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Created by actual ER physicians, this is not a game for the faint of heart or weak of stomach. If blood makes you feel faint I suggest you keep an ammonia capsule (once know as smelling salts) in your lab coat pocket. The tools for your success are provided by the Legacy people. The scenarios are realistic. The action is believable. The medical equipment and patient complaints are exactly what you would see in every ER in the US. And the interface between you, the patient and the patient care computer is easy to use and accurate.