On Scene
Each case aims to feel like stepping into an actual ambulance job. You are given a scene, make one clinical decision, and the patient responds to what you chose. Good choices move the case forward efficiently; poor choices can delay care, create deterioration or force you into a rescue branch.
Welcome to On Scene
Sign in or create an account to save your scenario history and track your progress across devices.
Chest pain refusal
A hard case targeting material-risk discussion, use/weighing and a high-risk capacitous refusal.
Dynamic scenarios
The same case can unfold differently depending on your choices.
What do you do next?
Clinical decisions with consequences.
On Scene is a pre-hospital decision simulator. You are placed into an ambulance scenario, given the information available at that moment, and asked what you would do next. Your choices change what happens to the patient.
Dynamic branching
There is not always one linear route. A poor decision may delay care, worsen physiology, damage rapport or create a new problem you then have to recover from.
Difficulty means something
Easy cases reinforce core priorities. Moderate cases add competing considerations. Hard cases deliberately include several defensible-looking options where nuance, law, prioritisation or pathway knowledge matters.
Not just right or wrong
Some choices are appropriate, some are reasonable but less optimal, and others are unsafe. Your route through the case is reflected in the debrief rather than simply stopping at the first mistake.
Built for reflection
Signed-in users can build a history of attempts and scores. The longer-term aim is to identify patterns in assessment, reasoning, treatment, safety, communication and disposition, then recommend targeted cases.
Help keep On Scene free
On Scene is free to use. If you find it useful and want to support ongoing development, hosting and the creation of new scenarios, you can make a small contribution.
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Your domain performance
Complete scenarios while signed in to build a picture of how you perform across different parts of pre-hospital decision-making.
Completed scenarios
| Scenario | Subject | Difficulty | Score |
|---|---|---|---|
| Sign in to load your saved attempts. | |||
Average decision score: appropriate = 100, reasonable/less optimal = 70, suboptimal/unsafe = 25.