Pulso REASEL: clinical simulation on your computer.
Vital signs monitor, electrocardiogram, blood gas analysis and ultrasound for teaching resuscitation, on Windows or Mac. One-time payment in US dollars; you receive your code and the download link by email.
Windows and MacOne-time payment, no subscriptionWorks offline after activation
i
For educational use; it is not a medical device. Pulso REASEL simulates signals for teaching and must not be used to monitor or diagnose patients.
β
Beta version. Special price for early users. Tell us about your experience at contacto@reaselatinoamerica.com: it helps us improve it.
The suite
One program, several engines of our own.
We build every part of Pulso REASEL at REASEL. The monitor, the ECG, the blood gas and the ultrasound read the same patient: what changes in the case changes in all of them.
Included
Resuscitation
Learner monitor, instructor console, cases, your own scenarios and a report for the debriefing.
Included
Electrocardiogram
Twelve leads on graph paper, generated by Electrocardiograma REASEL.
Included
Blood gas and lab tests
Arterial and venous blood gas and central lab results that match the patient’s condition at that moment.
Included
Ultrasound
Lung, heart, vena cava and venous congestion with color Doppler, moving in time with the case.
Included, with continuous updates
Hemodynamics
Pressure-volume loops of both ventricles, 13 patients and 11 drugs. Connected to the monitor, the blood gas and the ultrasound.
In development
Radiography
Chest X-ray. Not available yet.
What it does
How it looks and how it’s used.
The instructor runs the case from the console
Start the case, change the rhythm and vital signs, and record what the team does. The same screen shows what the learner is seeing.
A case in under a minute: ventricular fibrillation, CPR, shock and return of pulse; then the ECG and the ultrasound.
The monitor changes with the case
The learner sees a full-screen monitor with ECG, plethysmography, capnography and blood pressure. The rhythm changes when the case calls for it.
The patient goes into ventricular fibrillation.The pulse returns: the rhythm, blood pressure and plethysmography come back.
CPR quality shows on the monitor
The instructor marks CPR as good or poor, or adjusts the rate, depth and chest recoil. With poor CPR the end-tidal CO₂ drops and the pulse wave is lost; with good CPR they come back.
Poor CPR: low end-tidal CO₂ and no pulse wave.Good CPR: end-tidal CO₂ rises and the pulse wave returns.
Several screens, and your phone as the remote
A second screen shows the ventilator, the ECG or the blood gas. The instructor can also run the case from a phone: it pairs with a QR code, with no app to install.
Second screen: the ventilator.The remote on a phone.
Your own scenarios: on a timeline or by dictation
Build your cases as you would in a video editor: drag blocks for rhythm, vital signs, ventilator, screens and prompts onto the timeline. Or dictate the scenario in your own words and Pulso REASEL drafts it right there, with no internet.
Scenario editor.Scenario by dictation.
Trends and a report for the debriefing
During the case you see the heart rate and blood pressure trends, with each event marked. At the end, the report brings together the resuscitation summary, the trends and the key moments.
Case trends.Report for the debriefing.
Tests and imaging
What the team can order during the case.
12-lead ECG
Generated by Electrocardiograma REASEL, our own engine, on ECG grid paper.
Shown here: an inferior myocardial infarction.
Arterial and venous blood gas
The results sheet appears on the second screen and matches the patient’s condition at that moment.
Lung, heart and vena cava ultrasound
The image moves live, in time with the heart and respiratory rate of the case, and the instructor chooses the finding.
Heart, apical view.Heart, parasternal long axis.Pericardial effusion, subcostal view.Lung with B-lines.Lung base with pleural effusion.Inferior vena cava.
Color Doppler and pulsed Doppler
For venous congestion, the image carries color Doppler and the pulsed Doppler tracings of the hepatic vein, the portal vein and the renal veins. There is also the liver with the right kidney, with free fluid.
Hepatic vein.Portal vein.Right kidney.Liver and right kidney, with free fluid.
Included, with continuous updates
Hemodynamics
The why behind the numbers on the monitor. A patient with a complete circulation that responds beat by beat: you change the volume, resistance, contractility or heart rate, give a drug, and the class sees what happens and why.
Frail, septic patient: the pressure falls with propofol and recovers with norepinephrine.
Pressure-volume loops of both ventricles
Live, alongside cardiac function and venous return on a single graph.
Ten numbers in view
Arterial and mean pressure, heart rate, cardiac output, left and right ejection fraction, central venous pressure, pulmonary artery, wedge pressure and stroke volume.
13 ready-made patients
Healthy, frail, septic, heart failure, hypovolemia, aortic stenosis, mitral regurgitation, right heart failure, pulmonary embolism, tamponade, tension pneumothorax and more.
Drugs, fluids and bleeding
Propofol, phenylephrine, ephedrine, esmolol and atropine as boluses; norepinephrine, epinephrine, vasopressin, dobutamine, milrinone and nitroglycerin as infusions.
Right heart, lung and chest
Pulmonary resistance, pericardial effusion, pressure inside the chest and obstruction of venous return.
Baroreceptor reflex
The instructor can blunt it, as happens under anesthesia.
Pericardial effusion: the loops shrink and cardiac output falls.Pulmonary resistance rises: the right ventricle dilates and the left one empties.
Connected to the rest of Pulso REASEL
The same patient drives the case monitor, passes its cardiac output to the blood gas and its measurements to the cardiac ultrasound on the second screen.
Hemodynamics next to the case monitor: when the drug is given, the heart rate and pressure change on the monitor.
It is our own model for teaching physiology; the figures are illustrative and do not guide dosing. For now, in the Spanish edition.
Licenses
Buy your license.
After you pay
1Download and install
Pulso REASEL for Windows or Mac.
2Activate
open the program, choose “Activate” and enter your code (an internet connection is needed that one time).
3Practice
after that it works offline.
Clinical validation
Clinical reviewers
The electrocardiograms in Pulso REASEL are generated by Electrocardiograma REASEL, our own engine. To confirm that they are recognizable and useful for teaching, cardiologists review them blind, mixed with real reference ECGs.
The review is under way. The cardiologists who take part and authorize their name will be listed here.
Being listed as a reviewer is an acknowledgment and implies no responsibility for the program’s content or its use.
In development
What’s coming
We are working on the ultrasound with the Wiggers diagram and on the chest X-ray. They are not part of the program yet.
