Turn your iPad into a realistic, interactive patient monitor

Made for film/TV production, medical education and simulation training. Version 2.0 rebuilds all 64 scenarios with more accurate heart rhythms, adds new monitor sounds, seven screen themes and tools made for filming.

EKG Simulator 2.0 showing ECG leads II, I and V, pleth and respiration traces, with heart rate 80, SpO2 98 and blood pressure 120/80

Key Features

  • More accurate heart rhythms - All 64 scenarios rebuilt, including VT, torsades, atrial flutter, WPW, STEMI, heart blocks and electrolyte disorders
  • 64 adult and paediatric scenarios - From normal rhythms to cardiac arrest, medication effects, electrolyte disorders and age-specific paediatric cases
  • Full monitor screen - ECG leads II, I and V, pleth and respiration waveforms, with heart rate, SpO2, respiration, temperature and blood pressure (NIBP with a reading history)
  • Tap or drag to adjust - Tap a number to open its setup window (value, reset to scenario, alarm limits), or drag it up or down to change it, even mid-take
  • New monitor sounds - A beat tone with every heartbeat that falls in pitch as SpO2 drops, and alarms that use standard monitor patterns. The classic film flatline tone is still there if you want it
  • Monitor keys - START NIBP, SILENCE, FREEZE and MAIN SETUP, plus a power button that switches the monitor off and on
  • Seven screen themes - Original, Simple, Ward, ICU, Transport, Phosphor and Vintage, plus a night mode that dims the screen for dark sets
  • Signal artifacts - Optional 50/60 Hz power-line interference, baseline wander, muscle tremor and poor electrode contact
  • How to use guide - Shown on first launch and available any time from Main Setup

EKG Simulator in cardiac arrest: ventricular fibrillation on the ECG, flat pleth, a red VFIB alarm banner and all vital signs at zero

Free and Premium

EKG Simulator is free to download and try. The free version is a demo; the full app is unlocked with a one-time in-app purchase (Premium). There is no subscription.

Free

  • Normal Sinus Rhythm and Asystole (“Flatline”)
  • A 30-second simulation session each time you open the app

Premium (one-time purchase)

  • All 64 scenarios
  • Unlimited simulation time

Purchases can be restored from inside the app.

Scenario Library (64 scenarios)

Adult Cardiac Rhythms (22 scenarios)

  • Normal Sinus Rhythm, Bradycardia, Tachycardia
  • Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardia, Junctional Rhythm, Wolff-Parkinson-White Syndrome
  • Premature Ventricular Contractions (PVCs)
  • 1st Degree, 2nd Degree Type I (Wenckebach), 2nd Degree Type II and 3rd Degree Heart Block
  • Ventricular Tachycardia, Torsades de Pointes, Ventricular Fibrillation, Pulseless Electrical Activity, Asystole
  • Defibrillation Sequence and Return of Spontaneous Circulation
  • Acute Myocardial Infarction (STEMI), Pulmonary Embolism

Medication Effects, Toxicity and Electrolytes (19 scenarios)

  • Beta-Blocker Effect, Calcium Channel Blocker, Digitalis Toxicity
  • Sympathomimetic Drug Effect, Atropine, Adenosine and Amiodarone Effects
  • Opioid Overdose, Cocaine Toxicity, Tricyclic Antidepressant Overdose
  • Dangerous interactions: Beta-Blocker + CCB, Digitalis + Hypokalemia
  • Hyperkalemia (Early and Severe), Hypokalemia, Hypocalcemia, Hypercalcemia, Hypomagnesemia
  • Hypothermia

Adult Medical Conditions (1 scenario)

  • Septic Shock

Paediatric Scenarios (22 scenarios)

  • Age-appropriate vital signs for six age groups: Neonate, Infant, Toddler, Preschool, School Age and Adolescent
  • Conditions such as neonatal SVT and bradycardia, infant respiratory distress, toddler fever and dehydration, preschool asthma, school-age sepsis, and adolescent panic attack, drug overdose and anorexia with bradycardia

EKG Simulator scenario browser with a search field and scenarios grouped into categories such as Basic rhythms, Arrhythmias and Heart blocks

Why Choose EKG Simulator?

For Film & TV Production:

  • Stage mode hides the keys and leaves only the monitor on screen; press and hold, or double-tap with two fingers, to bring them back
  • A countdown before a scenario starts lets you cue changes
  • Values can change gradually between scenarios (10–60 seconds), with optional natural variation
  • Set a custom date and time on the monitor for scene continuity
  • SILENCE mutes all sound for 2 minutes, and the power button switches the monitor off on cue
  • Themes follow common bedside-monitor conventions without copying any manufacturer’s brand or layout

For Medical Education:

  • Practise rhythm recognition on realistic, moving waveforms
  • Demonstrate medication effects and dangerous interactions
  • Age-specific paediatric scenarios
  • Cardiac arrest, defibrillation and return of circulation scenarios

For Healthcare Simulation:

  • Change any vital sign live while the scenario runs
  • Alarms with adjustable limits that flash the alarming number and show a message to acknowledge
  • Scenarios that develop over time, with natural variation in the vital signs

Easy to Control

EKG Simulator HR / Pulse setup window opened by tapping the heart rate, with value controls, an HR alarms switch and high and low limits

Tap any number to open its setup window: change the value, reset it to the scenario, or set its alarm limits.

EKG Simulator Ward theme with heart rate and respiration alarms: the HR and RESP numbers flash yellow and an orange alarm banner shows the messages

Alarming numbers flash in the alarm colour, with the alarm limits shown beside each number.

Defibrillation Sequence

V-Fib → Shock → Outcome. Choose before you start whether the shock succeeds or fails. After a successful shock the pulse returns, and breathing starts slow and shallow while SpO2, heart rate and blood pressure improve.

Drug Interactions

Dangerous combinations like the Beta-blocker + CCB Interaction show profound bradycardia (28-42 BPM) with complete heart block and low blood pressure.

Vintage Theme

A generic 1970s–80s bedside monitor for period film and TV: a green CRT trace that fades behind a bright dot, red LED numbers on a front panel, HIGH and LOW alarm lamps, a simple beep and a two-tone alarm buzzer.

EKG Simulator Vintage theme: green fading CRT traces for ECG lead II and pulse above a grey front panel with red seven-segment LED readouts for heart rate, blood pressure 120/80 and SpO2

Technical Excellence

  • Real-time waveform generation - Every P wave and QRS complex is timed and drawn as it happens, swept across the screen like a real monitor
  • Synthesized audio - Every sound is generated in the app, with no recorded audio files
  • Adjustable sweep speed - Separate speed settings for ECG and respiration, and a Humanize slider for breath-to-breath variation
  • Display modes - Normal, Simple and Extended set how many waveforms are shown
  • Categorized scenario browser with search

Important Notice

This application is for entertainment and simulation purposes only. It is NOT intended for medical diagnosis, treatment, or decision-making. Do not use this app in any real medical situation. Consult qualified medical professionals for all health-related decisions.

Download

Download EKG Simulator on App Store

Available on iPad | Requires iPadOS 17.6 or later | Free to try, Premium unlocked with a one-time in-app purchase

EKG Simulator - Professional medical simulation for film, TV and training.