neoSim by Nicutools

neoSim by Nicutools is an interactive neonatal resuscitation simulator designed for medical students, nurses, midwives, and doctors who want to build and maintain their resuscitation skills outside of the clinical environment.

The simulator models realistic newborn physiology — heart rate, oxygen saturation, temperature, and lung mechanics all respond dynamically to your interventions. There is no script: the baby responds to what you do, and to what you fail to do.

MODES

Tutor — guided coaching with real-time feedback on common errors like inadequate ventilation rate, inappropriate FiO2, slow compression rate, inadequate thermal control

Practice — unguided free practice with full equipment access. Develop fluency and muscle memory and get comprehensive debrief with score.

Challenge — a random scenario scored against a checklist covering seven domains: preparation, ventilation, circulatory support, de-escalation, oxygen management and thermoregulation


SCENARIOS

Term scenarios span mild, moderate, and severe birth asphyxia, antepartum haemorrhage, pneumothorax, sepsis. Preterm scenarios cover infants from 24 to 34 weeks gestation, with lung mechanics and resuscitation thresholds adjusted for gestational age. The manikin proportions scale continuously across the full 24-42 week range. Each scenario generates a unique patient with randomised starting parameters.

Sim Builder lets you design, test, play and share your own custom sims: you set GA and weight, antenatal history, lung disease, starting vitals, cord lactate, Hb and more. You can pre-set a range of initial PIP and PEEP and Flow and FiO2 settings to teach careful equipment set up pre-birth.

EQUIPMENT

Mask ventilation with real-time manometer (PIP and PEEP), endotracheal intubation, umbilical venous catheter with animated insertion, adrenaline and fluid bolus administration, needle decompression for tension pneumothorax, surfactant, supplemental oxygen with blender control (FiO2 21-100%), overhead heater, plastic wrap, and hat.

SCORING

Full post-simulation debrief with breakdown across multiple domains. Category scores highlight specific gaps.

neoSim is informed by NRP and ANZCOR neonatal resuscitation guidelines. It is an educational tool intended to supplement, not replace, formal training and clinical supervision. neoSim is not a medical device and must not be used for clinical decision-making or patient care.