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On EMT scenarios, the grade sheet now recognizes more of the ways students actually ask. An open question about why you were called, like "what's going on today?" or "what happened?", earns the point for determining the mechanism of injury or nature of illness.

Questions like "can you tell me your name?" or "can you hear me?" now count as checking the patient's level of consciousness. Nothing you were already getting credit for has changed.

On the NREMT, the general impression is something you state, not something you ask the examiner for. Now when you ask what the patient looks like, your training officer describes the patient and asks for your general impression. Say it in your own words, for example "my general impression is a pale, anxious patient in moderate distress," to earn the point.

If you start a head-to-toe or secondary assessment without naming any body regions, your training officer now asks which regions you want to examine and what you're looking for, on every EMS scenario.

If you ordered oxygen while a nebulized breathing treatment was running, your training officer used to ask whether to switch to the oxygen or keep the treatment. Keeping the treatment meant the patient got no oxygen, and some runs failed because of it.

Now the oxygen is given and the treatment keeps going. Switching between two oxygen devices, like a nasal cannula and a non-rebreather mask, still asks which one you want.

When you mention a medication with a maximum total dose that you already gave, like aspirin or nitroglycerin in a radio report or while explaining your treatment, it no longer counts as a second dose. Some runs were failing because a dose you only talked about was counted as one you gave again.

When you order another dose of a medication with a maximum total dose, your training officer asks you to confirm it first. Answer yes to give it, or no to hold off. If a dose would go over the maximum, you'll see why it can't be given.

The CRT exam is all written, so the Standard plan now gives CRT students unlimited practice questions instead of a monthly limit.

Plan descriptions also now show only what applies to your certification.

Getting started now begins with you, not a form. Tell us what you’re training for, when your exam is, and what worries you about test day, and you’ll see a practice plan for your field before you create an account.

• Pick your field. EMS, nursing, and respiratory each get their own certifications and plan.
• See your pace. Choose how many scenarios a week you want to run and see what that adds up to before your exam.
• Straight into practice. When you’re done, your first practice session is one tap away.

It works the same on the web and in the iPhone and iPad app. Already have an account? Nothing changes for you.

During a session. Practice sessions no longer only move forward. Tap Previous at the top of a question to step back, or tap a filled-in bar in the progress strip to jump straight to that question. When you finish, Review answers on the results card takes you back through the session, and Results brings you back to your score.

After a session. Open Review past answers from the question bank or your progress page. Answer history lists the practice questions you've answered, newest first, and marks each one correct, incorrect, or partly correct.

Either way, a question you go back to shows your choice, the correct answer, and the explanation for every option. Your answer stays locked in, so looking back doesn't change your score. From answer history, Try it again gives you a fresh attempt.

Practice exam answers aren't included in answer history.

Medceptor now has an app for iPhone and iPad. Sign in with the account you already use and everything carries over: your study track, scenarios, question bank, and progress, kept in sync with the web.

The app is made for your phone. Home, scenarios, and questions sit one tap away in the tab bar at the bottom, and everything else lives under More. You can sign in with Apple, Google, or your email and password.

Get it on the App Store

• Subscribe from your phone. Pick Standard or Pro, monthly or every six months, and pay through the App Store like any other subscription on your iPhone. Your plan works everywhere you use Medceptor, on the web too.
• Already subscribed on the web? Nothing changes. The app recognizes your plan.
• Managing an App Store subscription happens in your device’s Settings under Subscriptions. There’s a Restore Purchases button on the plans page for a new phone or a fresh install.

Results now come back noticeably faster after you end a scenario by implementing a new faster, optimized grading system

Nothing about scoring behavior changed and has been kept intact.

When a reply lands well, or does not land at all, you can now say so on the spot.

Hover over any patient or training officer message, during the scenario or in the transcript afterward, and a thumbs up and a thumbs down appear just underneath it. On a phone or tablet they are always visible. One tap is all it takes.

Either rating then opens an optional box for a sentence about it. On a thumbs up we ask what worked, so we know which replies are worth keeping. On a thumbs down we ask what was off, whether that is a response that did not fit the patient, a detail that contradicted the scene, or anything that broke the realism. Leaving a note is entirely optional, and the rating on its own is already useful.

Changed your mind? Tap the same thumb again to undo it, or tap the other one to switch.

Every rating goes straight to the team and helps us tune how patients and training officers respond.

Announcing a report and giving one are different things, and the simulator used to treat them the same. If you typed “give my report”, it answered “Report received” and moved on. You never actually delivered the report, and your grade reflected that.

Now your preceptor prompts you for it. You’ll be asked to give your verbal handoff report, and you can radio it ahead while you’re en route or deliver it to the receiving staff when you arrive.

Once you give the report with the patient details in it, the handoff is acknowledged the way it always was. If you were already delivering full reports, nothing changes for you.

This was the step students disputed more than any other, and the disputes were right. You would ask what happened, get told, and still lose the point because you hadn’t said it back.

The skill sheet asks you to determine the mechanism of injury or nature of illness. It doesn’t ask you to recite it. So it now credits the ways you actually establish it: asking for it outright, asking a bystander what happened, running it as part of your size-up list, calling the encounter one or the other, and the usual abbreviations typed under time pressure.

One thing deliberately unchanged: handing the decision back to your examiner isn’t determining it. Asking which of the two it is, or offering them a choice, still doesn’t count. Asking what it is does.

If you study on any track other than EMT, the free sample scenarios never showed up for you: not on the Scenarios page, not on your home screen. That was a bug on our side, and it had been there since those tracks launched.

Every track now has its own three: AEMT, Paramedic, CNA, LPN, RN, CCRN, CEN, RRT, and both FNP boards. They’re the real thing, with a full AI patient and a full graded debrief at the end, matched to your scope of practice.

Thanks to those of you who wrote in about not finding anything free to try. That’s what surfaced it.

If you said you were taking the patient in and still lost the transport point, that was on us, and several of you told us so. You were right.

It was matching too narrowly on the exact words used. It now recognizes the way the call actually sounds, including radio-style phrasing, priority-and-destination wording, and the usual slips typed under time pressure.

One thing deliberately unchanged: asking whether to transport isn’t a decision. Committing to one is the skill being tested. Asking the patient whether they’d like to go doesn’t count either.

Thanks to everyone who flagged this on their score sheet. That feedback is what found it.

Answer choices are now shuffled, so position never gives the answer away.

This affected the Paramedic, LPN, RN, and RRT banks, where the correct choice was landing first far more often than it should have. The EMT, AEMT, CNA, CCRN, CEN, and FNP banks were already varied and are unchanged.

• Multiple choice and select-all. The correct choice is as likely to be last as first.
• Ordering questions. Steps no longer arrive pre-sorted, so sequencing them is the actual exercise.
• Drag and drop, bowtie, cloze, and trend. Their option pools are shuffled too, each one independently.

The order stays the same on reload and in review, so the letters you picked still match the explanations.

Deciding whether you need more help is one point on the scene size-up, and it was too fussy about the exact words you used.

It now credits the way students actually talk:

• Standby and consideration wording. “ALS on standby” and “I’ll consider ALS given the severity” are now recognized as making the call.
• Deciding you don’t need it. “Scene is stable, no additional resources needed” is a decision too, and earns the point just like calling for help does.
• Common misspellings are handled. The usual ways “additional resources” gets typed under time pressure no longer get in the way.

One thing hasn’t changed, because it’s what the skill sheet is testing: asking your training officer whether you need help (“do I need ALS?”) isn’t a decision. Make the call in your own words and it counts.

If you train at the AEMT or Paramedic level, grading could occasionally judge you as though you were an EMT, and fail you for doing your job correctly.

Two fixes:

• Your certification level is now part of the grading. Advanced airway management, sedation and pain control, and other skills that are routine at your level are graded as the appropriate care they are, instead of being flagged as unsafe.
• Nitroglycerin is graded the way you actually carry it. At the EMT level you assist a patient with their own prescribed nitro, so confirming the prescription is a required step. At AEMT and Paramedic you carry it on the unit, so that step no longer applies. Confirming the blood pressure first is still required at every level, because that one is about patient safety, not certification.

The major-bleeding line was the most-questioned item on the score sheet, and almost every question was the same one: “I asked about life threats; doesn't that include bleeding?”

It's a fair question, and the answer is worth knowing for your exam:

• They're two separate points. A general “any life threats?” sweep earns the chief-complaint line. The bleeding check is its own point inside Assesses circulation, so it needs bleeding or hemorrhage said out loud.
• The feedback now says so. Instead of just telling you the point was missed, it explains the distinction and gives you phrasings that earn it: “any major bleeding?”, “no gross bleeding noted”, “scan for hemorrhage”.
• More phrasings count. “Any life-threatening bleeding?” and “looking for bleeding” now earn the point, as does calling the sweep by name.

If you typed something brief and correct, such as a transport priority, an A&O reading, or a chief complaint, the scenario would occasionally come back with a notice asking you to rephrase, even though nothing was wrong with what you said.

Two things changed:

• Your training officer now answers. Short declarations get a proper acknowledgement instead of a dead end.
• Anything already credited stays credited. If your action was recorded, you will never be asked to repeat it, so there is no risk of logging the same step twice.

If you do still hit it, retrying is safe: nothing you already did is lost.

Your drug box just got deeper, and your patients notice.

• More medications on hand. Pain management, anti-nausea, antihistamines, steroids, sedatives, and more are now available in Paramedic scenarios, so orders your training officer used to turn down will now be carried out.
• Vitals respond to what you give. Manage someone's pain and you'll see the expected respiratory changes when you next take vitals: subtle after a single appropriate dose, more pronounced if doses stack up. Support the patient and they come back around.
• Protocol limits hold. Your training officer will push back on an order that runs past the protocol maximum, and a few medications need an order from medical control before they go in.

Ask for what you want the way you would on a real call: name the drug, the dose, and the route.

Previously, transferring care to an arriving ALS crew ended the scenario on the spot, even if you weren't quite done.

Now the handoff wraps up the encounter narratively, and you choose when to finish: click End Scenario when you're ready to submit for your results. Nothing else about grading changed: your handoff report is graded exactly as before.

Some of you, especially on iPhone or when opening Medceptor from a link inside another app, would occasionally see a "Sign-in didn't finish" message after choosing your Google account.

That's fixed: sign-in now recovers on its own. You may briefly see your Google account picker a second time. Pick your account and you're in. If anything still gets in the way, you'll see clear guidance instead of a dead end.

You can now change your study track whenever you like, without contacting support.

Head to Settings → General → Study track, pick your new track, and the scenarios, question bank, and practice exams switch over instantly.

Your progress is saved per track: if you switch back later, you'll pick up right where you left off.

Studying for an EMS cert? Tutorial mode lets you run a scenario with a coach at your side, giving you reps without the exam pressure:

• Help when you ask for it. Stuck on what's next? Ask for help and it starts gentle: a nudge, then a hint, then the answer if you still need it.
• It catches you in the moment. Do something dangerous or out of order and your training officer steps in right away, instead of you finding out at the grade sheet.
• A live checklist. Peek at what you've covered so far and what's still open.
• Practice stays practice. Tutorial runs don't count toward your mastery, so explore freely, then switch to a scored run when you're ready.

Look for Start tutorial on any scenario, or the new Tutorial tab in the sidebar.

Family Nurse Practitioner prep is here. When you sign up, you can now choose the board you're studying for:

• FNP-C: the AANP exam.
• FNP-BC: the ANCC exam.

Each comes with a board-aligned question bank, practice patient encounters that coach you through the full primary-care workflow (assess, diagnose, plan, and treat across the lifespan), and a timed practice exam with a readiness estimate. Your study mentor is there throughout to help you reason it out.

Respiratory therapy prep is here. When you sign up, you can now choose a respiratory-therapy track:

• RRT: Registered Respiratory Therapist.
• CRT: Certified Respiratory Therapist.

Both come with a question bank built for the NBRC Therapist Multiple-Choice (TMC) written exam: a full explanation on every answer, a study mentor to help you reason through ABGs, ventilator settings, and oxygen titration, and a timed practice exam with a readiness estimate.

The RRT track adds clinical-simulation practice: realistic patient encounters modeled on the NBRC Clinical Simulation Examination (CSE), scored decision by decision with an estimated-readiness result. (The CRT track preps the written exam only.)

The AEMT track now has a much broader library of scored patient simulations (cardiac, respiratory, neurologic, OB/GYN, pediatric, toxicology, and more), each one run start to finish and graded against the AEMT skill sheet.

We put a lot of work into making scenarios feel like a real call:

• A training officer that reads the room. It confirms your priorities and handoffs at the right moment and holds back while you're mid-assessment, instead of interrupting, nagging, or repeating itself.
• Patients answer what you asked. Check a pulse in a specific limb, ask for a specific finding, or run a focused exam and you get a straight, on-topic reply, without the patient handing you things you're supposed to discover yourself.
• Calls flow like the real thing. Committing to transport no longer rushes you out the door before you're ready, and staging on an unsafe scene stays consistent from turn to turn.
• More scenarios play through cleanly. Tricky calls, like clearing a choking patient's airway, now resolve the way they should when you do the right thing.

A big round of grading accuracy work:

• More of your work counts. Your assessments, history-taking, vitals, oxygen and other treatments, calls for advanced support, and your transport decision now earn credit even when you phrase them your own way or spread them across several turns.
• Fewer unfair fails. Good runs no longer get auto-failed on technicalities, like a critical-airway flag firing on a patient who's wide awake and talking to you.
• Debriefs that match what happened. When you miss part of a step, the feedback now credits what you did and names exactly what was missing, with no vague or overstated notes.
• The right sheet for your track. Grade reports name the exam and skill for the certification you're studying, instead of an EMS default.

We've opened up new study tracks. When you sign up, you can now pick the certification you're studying for:

• Advanced EMS: AEMT and Paramedic.
• Nursing: CNA, LPN, and RN.
• Critical & emergency nursing: CCRN and CEN.

Each track comes with its own question bank and practice tailored to that certification, and several include a full practice exam. Pick the one you're studying for and everything (questions, scenarios, and scoring) is scoped to your cert.

If you're studying for the NCLEX-PN or NCLEX-RN, the practice exam now behaves like the real test:

• It adapts to you. You answer one question at a time; the exam gets harder or easier based on how you're doing and stops once it's confident about your result, anywhere from 85 to 150 questions, just like the boards.
• Next-Gen question formats. Beyond multiple choice, you'll practice the newer NCLEX item types: drag-and-drop, matrix grids, highlight-the-text, fill-in-the-blank, bow-tie, and more.
• A readiness estimate at the end, instead of a raw percentage, so you know where you stand.

Real nursing isn't just what you do; it's what you chart. In LPN and RN simulations you can now open a charting panel and document the encounter as it unfolds:

• File as you go: focused assessments, a progress note, medications on the MAR (given, held, or refused, with your reason), intake & output, and your SBAR handoff. As an LPN, that tab is your report to the supervising RN, ready the moment something needs escalating.
• Time-stamped like a real record. Every entry is stamped when you file it, so when you charted counts, and you can file an amendment or flag a late entry, just like the real thing.
• A separate documentation review. After the run you get its own breakdown of what you charted. It's feedback only, and it never changes whether you passed.

Drilling questions on one of the new tracks? A study mentor is one tap away, right on the question page:

• Ask it anything you're stuck on: a concept, a confusing question, or where to even begin.
• It coaches, it doesn't cheat. The mentor helps you reason through the question in front of you before it ever hands you the answer, and it won't give answers away mid-exam.
• It speaks your cert. Whether you're studying for the NCLEX-PN, NCLEX-RN, CCRN, CEN, the CNA exam, your respiratory boards, or the FNP boards, it coaches in that cert's language.

Paramedic scenarios now hand you the diagnostics instead of narrating them:

• Interpret it yourself. When the moment comes, you're shown the 12-lead ECG, the cardiac rhythm strip, or the capnography waveform, and the read is yours to make.
• One attempt, like exam day. Your first answer is your answer, and it counts toward your grade.
• The strip stays with you. Once read, the rhythm strip stays pinned beside the call so you can keep an eye on your patient for the rest of the run.

When you review a question after submitting, the correct answer is now shown in full text instead of only a letter.

For Build a List ordering questions, the answer dropdowns and the correct-order summary show the full text of every choice, so it's clear which answer belongs in each position.

Some calls, like an emergency childbirth or a behavioral-crisis scenario, don't map to an NREMT patient-assessment scoring sheet, so grading them that way wasn't fair to a great run.

• Clearly labeled. These now show a Practice (not scored) tag on the scenario list and details page.
• Play them start to finish. At the end you'll see a note that the run was for practice instead of a score.
• Everything else is unchanged. Scenarios that do fit a scoring sheet are scored exactly as before.

You can now speak instead of type. A microphone button sits right next to Send anywhere you chat with Medceptor, in patient scenarios and with your study assistant.

• Two ways to talk. Click the mic to start and stop, or press and hold to talk and release when you're done.
• Made for clinical language. It's tuned to hear medications, conditions, and assessment terms, so what you say comes out right.
• You stay in control. Your words drop into the text box to review and edit, and nothing sends until you do.

We've tidied up the experience across medceptor.com:

• Quicker pages. Guides and articles show up right away instead of waiting to animate in as you scroll.
• Smoother first load. A brief flicker some visitors saw when the homepage first opened is gone.
• General polish throughout for a cleaner, more consistent read.

The new medceptor.com shows the product instead of describing it: a real graded attempt replays right on the homepage, with dispatch, patient dialogue, vitals, and the skill sheet checking off in real time.

Also new:

• Pricing on the homepage. No "see membership plans" wall; the numbers are right there.
• A public changelog (you're reading it) so you can see the platform improving week to week.
• This What's New popup in the app: one short note when something ships that matters to you. Dismiss it and it stays gone until the next release.

Every rubric item in your grade report now carries a structured debrief:

• The standard: what the NREMT sheet actually asks for.
• Your evidence: the exact words from your transcript the grader scored.
• Next step: the concrete phrase or action to practice for the next attempt.

The goal: you should never see a score and wonder why.

Your practice history now lives in one place:

• Everything together: scenarios and question-bank sessions side by side.
• An activity graph so you can see your streak at a glance.
• Grades by topic: spot the areas to focus on next.

You can now switch Medceptor to a dark theme, easier on the eyes for late-night studying. Set it yourself, or let it follow your device's system setting.

Signing in now drops you onto a home screen built around your progress:

• Your stats and streak, front and center.
• Pick up where you left off: resume an in-progress scenario in one tap.
• Recommended scenarios chosen for where you are in your training.

Medceptor now has clear, transparent plans:

• Pricing up front: no wall to see the numbers.
• Secure checkout when you're ready to upgrade.
• Manage anytime: change or cancel your plan whenever you like.

Beyond scenarios, you can now drill the fundamentals:

• 1,000+ practice questions across the NREMT topics.
• Clear explanations on every answer: learn the why, not just the what.
• Bookmarks and a progress view so you can come back to what's hard.

Stuck on a concept? The new Preceptor Bot is a study assistant built right into Medceptor. Ask it EMS questions in plain language and get a clear answer to keep you moving.

The scenario library has grown to 100+ patient scenarios spanning many emergency types: medical and trauma, routine and complex.

Search and filter to train exactly the kind of call you want to practice.

Medceptor now covers trauma as well as medical calls. Run a full trauma patient assessment with a simulated patient and get scored against the official trauma skill sheet, with the same instant, decision-by-decision feedback you get on every scenario.

You can now create a Medceptor account, signing up with email or with Google, so your scenarios, scores, and progress are saved and ready wherever you sign in.

Medceptor just took a big leap: live, conversational patient simulations.

Step into a realistic EMS call, talk to a simulated patient, work with your training officer, and make real clinical decisions as the scenario unfolds.

When you're done, every decision is scored against the official NREMT skill sheet, with an instant debrief so you know exactly what to sharpen next time.

We added a library of EMT study guides covering the topics that trip people up most (patient assessment, medications, OPQRST and SAMPLE histories, and more), all written and reviewed by certified EMS educators.

Medceptor started with a simple goal: help EMT students walk into their exam ready.

The first version brought practice questions online so you could study anywhere, the foundation everything since has been built on.