Immersive Modular Patient Care Team Trainer™

Vcom3D’s medical simulation architecture supports a range of training applications, from modular manikins, to virtual instruction, simulated patients, and part-task trainers. See our latest video below!

IMPACTT™ Military Patients

IMPACTT™ Commercial Patients


IMPACTT™ delivers high-fidelity, virtual simulations for medical teams performing in environments ranging from Point of Injury to Air Evacuation and Hospital Care. Using IMPACTT’s Virtual Patient and Virtual Equipment, teams are trained and assessed in critical decision making, communication, and team dynamics. IMPACTT™ training uses low-cost, primarily COTS equipment and can be delivered at the point of demand. IMPACTT™ includes its own wireless access point so that all learner modules can be networked together, without adding requirements to the training facility infrastructure. Twelve or more wired or wireless modules are easily accommodated, and all can operate from rechargeable batteries. IMPACTT™ complies with all MoHSES (Modular Healthcare Simulation and Education System, formerly Advanced Modular Manikin, or AMM) data interoperability standards. This enables it to integrate seamlessly with Vcom3D and 3rd party manikins, part task trainers, and augmented reality / virtual reality (AR/VR) systems that conform to, or have been adapted to, the MoHSES data standards. 

The IMPACTT™ Team Trainer is a system of systems that wirelessly integrates Vcom3D’s implementation of the MoHSES open-source standard with various configurations of Vcom3D and third-party medical simulation and training modules. These modules can be configured to simulate multiple echelons of care. Team performance impacts patient’s condition during real-time scenarios. Individual and Team Performance is captured in both team assessments and patient outcomes. IMPACTT™ leverages the platform and distributed medical simulation modules described below.

IMPACTT™ Team Trainers deliver high-fidelity, low bandwidth virtual simulations for medical teams training in austere to definitive care environments, including Emergency Room (ER), and Prolonged Casualty Care (PCC). Both military and civilian virtual patients and environments are included, with over 150 medical interventions available to learners. IMPACTT™ also includes an innovative Instructor and Assessment tablet that automatically tracks team performance.

IMPACTT™ On-Site, IMPACTT Remote, and IMPACTT Anywhere Team Trainers enable learners to train in-person, virtually, and/or join training sessions from remote locations using their own PCs.

IMPACTT™ On-Site Team Trainer is a commercially available product that seamlessly integrates Vcom3D’s Compact Core (Blue Box) with a PC-based Virtual Patient System and ten (10) Android tablets for Learner Participants, Medical Equipment Simulations, Lab Reports, and Instructor Control and Assessment. Learner tablets enable students to perform such roles as physician, nurse, technician, or respiratory technician, and to carry out over 150 interventions, the results of which are displayed on both the learner tablets and a large screen shared view. Training sessions can be configured by the instructor to include the appropriate virtual medical equipment tablets, selected from a Patient Monitor, Field Ventilator, Hospital Ventilator, Triple Infusion Pump, and/or Urine Gauge. Third Party Task Trainers may be used with IMPACTT™ On-Site Team Trainer for hands-on patient treatment.

IMPACTT™ Remote (Virtual) Team Trainer links geographically remote sites to train participants as a team. The software application includes the same capabilities as IMPACTT™ On-site system, but is PC based for all participants. The instructor’s location also includes an Instructor Station consisting of a PC, Compact Core (Blue Box) and an Instructor/Assessment tablet. Training Sessions are initiated on Microsoft Teams® or Zoom.

IMPACTT Remote Setup

IMPACTT™ Anywhere (Hybrid) Team Trainer enables remote learners to participate in training sessions on the IMPACTT™ On-Site Team Trainer. For example, a remote learner may take the role of Respiratory Technician and treat the patient and interact with the ventilator settings. This hybrid setup links remote learners with On-Site teams, enabling team training regardless of location.

Learner & Instructor Tablets

For each scenario, a learner assumes a role such as Physician, Nurse, Technician, or Respiratory Tech. The learner tablets enable each provider to perform interventions that are displayed on both the learner tablets and the virtual patient shared view.

Instructor Tablet includes tabs for Scenario Control and Learner Assessment. The module automatically records and displays each learner action while treating the patient. The instructor may also note the use of team communication and appropriateness of the actions.

Virtual Equipment

Learners interact with virtual medical equipment, including a ventilator, patient monitor, triple IV pump, urine gauge, and lab reports. Each item of equipment is simulated on a standard touch screen tablet and includes a graphical user interface that functions like the actual medical device.


Compact Core

Vcom3D Compact Core includes computer hardware, a wireless router, power sourcing equipment (PSE), and embedded MoHSES core software. The pre-loaded software includes the simulation engine, module manager, and BioGears® physiology engine.

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