Pre-Hospital Major
Incident Simulator
User Manual
10
Scenarios
Realistic incident scenarios
4
Access Plans
Choose the right plan for you
Aligned
UK Standards
JESIP, NHS Triage & UK Procedures
Lifetime
Access
One-time payment, no subscriptions
What Is This Platform?
The Pre-Hospital Major Incident Simulator is a web-based training tool designed for UK emergency services personnel.
It allows paramedics, technicians, emergency medical technicians, police officers, firefighters, coastguard teams, and student practitioners to practise managing Major Incidents in a safe, realistic learning environment.
The simulator replicates the real decision-making, coordination, and clinical assessment workflows used during large-scale emergencies across the UK. It is aligned with JESIP (Joint Emergency Services Interoperability Principles), NHS triage protocols (Ten-Second Triage / NARU MITT), and UK Major Incident procedures.
Multi-agency simulation for ambulance, fire, and police services
Who Is It For?
- Paramedic students and newly qualified paramedics
- Ambulance technicians and emergency medical technicians
- Emergency Operations Centre (EOC) staff
- Police, Fire, and Coastguard personnel involved in joint exercises
- HART (Hazardous Area Response Team) operatives
- Instructors and training officers delivering Major Incident exercises
- Anyone preparing for Major Incident competencies
What Will I Learn?
- Scene safety assessment and dynamic risk management
- METHANE report completion and Major Incident declaration
- Ten Second Triage (TST) and the Major Incident Triage Tool (MITT)
- Resource requesting and deployment
- Cordon establishment and scene layout
- Multi-agency coordination via JESIP principles
- Radio communications protocol and discipline
- Casualty evacuation and hospital selection
- Command structure (Operational, Tactical, Strategic)
- Time-critical decision-making under pressure
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Previous
Welcome
Access Options & Plans
The platform offers these access tiers:
| Plan | Price | What You Get |
|---|---|---|
| Free Trial | £0 | 60 minutes of actual simulator use. No card. No long-term saved progress, certificates or instructor tools. |
| Individual | £39.99 lifetime | Personal training, unlimited simulations, full library, scoring and debrief, saved progress and updates. Not for paid commercial training. |
| Instructor | £99.99 lifetime | Individual, plus host and facilitate, scenario control, participants, and instructor debrief tools. |
| Training Provider | £249.99 lifetime | Commercial training business. Up to 5 instructors, branding, learner and session management, reporting. |
| Organisation | £749.99 lifetime | Organisations, universities and NHS departments. |
| Enterprise | from £1,499 | Large or multi-site. Enquire only. Not charged online. |
Logging In
- Navigate to the platform URL
- Click Log In on the top navigation
- Enter your email address and password
- If you are a student, enter the access code provided by your instructor — no email required
- Click Sign In
Free Trial
The free trial is £0 and needs no card. On the pricing page, click Start Free Trial and enter your name and email. You get 60 minutes of actual simulator use. The time is not counted from account creation. There is no long-term saved progress, no certificate and no instructor tools. When the time is used up the portal stays open and the simulator locks.
Demo Mode
The demo mode is a publicly accessible preview of the simulator requiring no login. It loads a pre-configured Motorway RTC scenario so you can explore the interface before purchasing. Navigate to /demo or click Try the Demo on the home page.
The Dashboard
After logging in you land on the main dashboard — your control centre for starting simulations, reviewing history, and accessing all platform features.
Operational Conditions
Before starting a simulation, toggle optional Operational Conditions to add realism and complexity:
| Condition | What It Adds |
|---|---|
| Night shift conditions | Reduced visibility and fatigue factors |
| Limited resources available | Fewer ambulances and specialist teams |
| Delayed ambulance response times | Longer waits for requested backup |
| Poor radio communications | Intermittent comms and missed messages |
| High media presence | Press management tasks and public messaging |
| Safeguarding complexity | Vulnerable persons requiring extra considerations |
| Scene safety concerns | Additional or escalating hazards on scene |
| Severe weather impact | Weather-related complications and delays |
| Multi-agency coordination challenges | Communication friction between services |
Scenario Library
Navigate to /library or click Scenario Library from the dashboard. Each card shows the name, complexity badge, setting, and learning objectives. Use the search bar and filters to find scenarios by complexity or setting.
| # | Scenario | Setting | Complexity | Casualties |
|---|---|---|---|---|
| 1 | Motorway Multi-Vehicle RTC | Motorway — M1 J26, Nottingham | Intermediate | 7 |
| 2 | Train Incident at Station | Railway — Northfield, Birmingham | Advanced | 7 |
| 3 | Industrial Explosion (COMAH) | Industrial — INEOS Grangemouth | Advanced | 6 |
| 4 | Chemical Release (CBRN) | Urban — Manchester Arndale | Advanced | 6 |
| 5 | Stadium Crowd Crush | Stadium — Wembley, London | Advanced | 7 |
| 6 | Building Collapse (USAR) | Urban — MediaCityUK, Salford | Advanced | 6 |
| 7 | Rural Coach Crash | Rural — A59, Clitheroe | Intermediate | 6 |
| 8 | Care Home Fire | Care Facility — Seacroft, Leeds | Intermediate | 6 |
| 9 | Coastal Water Rescue | Coastal — Rhossili Bay, Wales | Advanced | 7 |
| 10 | Lake Rescue — Open Water | Reservoir — Ladybower, Peak District | Advanced | 6 |
Simulator Interface
The simulator interface is divided into tabs across the top of the screen:
| Tab | Purpose |
|---|---|
| Scenario | Main view — incident map, briefing, and sidebar controls |
| Custom Scenarios | Your custom-created scenarios ready to launch |
| METHANE | Structured METHANE report form |
| Triage | Casualty list and triage assessment tools |
| Resources | Resource management and deployment |
| Command | Command structure and role assignments |
| MITT | NHS Major Incident Triage Tool — clinician-led triage that follows TST |
| Radio | Live multi-channel radio communications |
| JESIP | Joint Emergency Services Interoperability Principles tools |
| Layout | Scene layout editor for cordons, sectors, and routes |
| Log | Full timestamped incident log of all actions |
| Debrief | Post-incident scoring, feedback, and reflection |
METHANE Reporting
METHANE is the UK standard framework for passing an initial Major Incident report. Complete all seven fields and submit within the first 3 minutes for maximum scoring.
| Letter | Stands For | What to Record |
|---|---|---|
| M | Major Incident | Declare: 'Major Incident declared' or 'Standby' |
| E | Exact Location | Full address, postcode, or grid reference |
| T | Type of Incident | RTC, fire, explosion, chemical, etc. |
| H | Hazards | Current and potential: fuel, chemicals, structural instability |
| A | Access | Best approach route for responding units |
| N | Number of Casualties | Estimated P1, P2, P3 counts |
| E | Emergency Services | Services on scene and those required |
Triage & MITT
Ten-Second Triage Sieve (TST)
Click each casualty on the map or in the Triage tab. Follow the NHS Ten Second Triage card:
- Walking? YES → P3
- Severe bleeding? YES → pressure, tourniquet, packing → P1
- Talking? YES → go to step 4. NO → go to step 5
- Penetrating injury (front or back of torso)? YES → P1. NO → P2
- Breathing? YES → recovery position → P1. NO → Not Breathing (CPR if resources allow)
Major Incident Triage Tool (MITT)
MITT is the clinician-led triage that follows TST. Follow the NHS card in order:
- Catastrophic bleeding? YES → pressure dressing, tourniquet, haemostatic packing → P1
- Walking? YES → P3
- Breathing (open airway if required)? NO → Dead
- Responds to voice? NO → recovery position → P1
- Aged over 2 years? NO → P1
- Breathing rate 12–23? NO → P1
- Heart rate 100 or more? YES → P1. NO → P2
| Category | Colour | Meaning |
|---|---|---|
| P1 — Immediate | Red | Life-threatening — needs immediate intervention |
| P2 — Urgent | Amber | Serious but stable — can wait short term |
| P3 — Delayed | Green | Walking wounded — minor injuries |
| Not Breathing / Dead | Grey/Black | Not breathing after airway opened (TST: Not Breathing; MITT: Dead) |
Resources & Deployment
Open the Resources tab to view and manage all deployed units. Drag resource icons from the dock at the bottom of the map onto the scene to deploy them. Available resource types:
Command Structure
Assign command roles from the Command tab. The UK Major Incident command structure has three tiers:
| Tier | Role | Responsibility |
|---|---|---|
| Strategic | Strategic Command (Gold) | Overall incident strategy, media, resource authorisation |
| Tactical | Tactical Command (Silver) | Coordinating resources and services on scene |
| Operational | Operational Command (Bronze) | Direct management of specific sectors or casualty areas |
Radio Communications
The Radio tab simulates multi-channel TETRA communications. Click a channel to tune in. Incoming messages from EOC, crews, and other services appear in the log. Acknowledge messages with the Acknowledge button — unacknowledged messages are flagged in the debrief.
| Channel | Use |
|---|---|
| Channel 1 — Ambulance | Primary ambulance to EOC and crew comms |
| Channel 2 — Fire | Fire service coordination |
| Channel 3 — Police | Police liaison and cordon management |
| Channel 4 — HART | Hazardous Area Response Team comms |
| Channel 5 — EOC | Emergency Operations Centre direct line |
JESIP Principles
The JESIP tab guides you through the five principles of Joint Emergency Services Interoperability:
Scene Layout
Open the Layout tab to draw cordons and mark access routes on the map. Use the drawing tools to place:
| Tool | Purpose |
|---|---|
| Inner Cordon (Red) | Hot zone — immediate area around the hazard. Entry by HART / specialist teams only |
| Outer Cordon (Orange) | Warm zone — controlled access for emergency services only |
| Access Route (Green arrow) | Designated approach route for responding units |
| Egress Route (Blue arrow) | Designated exit route for casualties and vehicles |
| CCS Marker | Casualty Clearing Station location |
| Rendezvous Point | RVP for incoming resources to report to |
Incident Log
The Log tab records every action you take with a timestamp: METHANE submissions, triage decisions, resource deployments, radio messages, cordon drawings, and casualty evacuations. This log is used by the debrief scoring engine and can be reviewed after the simulation ends.
Debrief & Scoring
After clicking End Simulation, the Debrief tab opens automatically. You receive a score out of 100 and a grade from A to F, broken down into nine weighted categories:
| Category | What Is Scored | Weight |
|---|---|---|
| Triage Accuracy | TST against the expected category and MITT against the NHS card | 20% |
| JESIP Joint Working | Principles applied, JDM cycle, working strategy, IIMARCH brief, decisions logged with rationale and action | 20% |
| METHANE Quality | Completeness and speed of the M/ETHANE message | 15% |
| Triage Speed | Time to first triage and time per casualty | 10% |
| Command & Control | Operational Commander identified, functional roles assigned | 10% |
| Resource Management | Resources requested and deployed | 10% |
| Safety | Proportion of actions flagged as unsafe or incorrect | 5% |
| Evacuation | Casualties evacuated, P1 first | 5% |
| Communication | Radio calls acknowledged and transmissions made | 5% |
| Grade | Score Range | Performance Level |
|---|---|---|
| A | 90–100 | Expert level — instructors should use as benchmark |
| B | 75–89 | Strong performance with minor gaps |
| C | 60–74 | Solid foundation, some areas need development |
| D | 45–59 | Basic competence, structured practice recommended |
| E | 30–44 | Significant gaps, review before reassessment |
| F | Below 30 | Significant review required before assessment |
Instructor Dashboard
Accessible from the portal for Instructor, Training Provider, Organisation and Enterprise licences. The Instructor Dashboard is for hosting and facilitating a session. It is not included in the free trial or the Individual licence.
Key Features
Live Learner Monitoring
See all active learners, their current simulation progress, score, and last action in real time
Live Injects
Send 7 types of dynamic injects: casualty deterioration, new incident, resource failure, weather change, media pressure, bystander interference, and multi-agency complication
Screen Sharing
Broadcast your simulation screen to learners for group debrief or demonstration
Scenario Control
Pause, reset, or end any learner simulation remotely
Admin Code Manager
From the dashboard admin panel, generate and manage student access codes. Each code grants a learner access to the platform without requiring a purchase. You can view usage status, revoke codes, and generate batches for group sessions.
Custom Scenario Builder
Navigate to Custom Scenarios from the dashboard or simulator interface to build your own scenarios. The builder wizard has five steps:
Glossary
| Term | Definition |
|---|---|
| METHANE | Major Incident — Exact Location — Type — Hazards — Access — Number of Casualties — Emergency Services |
| JESIP | Joint Emergency Services Interoperability Principles |
| TST | Ten-Second Triage — rapid primary sieve for mass casualty incidents |
| MITT | NHS Major Incident Triage Tool — clinician-led triage that follows TST |
| HART | Hazardous Area Response Team — specialist paramedic team for hot zone entry |
| HEMS | Helicopter Emergency Medical Service |
| CCS | Casualty Clearing Station — forward treatment area |
| RVP | Rendezvous Point — where responding units report on arrival |
| EOC | Emergency Operations Centre — ambulance control room |
| COMAH | Control of Major Accident Hazards — regulations for industrial sites |
| CBRN | Chemical, Biological, Radiological, Nuclear |
| USAR | Urban Search and Rescue |
| Operational/Tactical/Strategic | UK command levels for major incidents (also known as Bronze/Silver/Gold) |
| P1/P2/P3 | Triage priority categories: Immediate / Urgent / Delayed |
Troubleshooting & FAQ
Common Issues
The map is black or not loading
Your browser may not support WebGL. Switch to Chrome or Edge on a desktop. Ensure hardware acceleration is enabled in browser settings.
I cannot log in
Check your email and password. If using a student access code, paste the full code without spaces. Contact your administrator if the problem persists.
My simulation progress was lost
Simulations are saved automatically. Refresh the page and log back in — your simulation will be listed on the dashboard under 'Continue'.
Casualties are not appearing on the map
Ensure you are on the Scenario tab. Scroll the map to the incident location. If using a custom scenario, confirm it was saved before launching.
The debrief shows a lower score than expected
Common causes: METHANE submitted late, triage sieve stopped to treat a casualty, no cordons drawn, or radio messages not acknowledged.
I cannot access the Instructor Dashboard
Instructor tools need an Instructor licence (£99.99) or above. The free trial and Individual licence do not include them.
Custom scenarios launch as a demo
Ensure you click 'Start Simulation' from the My Scenarios card — not 'Try the Demo'. Custom scenarios are full live simulations.
FAQs
Is there a mobile app?
No. The platform is web-based and runs in any modern browser. Tablet use is supported; phone screens are too small for the full interface.
Can I use the platform offline?
No. An internet connection is required for the map tiles, scenario data, and scoring engine. Use the Print or save as PDF button on this page for offline reference.
How long does a simulation take?
Typically 20–45 minutes depending on scenario complexity and how thorough you are. There is no time limit.
Is the clinical content validated?
Triage follows the NHS England Ten Second Triage and Major Incident Triage Tool cards (April 2023), and joint working follows the JESIP Joint Doctrine. The simulator is a training aid and does not replace your organisation's policies or an assessed command course.
Can I run the simulator with a group?
Yes, with an Instructor licence (£99.99) or above. That adds host and facilitate, scenario control, participants, and instructor debrief tools. Training Provider (£249.99) covers a commercial training business with up to 5 instructors.
How do I report a bug or suggest a feature?
Use the Contact page or email contact@theprehospitalclassroom.co.uk with details of the issue including your browser, device, and what you were doing when it occurred.