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ALS preparation · Refresher · Continuous practice

Recognise a rhythm in seconds, without guessing

ALS preparation, recertification or continuous practice — the method is the same. Moving traces, correction at the exact moment of the error, and a record of what you keep getting wrong, so recognition stops depending on memory and starts depending on a sequence.

Start training — it's free See the simulator

No session limit. No card required.

Six questions. Always in the same order.

Nineteen rhythms are not memorised. The same six-question sequence is applied to all of them — and it is the sequence that becomes automatic.

  1. RateCounting is the first move. On its own it rules out a third of the list.
  2. RegularityRegular or irregular: one answer, and half the list falls away.
  3. P waveThe P wave separates what starts in the right place from everything else.
  4. PR intervalConstant, or lengthening beat by beat? This is where the blocks give themselves away.
  5. QRSNarrow or wide. Wide is urgent until proven otherwise.
  6. P–QRS relationshipWhen the relationship between P and QRS breaks, the diagnosis closes.

Each answer halves the field. By the sixth, one rhythm is left. With practice the sequence stops being thought through and starts running on its own.

Why people learn faster here

Not because there is more material. Because the correction is aimed at you, the realism is real, and the path continues past recognition.

It corrects your mistake, not the average one

Every answer is recorded rhythm by rhythm. The platform knows which ones you confuse, how often and how recently — and gives them back to you until they stop failing. Training time goes entirely to what is not yet secure.

Absolute realism

Traces with artefact, different leads, and even different gains and sweep speeds. None of this is decoration: a real monitor rarely delivers the clean line of a textbook, and anyone who only trained on clean traces hesitates at the bedside.

After recognition, the Academy

Naming the rhythm is the first step. The Academy lessons move on to monitoring, interpretation and decision — with cases, tests and a certificate at the end.

The nineteen rhythms you will train

From normal sinus to ventricular fibrillation, including the pairs that are most often confused.

Sinus rhythms

  • Normal Sinus Rhythm
  • Sinus Bradycardia
  • Sinus Tachycardia

Narrow-complex tachycardias

  • SVT
  • Atrial Fibrillation
  • Atrial Flutter

Wide-complex tachycardias

  • Monomorphic VT (with pulse)
  • Monomorphic VT (pulseless)
  • Polymorphic VT
  • Torsades de Pointes

Cardiac arrest rhythms

  • Coarse VF
  • Fine VF
  • Asystole
  • PEA

Atrioventricular blocks

  • First-degree AV block
  • Second-degree AV block, Mobitz I
  • Second-degree AV block, Mobitz II
  • Third-degree AV block

Other

  • Paced rhythm

Knowing them by heart is not the same as recognising them under pressure

Signing up is free and training has no session limit. What changes on the other side is repetition with moving traces, correction at the instant of the error, and a record of what keeps failing so you can go back to it.

Start training — it's free