Medical Director's Corner
How EMS-MedSim aligns with standard standing orders, supports your QA/QI program, and helps you identify clinical drift before it becomes a patient safety issue.
Chester Shermer, M.D.
Medical DirectorDr. Shermer is a board-certified emergency physician and active EMS Medical Director whose clinical career spans more than two decades in emergency medicine, with a particular focus on prehospital care, resuscitation, and the medical oversight of EMS systems. Every scenario in EMS-MedSim has been reviewed against current AHA, NREMT, and NAEMSP prehospital guidelines under his direct oversight.
LinkedIn ProfileProtocol Alignment
EMS-MedSim scenarios are designed to complement your agency's standing orders, not replace them. All clinical decision points are grounded in publicly available evidence-based guidelines. Trainees are expected to apply their Medical Director's specific protocols in actual patient care.
Every scenario is structured around the standard EMS patient assessment sequence: scene safety, BSI/PPE, primary survey (XABCDE), secondary survey, history, and transport decision. This mirrors the clinical expectations in most state and regional EMS protocols.
Airway management scenarios follow current evidence-based guidelines for BVM technique, supraglottic airway placement, and RSI/DSI indications. Critical errors are defined by widely recognized EMS competency standards, not proprietary criteria.
Cardiac arrest and post-ROSC scenarios are built on current resuscitation science including high-quality CPR metrics, defibrillation timing, and vasopressor administration. Scenarios reflect the 2020+ resuscitation guidelines cycle.
Trauma scenarios incorporate current prehospital hemorrhage control priorities: tourniquet-first for extremity hemorrhage, wound packing, and tension pneumothorax recognition. Scenarios are consistent with current PHTLS and TCCC-informed civilian EMS practice.
Drug administration scenarios are designed around common EMS formularies. Dosing ranges are presented as evidence-based starting points — trainees are expected to apply their agency's specific standing orders and medical director protocols in actual practice.
Pediatric scenarios use weight-based dosing and age-appropriate assessment criteria. OB scenarios cover pre-eclampsia, eclampsia, and field delivery complications consistent with current prehospital OB management guidelines.
Quality Assurance & Improvement Tools
The Agency & QA/QI tier gives Medical Directors and EMS Chiefs the tools to run a data-driven QA program — from identifying protocol non-compliance to benchmarking individual providers against squad averages.
The Agency & QA/QI tier provides EMS Chiefs and Medical Directors with aggregate performance data across the entire squad — identifying which scenarios, skill sets, or protocol areas show the highest error rates.
Recurring critical errors across multiple providers on the same scenario type can indicate protocol drift. The QA dashboard surfaces these patterns before they become patient safety events.
Scenarios are mapped to specific protocol decision points. When a provider consistently selects non-compliant options, the system flags the pattern for Medical Director review.
Every trainee generates a self-reporting Clinical Performance Transcript documenting completed scenarios, scores, mastery levels, and competency areas. These transcripts are designed to support NREMT and state EMS recertification folders.
Compare individual provider performance against squad averages and platform-wide benchmarks to identify high performers and providers who may benefit from targeted remediation.
Clinical Performance Transcript
Every trainee generates a self-reporting Clinical Performance Transcript — a professional document designed to support NREMT and state EMS recertification folders. Below is a sample transcript.
Clinical Performance Transcript
EMS-MedSim — Simulation Training Platform
Paramedic Jane Doe
County Fire & Rescue
March 28, 2026
12:34
Cardiac Arrest — VFib with ROSC
Cardiovascular
Competencies Demonstrated
Important Notice for Medical Directors
While GMOC does not currently issue CAPCE credits, the Clinical Performance Transcript is designed to support state and NREMT recertification requirements as a self-reporting document. Completion of simulations does not confer CME credit, board certification, or professional licensure. Always verify recertification requirements with your state EMS office and the NREMT.
Request an Agency Demo
Interested in deploying EMS-MedSim across your agency? Fill out the form below and our team will reach out within 1 business day to discuss your training needs and pricing.
Educational Disclaimer
EMS-MedSim is an independently developed educational tool by Global MedOps Command LLC, designed to supplement clinical training. Scenario content references publicly available clinical guidelines and competency standards. This platform is not affiliated with, endorsed by, or certified by the American Heart Association (AHA), the National Registry of Emergency Medical Technicians (NREMT), the Committee on Tactical Combat Casualty Care (CoTCCC), the Joint Trauma System, or the U.S. Department of Defense. Completion of simulations does not confer CME credit, board certification, or professional licensure. These simulations are for educational purposes only and are not a substitute for accredited clinical training programs.
For questions about platform alignment with your agency's standing orders, contact us at [email protected].