Breathe Mobile Solutions


Breathe Mobile Solutions, founded in 2019, is a Finnish software company that develops educational tools for the social and healthcare sector, which are used on smart devices and referred to as mobile simulators. In mobile simulators, users virtually practice realistic patient encounter situations to develop professional skills for real work situations and tasks. These simulators are designed and maintained by professionals in the emergency and nursing fields.

Our company offers globally unique applications, such as BREATHe: Paramedic and BREATHe: Nursing mobile simulators, designed to develop the expertise of professionals and students through realistic medical scenarios. The users of our mobile simulators include secondary education institutions, higher education institutions, and wellbeing services counties in Finland.

Additionally, our mobile simulator is used in the online courses by the Oulu University of Applied Sciences to teach Basic and Advanced Level Emergency Care. Registration for the online course is available on the CampusOnline website when enrollment is open:

Take note that currently all products of Breathe Mobile Solutions are available only in Finnish. We at Breathe are however interested in expanding our products and services to other languages. If you are also interested to see our products in other languages, please be in contact!

See our customer references


Professionals in the field are responsible for the content and pedagogical design of our mobile simulator trainings:

Juha Upola

Chief Executive Officer, medical content production

Firefighter, Paramedic, ALS provider, Master’s Degree Student in Cyber Security

Employed as advanced level paramedic

Janne Halonen

Chairman of the Board, medical content production

Firefighter, Paramedic, ALS provider

Employed as advanced level paramedic

Petri Roivainen

Pedagogical design

Registered nurse, Doctor in Health Sciences

Principal lecturer of Emergency Care in Oulu University of Applied Sciences

Paramedic Mobile Simulator


The tasks in the mobile simulator are designed to be as realistic as possible, and decision-making situations are from everyday life of an emergency care worker. The simulator also allows the practice of rare and demanding situations safely. Tasks are categorized into basic and advanced levels and divided into three main categories::

  • Internal Medicine
  • Neurological
  • Trauma

Each main category has its subcategories. All tasks are designed by emergency care professionals, and correct answers are based on the Finnish official treatment guidelines.

Contact us for more information about the Paramedic mobile simulator or to arrange a demonstration.

The publicly available emergency care mobile simulator, Stay and Play For All, is also downloadable on the App Store and Google Play for Android and iOS devices.

In Stay and Play For All, you can practice the same realistic emergency care tasks as in the organizational version of BREATHe: Paramedic.

The difference in Stay and Play For All compared to the organization's version is that the instructor role is not built into the service. Therefore, a designated instructor cannot create and send emergency care training packages or review the training group's results.

Click here to watch full version

Nursing Mobile Simulator


The tasks in the simulator are designed to be as realistic as possible, reflecting the daily decision-making situations of a nurse's work life. The tasks are separately categorized for practical nurses and registered nurses, simulating typical patient cases in urgent and non-urgent situations in home care and nursing home/ward environments. Regardless of nurse’s level, tasks emphasize systematic patient examination and assessment.

In addition to patient status assessment, tasks include practicing important nursing procedures such as:

  • Medicating the patient
  • Distributing medications according to the medication list
  • Interpreting point-of-care tests
  • Consulting
  • Using a pain pump
  • Making decisions for further treatment

All tasks are designed by nursing professionals, and correct answers are based on the Finnish official treatment guidelines.

Contact us for more information about the Nursing mobile simulator or to arrange a demonstration.


For emergency and nursing professionals and students:
  • Develop and maintain your professional skills by practicing various tasks in a simulation-like and safe manner
  • Unlimited opportunities for learning, anywhere and anytime
  • Confidence in decision-making
  • Familiarity with systematic procedures and correct treatment protocols
  • Practice in dealing with demanding and rare patient cases
  • Game-based learning is proven to be motivating and effective!
For organizations:
  • The organizational version includes a web service that functions as a training and assessment tool. In the web service, instructors can:
    • Form training groups based on one’s location or job tasks
    • Create training packages from a ready-made scenario bank
    • Send training packages to individuals or training groups
    • Review the results of sent tasks
    • Quickly and easily assess your group's expertise and additional training needs
  • Organizations can offer an unlimited amount of training
  • Training is not dependent on time or place; organizational training packages can be completed according to a set schedule
  • No mandatory device purchases; the mobile simulator works on Android and iOS-operated smart devices
  • Pricing based on the number of users in the organization
  • Current use cases for our clients' mobile simulators include pre-tasks, regular training, level testing, orientation training, etc.



The correct answers to tasks are based on a five-stage patient encounter model: initial assessment, immediate life-saving measures, detailed condition assessment, diagnosis/treatment based on symptoms, and repeated condition assessment. The simulator also recognizes the order of operations, and systematicity is assessed according to the cABCDE protocol.


In the simulator, medications are listed by their active ingredients. Additionally, when administering medication, a medication calculation must always be performed. The strength of the active ingredient is indicated, but the user determines how much medicine to administer, whether in milliliters or tablets.


Tasks always display the patient's personal medication, i.e., the patient's medication list and, if necessary, medications to be administered, as well as instructions for administering any necessary medication. In some tasks, the medication to be administered may be the solution to the patient's problem. Some tasks also require the user to distribute the patient's medications into a virtual pill organizer. The user checks the patient's medication list for current medications and doses and distributes the correct doses to the right places in the organizer. The strengths of the medications in use vary, so the task requires precision.


In the simulator, an ECG can be taken from the patient. In addition to examining the ECG, the user must also answer interpretation questions, requiring systematic interpretation of the ECG.


When examining a patient, the simulator automatically completes NEWS scores to assess the patient's condition. In addition, based on verbal response, the user must determine, for example, GCS scores and assess the condition of a stroke patient and the possibility of thrombolytic therapy according to the standardized FAST neurostatus.


The simulator allows for consultation with a doctor. Consultation is carried out according to the ISBAR model. The user must describe the situation and suggest a treatment protocol to the doctor, who either approves or corrects it.


In emergency care tasks, a transport decision naturally must be made. If transport is decided upon, the user must determine whether to transport the patient to primary health care, specialized care, or a university hospital. Each destination has defined treatment capabilities and distance in minutes. The user must also choose whether to make an advance notification to the transport destination and under which transport code the transport will occur. Additionally, it must be determined whether notification to social services or child welfare is needed. Finally, a working diagnosis suitable for the overall situation is always chosen.

Leaving the patient without transport is also possible. In this case, there are additional questions about the conditions of leaving the patient without transport.


On each task, the user must make a decision about the patient's follow-up care and recognize the urgency of care needs based on the patient's symptoms and measurements. Options include:

  • Call emergency services (emergency situation)
  • Call a taxi to the emergency department (requires emergency care, not an emergency)
  • Schedule a doctor's appointment (requires a doctor's assessment, but not emergency care)
  • Monitoring/no action (requires monitoring)

If calling emergency services is decided, the user must answer questions from emergency responders about the patient's background and determine their own working diagnosis of the situation.

When calling for a taxi, the best-suited vehicle for transport (car, stretcher taxi, or accessible taxi) must be determined, along with a working diagnosis of the situation.




"We have found the application and its associated web platform to be an excellent tool for planning the overall performance management of the staff. The application suite provides freedom and opportunities for more flexible training planning and organisation of the trainings from both the employee's and employer's perspectives. We have integrated the application as part of our annual training program and believe that we will diversify its use in the future. Currently, we are considering the application's potential to support the orientation of new employees and the flexible implementation of new care guidelines to the field."


"In my opinion, it is easier to apply methods from the tasks to actual simulations compared to traditional preparatory tasks or trainings. For example, systematically examining each patient and the treatment plans related to each task were much better memorised through the mobile simulator. Additionally, the ability to perform procedures like medication administration, pacing, or cardioversion, etc., on the game’s defibrillator screen was much more useful than learning the theory from traditional text."


"In my opinion, the mobile simulator is a much better way to study for simulations than written assignments. You really have to think about how and how quickly to act in a given task. The simulator taught systematic thinking, speed, and the mindset for working on a diagnosis. It was also good to think about the decision for further treatment. Repeating the tasks was beneficial as it allowed for correcting mistakes made the first time."


"I found game-based learning to be an excellent way to learn systematic examination, reporting, and making working diagnoses! It wasn't just about reading theory; the game brought you closer to real situations and how things are done in practice, even though you couldn't literally do them in practice. I definitely support learning through the mobile simulator!"


"The mobile simulator enabled safe learning in a 'real' situation. There was no need to fear making wrong decisions because it was a simulation and not a real person. The feedback at the end on what should have been done in each order was very good and comprehensive. The feedback also provided confidence in one's actions and conclusions, as well as extensive information on different topics."


"The simulator was a surprising, fresh breeze and a very welcome innovation for completing pre-assignments in emergency care. The idea of studying this way had not crossed my mind, but from the beginning, I have thought that the mobile simulator has been a very useful learning tool before practicing simulations."




If you would like to inquire more about mobile simulators, or discuss the possibility of a trial for your organization, please contact our sales team by email at


If your organization is using the mobile simulator and any problems arise, support requests regarding the use of the product can be sent by email to

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