Legal
Last updated 24 August 2026
Read this before using the scenarios. It sets out what this tool is, what it is not, and the limits of what it can tell you.
The content is generated by artificial intelligence
Every character you speak to in a scenario — the patient, your partner, bystanders — is a large language model, not a person and not a clinician. The evaluation and score you receive at the end of a session is also produced by a large language model.
AI systems produce confident, fluent output that can nevertheless be wrong. A scenario may contain clinical errors. An evaluation may credit something it should have marked, mark something it should have credited, or cite reference material inaccurately. We design the system to reduce this — evaluations are grounded in indexed protocol documents rather than the model’s unaided knowledge — but we cannot and do not guarantee that any scenario, response, score, or piece of feedback is clinically correct.
Reference material may be out of date or incomplete
Scenario grounding and evaluation draw on a fixed, indexed corpus of Ontario prehospital reference material. That corpus is a snapshot. It is not updated the moment a directive changes, it does not contain every document that governs your practice, and it does not reflect any service-specific variation, medical director’s standing order, or regional protocol that applies where you work.
Scenarios are written for the Primary Care Paramedic scope of practice. Content outside that scope is deliberately withheld from grading. If you practise at a different level or in another province, territory, or country, the reference material behind these scenarios may not describe your scope at all.
This is not certification, accreditation, or continuing education credit
Completing scenarios on this service does not:
- certify, license, credential, or qualify you to do anything;
- count toward continuing medical education, continuing education units, or recertification requirements unless a body you are accountable to has independently agreed that it does;
- constitute an assessment recognised by any regulator, employer, base hospital, college, or educational institution;
- indicate that you are competent or safe to perform any skill or intervention on a real patient.
A score generated here is feedback for your own study. It is not an evaluation of your fitness to practise, and it should not be presented to anyone as though it were.
Scenarios depict emergencies, including ones involving children
Scenarios include cardiac arrest, paediatric emergencies, trauma, obstetric emergencies, overdose, and death. The clinical detail is deliberate — it is what makes the practice useful. If you have reason to think this material would be distressing to you, please consider that before starting a scenario.
For everyone else
The free tools on this site — the ECG reference and the calculation drills — are open to anyone, including people who are not clinicians. The same rule applies to them and applies more strongly: they are teaching material. Nothing on this site interprets a real ECG, calculates a dose for a real patient, or tells you anything about a real person’s health.
Questions
Alpha2Echo Software Inc. operates this service. If something here looks clinically wrong, please tell us — corrections to scenario content and evaluation behaviour are taken seriously. Contact: help.medicplusplus@gmail.com.