Interactive nursing case studies
The clues are always in the notes.
You get a fictional patient file: handwritten nursing notes, an obs chart, a NEWS2 score, bloods, a handover on pink carbon paper.
Somewhere in there is the deterioration nobody has flagged yet.
Find it, and decide what you'd do about it.
No subscription. One free case, then £9.99 a file — yours to keep. Already have an account? Sign in

How a case works
Three steps, the way you'd work a real shift.

1 Open the file
Lined nursing notes, carbon handover sheets, lab printouts, obs charts — exactly as they arrive on a ward.

2 Pin what matters
Anything can go on the evidence board. Some of it changes your management. Some of it is noise, just like the real thing.

3 Commit, then check your reasoning
Give your differentials, your NEWS2 and your escalation. Then break the seal and see what the clues were pointing at.
Buy it by the case
One case for a quiet evening, a pack for a study group, or the whole shelf for a cohort. No projector and no seminar room required.

Single case
One file, one evening
Pick a patient, work the file, talk it through. Includes the sealed answer envelope.
Most playedThree-case pack
Three linked cases
Escalating difficulty across one shift. Best played in order, best played together.

Full shelf
Every case, every specialty
Medical, surgical, emergency, critical care, paeds, mental health and more — plus new files as they land.

Cohort licence
For unis and wards
Seats for a whole year group, host controls for releasing documents in stages, and scoring for the group.
What's inside every case file
One purchase, the whole file — online and on paper.
Play it online
- A complete patient record: notes, obs, NEWS2, drug chart, fluids, bloods, imaging, handover
- Pin any document to a corkboard evidence board and link the clues
- Built-in NEWS2 calculator, ABCDE assessment and SBAR handover builder
- Differentials, priorities and your own written reasoning, saved as you go
- Graduated hints that nudge your thinking without giving it away
- A sealed answer envelope you break when you're ready to commit
Or print the whole thing
- Student Pack: front cover, learning objectives, the full record in hospital formatting
- Blank working pages, evidence checklist and clinical reasoning worksheets
- Differential, investigation planner, treatment plan and final diagnosis pages
- Facilitator Pack: answers, expected pathway and every red herring explained
- Evidence map, facilitation prompts, marking rubric and a debrief guide
- Version stamped, with a QR code straight back to the online file
10
full case files
Medical, surgical, emergency, critical care, paeds, obstetrics, mental health, LD, respiratory and community
45–75
minutes a case
Save and come back — your evidence board and reasoning are waiting where you left them
NEWS2
scored properly
Escalation thresholds, ABCDE and SBAR built into the file, the way you'd use them on shift
Playing without a facilitator?
Then you're the facilitator. Every case ships with a sealed answer envelope — the working diagnosis, the clues that mattered, the distractors, and the reasoning behind each one. A tutor is optional; the debrief isn't.
One patient. One file. One evening.
Start with the free file — the complete experience, sealed envelope and all. If you like it, the rest are £9.99 each and yours to keep.