Smarter consultants, quieter arrivals and quicker exits — shaped by emergency physicians playing real cases. • Consultants talk like real consultants. If one tells you a step before you've done it, that step earns no points. • Call a team that isn't right for the patient and they'll tell you so. • Voice orders are ready sooner: the speech model starts loading as soon as the app opens. • Arrival videos without the background static. • End case takes you straight back to the case list. • Cleaner room pictures and many fixes from play-testing.

Faster, clearer resuscitations — shaped by emergency physicians playing real cases. • Call the rhythm straight from the monitor: tap the telemetry strip at a rhythm check and pick VF, VT, PEA or asystole. • Rhythm checks every two minutes, hands off the chest, just like a real code. • Shock straight from the energy list, and answer the team's yes/no questions with one tap. • Consultants take the patient themselves once your diagnosis is right and the patient is ready — no extra step. • Safer voice orders: if a drug or a shock wasn't heard clearly, the nurse asks you to say it again instead of guessing. • Pause any case, and End case always gives you a debrief of what you did. • Typing stays sideways, with your order large above the keyboard. • History and Results open beside the patient, never over them. • Children: measure with the length-based tape and dose by its colour zone. • A case list that never gives the answer away, a new More tab, and many fixes from play-testing. • On Mac: a Case menu with keyboard shortcuts, including rhythm calls.

Five new free first-aid cases: choking at a restaurant, an infant choking in a high chair, peanut anaphylaxis on the playground, an overdose by the main stage, and a cyclist bleeding on River Road. Fourteen cases are now free. In the trauma cases, ask for the primary survey: x A B C D E appears, and each letter opens its own exam, orders and imaging. Films and the exam follow what you have done: a chest tube, a pelvic binder or a breathing tube shows on the next film, and earlier films stay on the list. The car crash has its own films and bedside echo, and trauma surgery asks for your diagnosis. The mic is ready sooner, and many fixes come from players' notes.