworked the pulse sound so it is no longer masked by the monitor's QRS beep, which is quietened while you palpate. ・The QRS beep now sounds from the ECG itself, as on a real monitor. It continues in PEA, where a rhythm is present but no pulse can be felt. ・During CPR the ECG, arterial pressure and pleth waveform now move together with the compressions. ・NIBP and arterial pressure are now shown in different colours. ・Larger respiratory rate and EtCO₂ values. ・Larger defibrillator dial with more legible markings. ・Added depth to the defibrillator's appearance. ・Larger elapsed time and clock display. ・New app icon. ■ Fixes ・Fixed buttons at the top of the screen being hidden in portrait orientation. ・Fixed the 12-lead report remaining in Japanese when the app was set to English.

■ New ・Added three ECG rhythms: hypokalemia with U waves, pericarditis with diffuse ST elevation, and ventricular paced rhythm — 34 in total. ・Added five blood gas cases: diabetic ketoacidosis, heat stroke with rhabdomyolysis, pulmonary embolism, and acute myocardial infarction both with and without cardiogenic shock — 17 in total. ・Pulse palpation now works before the monitor is switched on, following the rhythm you have set — for checking the pulse before the monitor is attached. ・CCF (chest compression fraction) is now shown on the remote as well, changing color below 60%. ■ Improvements ・The pulse sound is now a soft thump, clearly distinct from the monitor's QRS beep. ・The QRS beep now sounds from the ECG itself, as on a real monitor. It continues in PEA, where a rhythm is present but no pulse can be felt. ・During CPR the ECG, arterial pressure and pleth waveform now move together with the compressions. ・Larger elapsed time and clock display. ・New app icon. ■ Fixes ・Fixed buttons at the top of the screen being hidden in portrait orientation. ・Fixed the 12-lead report remaining in Japanese when the app was set to English.

■ New ・Pulse palpation now works before the monitor is switched on, following the rhythm you have set — for checking the pulse before the monitor is attached. ・CCF (chest compression fraction) is now shown on the remote as well, changing color below 60%. ・Added five blood gas cases: diabetic ketoacidosis, heat stroke with rhabdomyolysis, pulmonary embolism, and acute myocardial infarction both with and without cardiogenic shock. ■ Improvements ・During CPR the ECG, arterial pressure and pleth waveform now move together with the compressions. ・Larger elapsed time and clock display. ・New app icon. ■ Fixes ・Fixed buttons at the top of the screen being hidden in portrait orientation. ・Fixed the 12-lead report remaining in Japanese when the app was set to English.

■ New ・Added chest X-ray and echocardiography (3 X-rays, 3 echo clips). ・The remote now has CPR and pulse palpation buttons fixed at the bottom of the screen. The pulse sounds while the button is held. ・12-lead ECG, blood gas, imaging and the chart can now be shown on the monitor from the remote. ・Breath sounds and the blood pressure cuff sound are now real recordings. ■ Improvements ・Reworked the ST elevation waveform to more closely match real tracings, including the 12-lead. ・Complete AV block now uses a junctional escape rhythm for a more natural 12-lead. ・Pacing spikes are now biphasic. ・Larger heart rate display. ・In learner view, test buttons moved to the left so the defibrillator can be shown larger. ・Alarms for VF, VT and asystole now sound a few seconds after the rhythm changes. ・Arterial line values are now shown during CPR. ■ Fixes ・Fixed buttons on the remote responding at the wrong position. ・Fixed the heart rate on the remote not updating when a scenario preset was selected. ・Fixed SYNC not clearing on reset. ・Fixed EtCO₂ settings not being applied during CPR. ・Fixed the ECG waveform sometimes disappearing.

■ New ・English is now supported. The app follows your device language, and you can switch it manually from the home screen or the Settings tab. ・Added a patient chart for scenario briefing (COPD with chronic heart failure). ・Transcutaneous pacing can now be operated from the defibrillator panel. ・Added arterial line waveform and values. ■ Improvements ・Larger energy dial and numbers for a more realistic feel. ・NIBP and ABP are now shown next to each other. ・Larger text throughout, with support for smaller screens such as iPhone SE. ・Blood pressure can be measured even when the monitor is off. ■ Fixes ・Fixed buttons on the remote responding at the wrong position. ・Fixed the remote sometimes failing to connect. ・Fixed sound stopping after returning from the background. ・Fixed the room code not being visible on iPhone SE. ・Fixed the upgrade prompt appearing after purchase.

・English is now supported. The app follows your device language, and you can switch it manually from the home screen or the Settings tab. ・Arterial line waveform is now shown between the ECG and the SpO2 pleth. ・Transcutaneous pacing can be operated from the defibrillator panel. ・Larger dial, numbers and text throughout. ・Blood pressure can be measured even when the monitor is off. ・Fixed an issue where the remote could fail to connect, and one where sound stopped after returning from the background.

■ 無料でお試しいただけるようになりました 心電図 4 種類と除細動（2 回まで）を無料でご利用いただけます。 その他の機能はアプリ内課金で解放されます。