The project
Clinical tools designed for teaching
In everyday clinical work, it becomes clear that scales are not always at hand and rarely come with a way to learn and practise them. ClinEscala was created to meet that need, bringing scales, simulators and clinical cases together in one place, with a simple idea: a scale is easier to learn when, next to the number, you see what it is for, how to interpret that range and which study supports it.
The app organizes each tool in three steps: the data being assessed, the result with a color-coded reading, and the explanation with its references. The mechanical ventilation and capnography simulators let you change parameters and see within 30 seconds how the curves change.
Education and simulation
It is made for studying, practicing and discussing cases. The ventilation curves and capnograms are synthetic and are labeled as such.
Dated evidence
Each tool links to its sources and separates current guidelines from historical documents. Publications from the last six years are prioritized.
No patient data
There are no accounts, ads or analytics. Everything is calculated on the phone and nothing is sent to servers.
Clinical judgment comes first
No score decides an intubation, a discharge or a treatment. The app says so with every result.
Content
11 areas, more than 50 tools
It includes scales such as MRC, NIHSS, Riker SAS, SOFA, APACHE II, HACOR and the modified Tal score; calculations such as the P/F ratio, ROX, MAP, A–a gradient and cardiac output; and labs for ventilation modes (VC-AC, PC-AC, SIMV, PSV, CPAP, S/T and AVAPS) and capnography.
Respiratory support is studied from a single selector: low-flow oxygen therapy, high-flow nasal cannula, noninvasive and invasive ventilation, each with its devices or modes and its evidence.
The app is available in Spanish and English. You change the language with the globe icon on the home screen, and the clinical cases are translated too.
The download is free. The full version includes 600 clinical simulation cases (300 adult and 300 pediatric, at basic, intermediate and advanced levels) and the simulators: US$29.99 as a one-time purchase, with a 3-day free trial.
Tap an area to see its tools. Scales that require permission show their licence and authorship.
Strength, mobility and function2
- MRC Sum Score
- IMS · ICU Mobility ScaleAuthorized by authorUsed with the authors’ permission. © Hodgson C et al. Any research or outcomes published using IMS data must cite: Hodgson C, Needham D, Haines K, et al. Heart Lung. 2014;43(1):19–24.
Neurological assessment11
- Glasgow Coma ScaleAuthorized by authorUsed under licence from the copyright holders. © Sir Graham Teasdale. Spanish translation: Mª Esther Gorjón Peramato, Emergency Nurse, SUMMA 112, Spain.
- NIHSSSource: NINDS/NIH, public domain material. Authorship: Brott T, Adams HP Jr, Olinger CP, et al. Stroke. 1989;20(7):864–870.
- Cincinnati · CPSS
- ASPECTS · anterior circulation
- pc-ASPECTS · posterior circulation
- Modified Rankin
- Hunt and Hess
- Modified Fisher
- ICH Score
- ABCD² · after a TIA
- Dermatomes · sensory points
Sedation, cooperation and delirium3
- Riker SAS
- S5Q · cooperation
- RASS · Richmond Agitation-Sedation ScaleAuthorized by authorUsed with permission of the copyright holders. Richmond Agitation-Sedation Scale (RASS) © 2012 Virginia Commonwealth University, All rights reserved. Original publication: Sessler CN, Gosnell MS, Grap MJ, et al. Am J Respir Crit Care Med. 2002;166(10):1338–1344.
Severity and organ failure4
- Original SOFA
- APACHE II
- Shock index
- Sepsis and septic shock
Respiratory support: O₂, HFNC, NIV and IMV9
- Low-flow oxygen therapy
- High-flow nasal cannula · HFNC
- ROX · HFNC
- HACOR · NIV
- Cardiogenic pulmonary edema · NIV simulation
- Protective IMV · scenarios
- Tobin · RSBI
- Ventilation estimate · PaCO₂
- Airway · tube and tidal volume
Respiratory · assessment9
- P/F · PaO₂/FiO₂
- S/F · SpO₂/FiO₂
- Oxygenation index · OI
- Alveolar–arterial O₂ gradient
- Arterial blood gases · acid–base
- Modified Tal · infants
- CURB-65 · pneumonia
- COPD · GOLD 2026
- BODE index
Burns1
- Burned body surface area
Exercise and cardiovascular rehabilitation2
- Karvonen
- Heart rate reserve
Hemodynamics and vascular risk5
- Cardiac output
- Mean arterial pressure · MAP
- Blood pressure · AHA 2025
- Wells · deep vein thrombosis
- PERC · suspected pulmonary embolism
Neonatal assessment1
- Apgar
Clinical simulation3
- Clinical simulation cases (600)
- Ventilator mode simulator
- Capnography · lab
Preview · ventilation simulator
Move a parameter and watch the curve change
This is a reduced sample of the ClinEscala lab. Change the mode, resistance or rate and see how pressure and flow respond in a passive lung.
Second app · coming soon to the App Store
ClinSim: clinical simulation for nursing
The project’s second app brings the same method to nursing practice: preparing and diluting drugs with their pharmacology in view, reading an electrocardiogram by moving each parameter and training cardiopulmonary resuscitation, applying assessment guides, learning the laboratory tubes and exploring anatomy layer by layer, with 265 clinical cases in adults and children.
It shares ClinEscala’s principles: educational use, references from the last six years, no patient data and a one-time payment of US$29.99 with a 3-day trial. ClinSim’s pages are in Spanish.
What’s new
Latest in ClinEscala and ClinSim
ClinEscala 1.0
Spanish and English throughout the app, 600 simulation cases at three levels; Glasgow, IMS and RASS authorized by their authors, each with its original publication as the first link; and suggestions and bug reports sent directly from the app. Revised bibliography: 2020–2026 evidence with a DOI link to the source document and, shown separately, the original publication of each scale.
ClinSim 1.0
An ECG simulator that explains what each change in the tracing means, a CPR metronome that plays even when the phone is on silent, compression practice in the CPR teaching simulation, and a DOI link on every article in the bibliography. Also includes in-app suggestions and an electrocardiogram without the calibration pulse.
One-time purchase, no subscription
Each app costs US$29.99 as a single payment, with no subscription. In both apps, improvements are free and new content may be offered as an additional purchase, without losing what you already have. Details in the terms of use.
Responsible use. ClinEscala is an educational and support tool for health students and professionals. It is not a medical device and it does not take measurements from the patient: scores are calculated from the data you enter. It does not replace clinical assessment or judgement; check each result with the treating team and your institution’s protocols.
The scales belong to their authors. The app records scores, links to the original publications and respects the terms of use of each one; those with express permission are marked “Authorized by author”.
Authorship
Who develops it
Eric Poblete is the author and developer of ClinEscala. The design, the selection of scales and the content are his own work. Artificial intelligence assistance was used in development, always under his direction and review. That review is not a formal scientific validation, which is why each tool lists its sources. Suggestions and error reports are welcome on the support page.