What's new
What has changed, newest first. Each one links to its place in the guide.
A clearer scenario library
Tap a scenario to read its story, aims and steps before you run it. Pick a source and an age group to narrow the list. On a phone the library opens full screen.
Where: The Scenario tab on the controller.
In the guide →NAP teaching cases
Ready-made adult and paediatric cases now come with every library, from VF and PEA to bronchiolitis and DKA. Duplicate one to make your own copy.
Where: Under NAP in the scenario library.
In the guide →
Debrief has its own tab
Switch recording on, open the live run and find past recordings in one place. Don't forget to start the clock with ▶. Audience has moved to Advanced.
Where: The Debrief tab on the controller.
In the guide →Trends full screen
Double-tap a trend, or tap its expand button, to see it full screen. Pinch or drag to move through time, and tap a moment to see the values and events at that point.
Where: The trend on the debrief page, and Trends on the monitor.
In the guide →
Oesophageal tube during CPR
Pick Oesophageal after bagging during CPR and the capnogram shows a few shrinking humps under the compressions, then goes flat. That early trace is the one that misleads.
Where: Hold the EtCO₂ tile, Capnogram shape, during CPR with RR set for bagging.
In the guide →Small visual updates on the controller
Switch good or poor CPR with a long press on the CPR button and a "CPR 👍" or "CPR 👎" tag now shows beside it. Tile notes are tidier too: one short note on top, longer explanations on a line under the pair, so the − / + stay put.
Where: The CPR button during CPR, and the Patient tab.
In the guide →
Free ECG and blood gas generators
Make a printable 12-lead ECG at true scale, or an ABG or VBG result slip, without starting a session. Save it as a picture or PDF for handouts and quizzes.
Where: Tools, in the bar at the top and in the footer.
In the guide →
Drifts: vitals that change on their own
A vital moves to your target by itself over 1 to 15 minutes. Drift several together, pick the shape of the change, or start from a built-in set such as Bleeding or Sepsis.
Where: Advanced → Drifts on the controller. Built-in sets are for adult patients.
In the guide →
Breathing and capnography on the RR and EtCO₂ tiles
Hold the RR tile to set the breathing pattern, or EtCO₂ for the capnogram shape. The tile shows a tag when either isn't normal.
Where: Hold the RR or EtCO₂ tile on the Patient tab.
In the guide →Controls laid out for tablets and computers
On a landscape tablet or a computer, the vitals stay on screen beside the presets, and the other tabs open alongside them. ⇄ swaps the sides for left- or right-handed use.
Where: Automatic when the screen is held in landscape. ⇄ and Fullscreen are at the top.
In the guide →
Posterior and right-sided leads
Learners can record V7–V9 or V3R–V6R on the 12-lead, to look for a posterior or right ventricular infarct.
Where: Chest leads, at the top of the monitor's 12-lead screen.
In the guide →T-wave inversion and a clearer ECG tab
Add ischaemic T-wave inversion (anterior, inferior or lateral) and ST depression, alone or together, to build an NSTEMI. A line at the top of the 12-lead section now shows what is on it, with Reset beside it.
Where: The new Ischaemia section on the ECG tab.
In the guide →Blood gases saved with a scenario
Keep up to five blood gases with a scenario. When you run it, they're waiting at the top of the blood gas panel, ready to release.
Where: With the scenario open in the builder, set up a gas in Advanced → Blood gas and tap Add to scenario.
In the guide →
Fewer interruptions
Most NAP updates no longer end your session. If the screens pause for a moment, they come back on their own.
Where: There is nothing you need to do.
In the guide →Clearer traces on big screens
Traces now keep the same thickness on any screen, so a projector or large display is as easy to read as a laptop. Tablets and larger screens start with Bold.
Where: Traces, in the monitor's settings. You can still pick Normal, Bold or Heavy, and each screen remembers your choice.
In the guide →
Share a patient as a link
Copy any preset, or the patient you've just built, as a link. Opening it starts a session with that patient, or hands it to a controller you already have open.
Where: Copy link in the presets list on the Patient tab, or hold any preset.
In the guide →
See what every combination does
Pick a patient and rhythm to see the therapy outcomes NAP offers.
Where: The rhythm explorer, in the guide.
In the guide →The WPW pattern
A short PR and a delta wave on a wide QRS. Pair it with AF for pre-excited AF: fast, broad and irregular, and adenosine can speed it up or tip it into VF.
Where: Conduction on the ECG tab; adenosine on the Therapy tab.
In the guide →Brugada type 1
A coved ST in V1 and V2 running into a negative T, the classic STEMI mimic. It shows on the 12-lead.
Where: Metabolic & mimics on the ECG tab.
In the guide →
Scenarios are easier to find and build
Packs are labelled and stay chosen when you switch tabs, a Running line leads back to the scenario in progress, and Capture now comes first when you build.
Where: The Scenario tab on the controller.
In the guide →
All monitoring on or off
Attach or detach every patient probe in one tap. A new patient now starts with all of them attached.
Where: The two screen buttons beside the Vitals heading, on the Patient tab.
In the guide →Presets take less room
Three presets of your choice sit on the Patient tab; every other preset, and the ones you saved, are one tap away. Pin the three you want, separately for adult and paediatric patients.
Where: The grid button beside the pinned presets, on the Patient tab.
In the guide →
Adenosine follows the rhythm
Results match the rhythm: SVT converts; flutter, atrial tachycardia and fast AF briefly slow to reveal themselves. Atrial tachycardia is now in the rhythm picker.
Where: Give adenosine… on the Therapy tab; atrial tach is on the ECG tab, after SVT.
In the guide →
Choose therapy results together
Co-instructors can choose shock and adenosine results; the lead’s choice takes priority.
Where: The result sheets on every instructor’s controller.
In the guide →A closer look at the blood gas
Open a released blood gas to read the whole card fitted to the window.
Where: Double-tap the result card, or tap the expand icon in its upper-right corner. On the monitor and on viewers.
In the guide →Set EtCO₂ during CPR
Choose an EtCO₂ value for the arrest and keep it when CPR stops and restarts.
Where: The toggle appears in the EtCO₂ tile on the controller’s Patient tab while CPR is running.
In the guide →
A closer look at the 12-lead
Open a captured 12-lead to fill the screen, then pinch to zoom in and read it.
Where: Double-tap a captured 12-lead, or tap Full view. On the monitor and on viewers.
In the guide →
Coarse or fine VF
VF looks more like the real thing, and it can now be fine: small and easy to mistake for asystole.
Where: Pick VF in the ECG tab, then Coarse or Fine.
In the guide →Pulse button
A small heart shows whether the patient has a pulse. One tap takes it away or gives it back.
Where: On the controller, next to the CPR button.
In the guide →
Trends
See the last 15 minutes to an hour at a glance: heart rate, SpO₂, blood pressure, CO₂ and more.
Where: Tap Trends on the monitor.
In the guide →Pause the scenario
Freeze every screen to talk something through, then carry on exactly where you stopped.
Where: The button is next to Adult/Paediatric.
In the guide →The trend in your debrief
Recorded sessions now show what the monitor displayed, so you can point at the moment things changed.
Where: It sits above the timeline.
In the guide →Full screen
One tap hides the browser bars on laptops, Android and iPad.
Where: The button is next to the session code on the monitor.
In the guide →