ECG and audio improvements. ECG waveforms refined: third-degree AV block (wide-QRS ventricular escape), Mobitz II (bundle-branch-type QRS), Wenckebach (progressively shorter R-R), monomorphic VT New rhythm: narrow-QRS PEA (looks like sinus rhythm, but no pulse) — now 36 rhythms Flutter waves are visible in 4:1 atrial flutter English and Spanish AED voice prompts are now recordings instead of system speech; tones are lowered while the prompt plays Sync tone, pulse and heart sounds keep exact time regardless of display load The display no longer freezes when audio is interrupted by screen recording or another app Remote: respiratory rate and temperature on the course card; more content visible on small iPhones (SE) Device layout: SYNC is now a physical key; larger blood-pressure digits and an easier Measure button Fixed a rare crash when switching the connection between the two devices

New: Device layout. The learner-facing iPad now looks like a single monitor-defibrillator, with a light or dark body, a power button, an energy-select dial, physical Charge and Shock buttons and a Record key. My scenarios: build your own case stages and step through them from the remote Custom sounds: play recorded audio once or on repeat, including at the same time as other sounds Redesigned remote: Rhythm & vitals / Scenario / Tests & sounds / Settings tabs. The course card now shows respiratory rate and temperature ECG strip: recorded automatically after each shock and reviewable as a PDF ECG lead placement, an improved SpO₂ slider, and a preview of the arrest rhythm (VF / PEA / asystole) The QRS sync tone now keeps exact time with the waveform Guards against accidental taps around the defibrillator, with numbered steps: 1 energy → 2 charge → 3 shock English and Spanish wording fixes Fixed a rare crash when switching the connection between the two devices

- Fixed an issue on some iPads where the defibrillator panel could scroll and the Shock button did not respond - Fixed an issue where the monitor could be silent after a reset - Reset now also stops pacing - Switching rhythms now keeps a manually set "no pulse" (for example, from a slow PEA to a fast PEA) - Chart cases now show the same numbers as the web chart, and you can load a case by number - Close the case preview with the button at the bottom or by tapping outside it

- Vital signs now start changing as soon as you press Next - ECGs match each case: ST elevation in myocardial infarction, U waves in hypokalaemia and QT prolongation, and ectopics or bigeminy where the chart records them - The rhythm chosen by Arrest now follows the pathophysiology: PEA for haemorrhage, hypoxia, pneumothorax and tamponade; VF for myocardial infarction and hypokalaemia; asystole for AV block

- New "Improve" button: switch any case toward recovery at any point when the team responds well. Together with "Arrest", the outcome follows what the learners do - More in the free version: up to 3 shocks per scenario, and the "post-operative respiratory failure" chart case free to try — with Next, Arrest, blood gas and auscultation - Clearer case preview: tap ⓘ or press and hold a case to see a one-line summary, history, scene, and how the case unfolds step by step with vital-sign changes - Set the pacing capture threshold from the remote - The remote's "AED pads on" button now appears only in AED mode and flashes while waiting for pads - Easier-to-read pacing controls

- 52 patient chart cases, including 9 new cases; "Neurosurgical ward" added to the unit filter - New "Arrest" button: move any case into cardiac arrest at any point, so the instructor decides on the spot whether the patient deteriorates. Press "ROSC" to restore circulation - At the deterioration point, the blood gas and imaging buttons show that case's results; reference blood gases are shown during arrest and after ROSC - Tap ⓘ or press and hold a case to preview the patient, scene and course before loading it - Exam lists now highlight the case's blood gas, imaging and breath sounds - Reference images are mirrored for right-sided pneumothorax cases - Improved rhythm and pupil findings

Una actualización importante. - Modo DEA: ponga el dial en DEA para análisis, carga y descarga con guía de voz. Sin límite de descargas, también en la versión gratuita - El dial reproduce un desfibrilador real (monitor, DEA, descarga interna, energía, marcapasos) - 43 casos de historia clínica. Filtre por unidad y cárguelos en el monitor con un toque. "Siguiente" avanza el caso: constantes y ritmo cambian de forma gradual, y gasometría, imagen y ruidos respiratorios siguen la evolución. Guía de debriefing para el instructor - Las fechas de la historia se muestran respecto a hoy - Interfaz en español, inglés y japonés (historias en inglés) - Correcciones de reinicio, marcapasos, PANI y más

- AED mode: set the dial to AED and follow the voice prompts through analysis, charging and shock (no shock limit in the free version) - Dial layout now matches a real defibrillator, with internal discharge as a dial position. A charge is discharged automatically after 60 seconds - Switch between Japanese, English and Spanish on the home screen - Scenario presets now also set the chest X-ray or echo

Fixed resuming after a reset while paused. Charge button no longer cancels a charge. Pre-arrest NIBP no longer reappears after ROSC; older readings are dimmed. Other sounds are lowered while checking a pulse

Clearer pulse-check sound, and fixed a case where it could keep playing

Larger vital-sign numbers — easier to read from across the room, including on 11-inch iPads

- Minor improvements and fixes

English and Spanish app name and system dialogs

- Alarms no longer pause when the rhythm is changed - Scenario presets reviewed: blood gas, breath sounds, heart sounds and pupils now match each clinical picture. Breath sounds are silent when the respiratory rate is 0 - 3 new blood gases: opioid respiratory depression, intracerebral haemorrhage, postoperative respiratory failure - Fixed display on external monitors - Links to the user guide and support on the home screen - Also included from the free app's 2.1–2.2 updates: 23 scenario presets, light appearance, session set-up screen, debriefing record (PDF)

Code Blue Monitor Pro 1.2 connects everything from preparing a session to debriefing it. ■ Setting up a session ・A new "Set up" tab: patient (adult to neonate), units, language, chart case and phase, blood gas course, imaging, pupils and a sound check, all on one screen. ■ 18 scenario presets ・Intracerebral haemorrhage, inferior MI with bradycardia, anaphylaxis, tension pneumothorax, COPD exacerbation, acute heart failure, opioid-induced respiratory depression, hypoglycaemia, diabetic ketoacidosis and more, grouped into circulation, respiratory, and neurology & metabolic. ・Choosing one sets the breath sounds, pupils and blood gas as well as the rhythm and vital signs. ■ Paediatric patients ・Choose an age and weight and the alarm limits follow, with the recommended energy (2 J/kg, 4 J/kg) shown to the instructor. ・The defibrillator dial has been rebuilt to match a real device (2–270 J). ■ Blood gases by course ・Asthma, sepsis, haemorrhage, myocardial infarction, airway obstruction, DKA and seizure, each from early through worsening, pre-arrest, arrest, ROSC and recovery. Teach what a "normalising" PaCO₂ in asthma actually means. ■ Debriefing ・Create a debriefing record: vital sign trends and the full event log, shareable as a PDF. ■ Easier to use ・The remote is split into four screens and shows which tests are selected. Breath and heart sounds play for as long as you hold the button. ・A light appearance, and the defibrillator can be hidden to show larger waveforms. ・Choose your units: mmHg or kPa, mg/dL or mmol/L, °C or °F. ・Spanish interface. ・The dial clicks as you turn it, the start-up self-test checks each item in turn, and the date and battery are shown while the device is switched off. ■ Fixes ・Fixed the unstable connection between the iPad and iPhone; it now reconnects automatically. ・Fixed the buttons at the top of the screen not responding while the 12-lead ECG was open. ・Fixed the waveforms briefly disappearing when the layout changed. ・Fixed the tabs and the buttons at the bottom of the remote overlapping or leaving a gap.

■ New ・A "Set up" tab: patient (adult to neonate), units, language, chart case and phase, blood gas course, imaging, pupils and a sound check, all on one screen. ・Paediatric support. Choose an age and weight and the alarm limits follow, with the recommended energy (2 J/kg, 4 J/kg) shown to the instructor. The dial now includes 2–30 J. ・Blood gases are chosen by course: seven conditions, each from early through worsening, pre-arrest, arrest, ROSC and recovery. Advance the stages with Next. ・A debriefing record: vital sign trends and the event log, shareable as a PDF. ・Choose your units: mmHg or kPa, mg/dL or mmol/L, °C or °F. ・A light appearance, and the option to hide the defibrillator for larger waveforms. ・Spanish interface. ・Added anaphylactic shock to the blood gases, conjugate gaze deviation to the pupils, and a chest X-ray of pulmonary oedema. ■ Improvements ・Tabs reorganised (Set up, Rhythm, Vitals, Settings, Tests & findings, Log) with larger text. ・The defibrillator dial rebuilt to match a real device: 2–270 J, with larger numbers. ・The remote is split into four screens: Rhythm & vitals, Presets, Tests and Connection. ・The remote now says when it is not connected to the monitor. ・Larger alarm-silence and pacing buttons. ・Alarms no longer break when the rhythm changes during CPR. ・The charge tone is quietened while palpating the pulse. ■ Fixes ・Fixed the unstable connection between the iPad and iPhone; it now reconnects automatically. ・Fixed the waveforms being wiped each time the sweep wrapped around. ・Fixed the remote sometimes not updating its display.