(Cavazza, 2003) The appearance of the patient varies according to his or her vital signs during the coronary emergency.  The input to this appearance includes the patient’s Heart Rate (HR) and Mean Arterial Pressure (MAP).  Complimentary examinations reveal other parameters.  For example, if a cardiac catheterization is performed, the trainee can obtain Pulmonary capillary pressure (Pcap).
	Instructions to the virtual nurses are performed via speech recognition using a simple command language.  This language is comprised of a simple command language and its parameters.  For example, a command might be “Inject drug {Drug name, dosage}”.
	An initial state of clinical conditions is given to begin the event.  These conditions propagate to a reaction set of symptoms requiring diagnosis.  When a treatment is given, the symptoms are updated until a steady state is reached.