The platform behind every scenario
Firsthand Clinical and our safety scenarios run on one engine: a patient model that reacts, scoring against real guidelines, and team sessions on standalone headsets. Formerly known as ICU Training Console.
- HR
- 128bpm
- SpO₂
- 89%
- RR
- 28/min
- NIBP
- 92/58mmHg
Immersive learning that changes what people do
Immersive learning means learning by being there: stepping into the room, making the call and seeing what happens. Immersive training applies that to the jobs where mistakes are costly, such as a ward emergency, a confined space entry or a live electrical panel.
Immersion alone is not the point. What makes it training is the loop: act, see the consequence, get a scored debrief, try again. That is what the platform is built around, in VR, mixed reality and AR. New to the terms? Read XR training explained.
Live patient engine
The patient is a model, not a video. Heart rate, oxygen saturation, breathing, blood pressure and rhythm respond to what the trainee does. Start oxygen and saturation climbs. Miss the deterioration and it keeps falling.
It is the difference between a scenario that waits for the right click and one that behaves like a patient.
Scoring and debrief
Every action is timed and checked against the guideline in the regional pack. The debrief shows what was done, when, what was missed and what to work on next, with a button to run it again.
Where a headset cannot judge something, such as compression depth, the debrief says so and points to the manikin.
Team sessions with roles
Headsets on the same network join one scenario. Assign compressions, airway, defib and drugs, or let trainees call roles themselves. Observers can watch.
Team sessions run on your local network. Remote multiplayer across sites is not available.
Practice mode and assessed mode
Practice mode adds guides: a panel with the next steps, hotspots on the patient and coach marks for things like pad placement. Assessed mode turns them off and scores the run.
Trainees can practise as often as they like before they are assessed.
Mixed reality
Passthrough mode on Meta Quest 3, and HoloLens 2 support, let trainees see their real surroundings while the scenario runs. Bring the scene to them in a classroom, or place it next to a real manikin or trolley for hybrid training.
Regional packs
Australia, USA and Indonesia/Asia packs change the details that make a scenario feel local: uniforms, drug names, units, emergency numbers and the guideline the scoring follows, ANZCOR or AHA.
Languages
English and Indonesian today, across menus, guides, scenario text and debriefs. More languages are planned.
Device support
6DoF and room-scale on every device. Hand tracking or controllers. Deployment and setup
Compatible with Meta Quest 3, PICO 4 Ultra Enterprise, PC VR and Microsoft HoloLens 2. Product names belong to their owners. We are not affiliated with or endorsed by them. Which headset should you choose?
- Illustration
Meta Quest 3
Standalone
- 6DoF
- Standalone
- Hand tracking
- Passthrough MR
- Controllers optional
Our recommended headset for new deployments: VR and mixed reality on one device.
Meta Quest 3 for training - Illustration
PICO 4 Ultra Enterprise
Standalone
- 6DoF
- Standalone
- Hand tracking
- Passthrough MR
- Controllers optional
A strong choice for new deployments, especially for sites standardised on PICO.
PICO 4 Ultra Enterprise for training - Illustration
PC VR
Tethered to a PC
- 6DoF
- Tethered
- Hand tracking, by model
- Controllers
Teams that already own PC VR headsets and a capable PC. Compatible with SteamVR headsets including Valve Index, Steam Frame, Varjo, Pimax and HTC VIVE Pro.
Standalone or tethered? - IllustrationSupported for existing fleets
Microsoft HoloLens 2
Standalone, see-through visor
- 6DoF
- Standalone
- Hand tracking
- Holographic AR
Firsthand began on HoloLens 2 and still supports organisations that own them. Microsoft has ended production, and security updates and support run to the end of 2027, so we recommend Meta Quest 3 or PICO for new deployments.
HoloLens 2 end of life
Also supported: Meta Quest 3S, PICO 4 Ultra, Samsung Galaxy XR, HTC VIVE Focus Vision, Apple Vision Pro, SteamVR headsets including Steam Frame, Magic Leap 2 (existing fleets). All headsets
Scenario library
Clinical scenarios such as ACLS cardiac arrest, STEMI, sepsis and newborn resuscitation sit alongside first aid, confined space, electrical rescue, combat casualty care and EV high-voltage safety.
Browse the library
Connects to your learning systems
Results go where your organisation already keeps training records.
We set this up with your IT team during onboarding.
LTI 1.3
Assign a scenario as an activity in your LMS. Scores and pass or fail go back to the gradebook. Works with LMSs that support LTI 1.3, such as Canvas, Moodle, Blackboard and D2L Brightspace.
xAPI
Step-by-step performance records sent to your learning record store, for debriefs and accreditation evidence.
SCORM package
For hospital and corporate learning platforms that use SCORM.
Single sign-on
Trainees and educators sign in with Microsoft Entra ID or Google.
Coming next
These are on the roadmap, not in the product today. We will not claim them until they ship.
- Coming
Analytics
Cohort-level views of performance across scenarios and time.
- Coming
Browser preview
Try a scenario on a laptop before you put on a headset.
Questions people ask
Do we need a PC to run it?
No. Meta Quest 3 and PICO run scenarios standalone. PC VR is supported if you already have it.
Does it need internet?
Scenarios run on the headset. Team sessions need the headsets on the same local network.
Does Firsthand work with Canvas or Moodle?
Firsthand connects through LTI 1.3, which LMSs such as Canvas, Moodle, Blackboard and D2L Brightspace support. You assign a scenario as an activity, and scores and pass or fail return to the gradebook. We set this up with your IT team during onboarding.
Can results go into our hospital’s learning system?
Yes. Results can go to your learning record store through xAPI, with step-by-step performance records, or into your learning platform through a SCORM package. We set this up with your IT team during onboarding.
Can we build our own scenarios?
There is no self-serve editor today. Custom scenarios and environments are scoped with you.
See it in a headset
Book a 30-minute demo. We will run a scenario live, talk through your training units and scope a pilot that fits your team.
