Advanced Critical Care Paramedicine
Move beyond standard protocols by mastering the cellular pathophysiology and receptor-level pharmacology that drive high-stakes clinical decisions in the field.
Like Duolingo, but for Advanced Critical Care Paramedicine. Tomo turns the whole topic into a game you play five minutes a day, until it actually sticks.
A short one: 12 levels across 2 sections, about 24 minutes end to end, roughly 5 days at five minutes a day. It moves through Hemodynamic Precision and Receptor Logic and Metabolic and Neurological Emergencies.
Free forever · No credit card · iPhone & Android

Key ideas in Advanced Critical Care Paramedicine
- Alpha-1 and afterload in heart failure
- Beta-1 and myocardial oxygen demand
- Vascular clamping in low output
- Acidosis and catecholamine structure
- pH threshold for pressor response
- Prioritizing pH correction
- Balancing resistance and demand
- Acidosis and catecholamine efficacy
- Beta-receptor internalization
- Phosphodiesterase inhibitors and cAMP
- pH correction for catecholamine efficacy
- Dosing for downregulated patients
- The peri-intubation window
- Vascular resistance vs myocardial oxygen demand
- Push-dose pressor duration
- Systemic Vascular Resistance (SVR) is clinically estimated by skin temperature and pulse pressure width
You've tried the other tabs
Thirty open tabs. Four facts you actually kept.
You watched. You nodded. By Sunday it was gone.
One answer, then back to scrolling.
Eight weeks. You meant to finish. You didn't.
Tomo gives Advanced Critical Care Paramedicine the Duolingo treatment: levels, streaks, and quick quizzes that test what you just learned. That game loop is what the tabs above never had, so it's the one you actually finish.
Here's what playing it feels like
A real question from this course. Take your best guess.
When ye signal the crew for Beta-1 stimulation, what happens to the heart's oxygen consumption (MVO2)?
Get it right to open this lesson and 11 more in the app.
Where Advanced Critical Care Paramedicine takes you
- 1
Hemodynamic Precision and Receptor Logic
- Receptor Dynamics in Shock
- Ventilatory Strategy for the Crashing Patient
- 2
Metabolic and Neurological Emergencies
- Metabolic Derangements and Cardiac Arrest
- Neuro-Protective Resuscitation
2 sections · 4 units · 12 levels. Built to play, not to enroll.
Tomo is in ChatGPT
Tomo is also a ChatGPT plugin: the same playable courses, built and played inside your chat.
Add Tomo to ChatGPT- What to ask
- “Make me a Tomo course on black holes.” “Turn this chat into a Tomo course.”
- What you get
- Quick questions with instant feedback, hearts and stars, ready to play in about a minute.
- Where it goes
- No sign-up to start. Connect your Tomo account and your streak carries on in the app.
You pick the voice
Advanced Critical Care Paramedicine is taught in the Pirate style: arr, learning be an adventure!. Want a different feel? In the app you can spin up the same topic in any of Tomo's teaching styles. Same facts, totally different vibe.
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Start Advanced Critical Care Paramedicine today.
Download Tomo, search Advanced Critical Care Paramedicine, and play your first lesson in under a minute.