How to Use Role1 — PFC_EDGE Prolonged / Austere Care Simulator

Please read this entire guide first.

Purpose

This patient care simulator evaluates your ability to manage a deteriorating patient in an austere, resource-constrained environment with delayed evacuation.

It evaluates:

Prolonged stabilization discipline
Serial reassessment and trend recognition
Escalation timing
Teleconsult packaging
Resource allocation under constraint
Cognitive stability during extended autonomous care
Responsible integration of AI as a decision-support adjunct

Overview

In PFC_EDGE, you will complete a dynamic prolonged care simulation using Role1 as a structured decision-support partner.

You will manage a patient from initial presentation through stabilization for transport, patient death, or declared termination of the exercise. Within PFC_EDGE, you may use any resources or reference materials you would normally use, plus Role1.

The scenario will evolve based on your decisions.
There are no scripted time points.
The patient may improve, deteriorate, or die.

Time Expectation

This is a compressed simulation of prolonged care. You are not expected to simulate every hour in real time. Each reassessment interval may represent multiple hours of clinical evolution. Advance time deliberately in meaningful clinical blocks.

Note: You must explicitly request reassessment or time advancement. The simulation will not progress unless you do so. Just say “I am reassessing the patient” or “advance the time”.

Most students complete this exercise in approximately 45–90 minutes of active interaction. The goal is to demonstrate disciplined reassessment across several cycles — not to conduct an endurance exercise.

Finding Things Out About Your Patient

Bedside physical examination findings are released when you examine the applicable body region or system. Just describe the examination — for example, “I examine the chest” or “I listen to both sides of the chest” — and Role1 will report the findings from the patient’s current state.

Only technical diagnostics need an explicit request:

Ultrasound
Laboratory tests
ECG
Radiography

Asking Role1 for guidance is separate from examining the patient. If you want Role1’s advice, ask for it directly (see AI Use Policy below).

Instructions

Step 1 — Select One PFC_EDGE Scenario

Choose one of the following. 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 Role1 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 level of certification (EMT-P, 68W, PA, NP, MD/DO, CCRN, etc.)
Your level of experience (novice, intermediate, experienced)

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: PFC_EDGE is running the simulation, but it is also Role1 — your clinical decision tool within the simulation. If you need guidance, ask. If you need to know what a CPG says or which CPG to use, ask. The point of this simulation is not to give you practice doing PFC; it is to give you practice doing AI-assisted PFC (or not — your decision).

Step 4 — Begin Management

Provide an initial structured assessment including:

Problem list or working diagnoses
Immediate priorities
Initial intervention plan
Monitoring and trending strategy
Teleconsultation and evacuation considerations

Then:

Advance clinical time deliberately.
Reassess explicitly.
Trend vital signs and clinical status.
Document decisions clearly.

You retain full clinical authority.

AI Use Policy

You may:

Ask clinical knowledge questions
Request guideline-aligned reasoning
Use the model to structure documentation
Use the model to help package teleconsult summaries

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 austere care.

Scenario Termination

The scenario ends when:

The patient stabilizes for transport
The patient dies
Or you declare the exercise complete

After Action Report (AAR)

At the end of the simulation, Role1 will automatically generate a full written Prolonged Care After-Action Report (PCAAR) and a download link for your .docx file. Your report will be available immediately.

The report contains no personally identifying information (PII). If you feel comfortable doing so, please send a copy of your PCAAR to prolonged.sim@gmail.com. We want to know how you did! We also encourage you to share how we can improve the tool, your thoughts about your user experience, or any issues you may have encountered. Help us make PFC_EDGE the best prolonged care guided simulator it can be!

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

— The PFC_EDGE Team

Disclaimer: PFC_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.