How to Use FoxTwo — CCT_EDGE Transport Simulator

Please read this entire guide first, then read the student instructions.

Purpose

This simulation evaluates your ability to manage a critically ill or injured patient during pre-transport stabilization and rotary-wing transport in a resource-constrained environment.

It evaluates:

Preflight stabilization discipline
Transport readiness assessment
Recognition of time-sensitive pathology
Decision-making under time pressure
Management during patient movement and flight
Ventilation, oxygenation, and hemodynamics in transport
Packaging and monitoring strategy
Responsible integration of AI as a clinical decision-support tool

Overview

In CCT_EDGE, you will complete a dynamic transport simulation using FoxTwo as both:

Simulation engine
Clinical decision-support tool

You will manage a patient from initial bedside assessment through stabilization for transport, in-transit management, or clinical deterioration. The patient may improve, deteriorate, or die based on your decisions. There are no scripted time points.

Time Model

This is a time-compressed simulation of transport care. Each reassessment represents a clinically meaningful interval.

Time will NOT advance unless you explicitly request it. You must clearly signal transitions such as:

“I reassess the patient”
“Advance time”
“We load the patient”
“We take off”

The simulation responds only to your actions.

Instructions

Step 1 — Select a Scenario

Choose one scenario. The vignette for your scenario will be shown to you in the app:

Easy
Hard
Peds

Step 2 — Open the App and Start a New Session

Open the FoxTwo link and start a new session. Do not reuse an existing session.

Step 3 — Enter Your Certification and Experience Level

Before the scenario begins, the app will ask for:

Your certification level
Your critical care transport experience level

This step applies to scenarios. If you chose clinical decision support without a scenario, there is no Step 3 — the tool opens straight away and you ask your question.

Important: FoxTwo is running the CCT_EDGE simulation engine. FoxTwo is also functioning as your clinical decision-support tool. You may ask clinical questions, request guideline-based reasoning, and use it to structure your thinking. This simulation evaluates AI-assisted critical care transport decision-making.

Step 4 — Begin Management

Provide an initial structured assessment including:

Problem list or working diagnoses
Immediate priorities
Transport readiness assessment
Initial intervention plan
Monitoring strategy
Contingency planning

Then:

Reassess explicitly
Advance time deliberately
Track trends
Document decisions clearly

You retain full clinical authority.

AI Use Policy

You may:

Ask clinical knowledge questions
Request guideline-based reasoning
Use the model to structure documentation

You must NOT:

Delegate decision authority
Assume interventions occurred without stating them
Allow AI to replace your structured reasoning

This simulation evaluates how you integrate AI responsibly in transport care.

Scenario Termination

The scenario ends when:

The patient is stabilized for transport
The patient deteriorates or dies
You declare the exercise complete

After Action Report (AAR) Generation

At the end of the simulation, FoxTwo will automatically generate a full written After Action Report (AAR) and a download link for your .docx file. Your .docx After Action Report will be available immediately.

The report contains no personally identifying information (PII). If you are willing, we ask that you send a copy of your AAR to prolonged.sim@gmail.com. We want to see how you did! We also welcome any feedback; your comments help us make CCT_EDGE the best AI scenario simulator we can so you can save lives.

Your report is deleted along with your scenario when you close your session.

Disclaimer: CCT_EDGE is an educational simulation tool only. Not medical advice. Clinical decisions remain the responsibility of the treating provider and must align with applicable training, supervision, and operational protocols.