Content standards
How a game here earns the word clinical.
Every item is cited, and the build enforces it
A clinical item cannot exist in this codebase without a teaching point and at least one source. That is not a convention we try to remember, it is a schema, and the build fails when an item is missing either. If we could not explain why the answer is right, the item does not ship.
Games are researched one at a time
Each game has its own research pass before it becomes playable: a written record of the clinical question, the sources with their licenses, the guideline edition it is written against, and the open questions a clinician still needs to settle. Until that is done, the game sits in the arcade as a stub that tells you what it will teach.
Clinical content goes stale, so we date it
The AHA revised its CPR and emergency cardiovascular care guidelines in October 2025. Intravenous access became the preferred route over intraosseous, and the term rescue breaths was retired. Anything written to the 2020 guidelines is already wrong. Every game shows the guideline edition it follows and the date it was last reviewed.
We use openly licensed data, and we say which
Real physiological recordings here come from openly licensed research databases, used within their terms and attributed on the credits page. Where no suitable open data exists, which is the case for ventilator waveforms, we synthesize signals from published equations rather than reproducing anyone else’s recordings or code.
No leaderboards
Progress here is personal, and that is a deliberate choice rather than an unfinished feature. A leaderboard competition run across emergency medicine residencies raised self-reported engagement by 72 percent and produced no significant improvement in in-training exam scores. A 2025 randomized trial of gamified nursing education found better satisfaction and no significant difference in knowledge gain over a lecture. Points that are not attached to real cognitive difficulty do not appear to teach anyone anything, so we would rather put the effort into the games.
What this is not
Crash Cart is a practice tool. It is not a reference, not a decision aid, and not a substitute for supervised clinical training. Patients here are synthetic or de-identified. Nothing on this site should be used to make a decision about a real person.