Learning objectives

Every pool in Sinus Creek, and what it teaches

22 rhythms and 11 findings across 65 pools and 3 endless runs. Read it as a checklist. The ones you cannot explain out loud are your gaps. Free during the beta, no account.

This list is pulled from the game's own tables, so it is exactly what you play. A pool never announces what is in it, and in a review the game leans toward the rhythms you have been missing, so your own run will favour some of these over others.

Starting Creek

19 pools

Run the water and name it

1

Normal Sinus Rhythm

New here: Normal Sinus Rhythm. 2 stretches.
2

Normal Sinus Rhythm, Sinus Bradycardia

New here: Sinus Bradycardia. 3 stretches.
3

Supraventricular Tachycardia, Sinus Bradycardia, Normal Sinus Rhythm

New here: Supraventricular Tachycardia. 3 stretches.
4

First Degree AV Block, Supraventricular Tachycardia, Normal Sinus Rhythm

New here: First Degree AV Block. 3 stretches.
5

Normal Sinus Rhythm, Sinus Bradycardia, Supraventricular Tachycardia, First Degree AV Block

A review. 4 stretches.
6

Atrial Fibrillation, Normal Sinus Rhythm, Supraventricular Tachycardia

New here: Atrial Fibrillation. 3 stretches.
7

Atrial Flutter, Atrial Fibrillation, Supraventricular Tachycardia

New here: Atrial Flutter. 3 stretches.
8

Second Degree AV Block, Type I (Wenckebach), First Degree AV Block, Atrial Flutter

New here: Second Degree AV Block, Type I (Wenckebach). 3 stretches.
9

Second Degree AV Block, Type II (Mobitz), Second Degree AV Block, Type I (Wenckebach), Atrial Flutter

New here: Second Degree AV Block, Type II (Mobitz). 3 stretches.
10

Normal Sinus Rhythm, Sinus Bradycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz)

A review. 4 stretches.
11

Ventricular Tachycardia, Supraventricular Tachycardia, Second Degree AV Block, Type II (Mobitz)

New here: Ventricular Tachycardia. 3 stretches.
12

Accelerated Idioventricular Rhythm (AIVR), Ventricular Tachycardia, Sinus Bradycardia

New here: Accelerated Idioventricular Rhythm (AIVR). 3 stretches.
13

Third Degree (Complete) Heart Block, Accelerated Idioventricular Rhythm (AIVR), Second Degree AV Block, Type II (Mobitz)

New here: Third Degree (Complete) Heart Block. 3 stretches.
14

Torsades de Pointes, Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR)

New here: Torsades de Pointes. 3 stretches.
15

Ventricular Fibrillation, Torsades de Pointes, Third Degree (Complete) Heart Block

New here: Ventricular Fibrillation. 3 stretches.
16

Normal Sinus Rhythm, Sinus Bradycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz), Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Third Degree (Complete) Heart Block, Torsades de Pointes, Ventricular Fibrillation

A review. 4 stretches.
17

Asystole, Ventricular Fibrillation, Second Degree AV Block, Type II (Mobitz)

New here: Asystole. 3 stretches.
18

Ventricular Tachycardia, Torsades de Pointes, Ventricular Fibrillation, Asystole

A review. 3 stretches.
19

Normal Sinus Rhythm, Sinus Bradycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz), Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Third Degree (Complete) Heart Block, Torsades de Pointes, Ventricular Fibrillation, Asystole

A review. 4 stretches.

The Narrows

19 pools

What you do about it

1

Normal Sinus Rhythm, Sinus Bradycardia

New here: Normal Sinus Rhythm. 2 stretches.
2

Sinus Bradycardia, Normal Sinus Rhythm, Supraventricular Tachycardia

New here: Sinus Bradycardia. 3 stretches.
3

Supraventricular Tachycardia, Sinus Tachycardia, Sinus Bradycardia

New here: Supraventricular Tachycardia. 3 stretches.
4

First Degree AV Block, Supraventricular Tachycardia, Sinus Bradycardia

New here: First Degree AV Block. 3 stretches.
5

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block

A review. 4 stretches.
6

Atrial Fibrillation, Supraventricular Tachycardia, Sinus Bradycardia

New here: Atrial Fibrillation. 3 stretches.
7

Atrial Flutter, Atrial Fibrillation, Atrial Fibrillation with RVR

New here: Atrial Flutter. 3 stretches.
8

Second Degree AV Block, Type I (Wenckebach), Atrial Flutter, Sinus Bradycardia

New here: Second Degree AV Block, Type I (Wenckebach). 3 stretches.
9

Second Degree AV Block, Type II (Mobitz), Second Degree AV Block, Type I (Wenckebach), Ventricular Paced Rhythm

New here: Second Degree AV Block, Type II (Mobitz). 3 stretches.
10

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Fibrillation with RVR, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz)

A review. 4 stretches.
11

Ventricular Tachycardia, Supraventricular Tachycardia, Atrial Fibrillation with RVR

New here: Ventricular Tachycardia. 3 stretches.
12

Accelerated Idioventricular Rhythm (AIVR), Ventricular Tachycardia, Sinus Rhythm with PVCs

New here: Accelerated Idioventricular Rhythm (AIVR). 3 stretches.
13

Third Degree (Complete) Heart Block, Accelerated Idioventricular Rhythm (AIVR), Idioventricular Rhythm

New here: Third Degree (Complete) Heart Block. 3 stretches.
14

Torsades de Pointes, Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR)

New here: Torsades de Pointes. 3 stretches.
15

Ventricular Fibrillation, Third Degree (Complete) Heart Block, Atrial Escape Rhythm

New here: Ventricular Fibrillation. 3 stretches.
16

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Fibrillation with RVR, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz), Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Sinus Rhythm with PVCs, Junctional Escape Rhythm, Third Degree (Complete) Heart Block, Torsades de Pointes, Ventricular Fibrillation, Ventricular Paced Rhythm, Idioventricular Rhythm, Atrial Escape Rhythm

A review. 4 stretches.
17

Asystole, Ventricular Fibrillation, Pulseless Electrical Activity

New here: Asystole. 3 stretches.
18

Ventricular Tachycardia, Torsades de Pointes, Ventricular Fibrillation, Asystole, Pulseless Electrical Activity

A review. 3 stretches.
19

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Fibrillation with RVR, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Second Degree AV Block, Type II (Mobitz), Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Sinus Rhythm with PVCs, Junctional Escape Rhythm, Third Degree (Complete) Heart Block, Torsades de Pointes, Ventricular Fibrillation, Asystole, Pulseless Electrical Activity, Ventricular Paced Rhythm, Idioventricular Rhythm, Atrial Escape Rhythm

A review. 4 stretches.

The Braids

12 pools

The water off the main channel

1

Sinus Tachycardia, Supraventricular Tachycardia

New here: Sinus Tachycardia. 2 stretches.
2

Atrial Fibrillation with RVR, Sinus Tachycardia, Atrial Fibrillation

New here: Atrial Fibrillation with RVR. 3 stretches.
3

Junctional Escape Rhythm, Atrial Fibrillation with RVR, Sinus Bradycardia

New here: Junctional Escape Rhythm. 3 stretches.
4

Sinus Rhythm with PVCs, Junctional Escape Rhythm, Atrial Fibrillation

New here: Sinus Rhythm with PVCs. 3 stretches.
5

Sinus Tachycardia, Atrial Fibrillation with RVR, Junctional Escape Rhythm, Sinus Rhythm with PVCs

A review. 4 stretches.
6

Ventricular Paced Rhythm, Sinus Rhythm with PVCs, Accelerated Idioventricular Rhythm (AIVR)

New here: Ventricular Paced Rhythm. 3 stretches.
7

Idioventricular Rhythm, Ventricular Paced Rhythm, Third Degree (Complete) Heart Block

New here: Idioventricular Rhythm. 3 stretches.
8

Pulseless Electrical Activity, Ventricular Paced Rhythm, Junctional Escape Rhythm

New here: Pulseless Electrical Activity. 3 stretches.
9

Ventricular Paced Rhythm, Idioventricular Rhythm, Pulseless Electrical Activity

A review. 3 stretches.
10

Sinus Tachycardia, Atrial Fibrillation with RVR, Junctional Escape Rhythm, Sinus Rhythm with PVCs, Ventricular Paced Rhythm, Idioventricular Rhythm, Pulseless Electrical Activity

A review. 4 stretches.
11

Atrial Escape Rhythm, Junctional Escape Rhythm, Normal Sinus Rhythm

New here: Atrial Escape Rhythm. 3 stretches.
12

Sinus Tachycardia, Atrial Fibrillation with RVR, Junctional Escape Rhythm, Atrial Escape Rhythm, Sinus Rhythm with PVCs, Ventricular Paced Rhythm, Idioventricular Rhythm, Pulseless Electrical Activity

A review. 4 stretches.

Deep Water

15 pools

Shape, not timing

1

ST Elevation (STEMI), Junctional Escape Rhythm

New here: ST Elevation (STEMI). 2 stretches.
2

ST Depression, ST Elevation (STEMI)

New here: ST Depression. 3 stretches.
3

T Wave Inversion, ST Depression, ST Elevation (STEMI)

New here: T Wave Inversion. 3 stretches.
4

Left Bundle Branch Block, T Wave Inversion, ST Elevation (STEMI)

New here: Left Bundle Branch Block. 3 stretches.
5

ST Elevation (STEMI), ST Depression, T Wave Inversion, Left Bundle Branch Block

A review. 4 stretches.
6

Right Bundle Branch Block, Left Bundle Branch Block, ST Depression

New here: Right Bundle Branch Block. 3 stretches.
7

Left Ventricular Hypertrophy, Right Bundle Branch Block, T Wave Inversion

New here: Left Ventricular Hypertrophy. 3 stretches.
8

Right Ventricular Hypertrophy, Left Ventricular Hypertrophy, Right Bundle Branch Block

New here: Right Ventricular Hypertrophy. 3 stretches.
9

Hyperkalemia, ST Elevation (STEMI), Left Bundle Branch Block

New here: Hyperkalemia. 3 stretches.
10

Left Bundle Branch Block, Right Bundle Branch Block, Left Ventricular Hypertrophy, Right Ventricular Hypertrophy, Hyperkalemia

A review. 4 stretches.
11

Hypokalemia, Hyperkalemia, T Wave Inversion

New here: Hypokalemia. 3 stretches.
12

Hypocalcemia, Hypokalemia, Hyperkalemia

New here: Hypocalcemia. 3 stretches.
13

Hypercalcemia, Hypocalcemia, Hypokalemia

New here: Hypercalcemia. 3 stretches.
14

Hyperkalemia, Hypokalemia, Hypocalcemia, Hypercalcemia

A review. 4 stretches.
15

ST Elevation (STEMI), ST Depression, T Wave Inversion, Left Bundle Branch Block, Right Bundle Branch Block, Left Ventricular Hypertrophy, Right Ventricular Hypertrophy, Hyperkalemia, Hypokalemia, Hypocalcemia, Hypercalcemia

A review. 4 stretches.

The Endless Voyage

3 endless runs

How far can you get

1

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Junctional Escape Rhythm, Atrial Escape Rhythm

Endless. Every rhythm in the tier, in whatever order the water sends them.
2

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Junctional Escape Rhythm, Atrial Escape Rhythm, Atrial Fibrillation with RVR, Second Degree AV Block, Type II (Mobitz), Third Degree (Complete) Heart Block, Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Torsades de Pointes, Ventricular Fibrillation, Asystole

Endless. Every rhythm in the tier, in whatever order the water sends them.
3

Normal Sinus Rhythm, Sinus Bradycardia, Sinus Tachycardia, Supraventricular Tachycardia, First Degree AV Block, Atrial Fibrillation, Atrial Flutter, Second Degree AV Block, Type I (Wenckebach), Junctional Escape Rhythm, Atrial Escape Rhythm, Atrial Fibrillation with RVR, Second Degree AV Block, Type II (Mobitz), Third Degree (Complete) Heart Block, Ventricular Tachycardia, Accelerated Idioventricular Rhythm (AIVR), Torsades de Pointes, Ventricular Fibrillation, Asystole, Sinus Rhythm with PVCs, Pulseless Electrical Activity, Ventricular Paced Rhythm, Idioventricular Rhythm

Endless. Every rhythm in the tier, in whatever order the water sends them.

Now go canoe it

Every line on this list is something you do on the water, not something you read about. Free during the beta, no account.

Play Sinus Creek →

About the game

Sinus Creek is a teaching game. It is not a monitor, it is not a diagnostic tool, and it is not medical advice. It deliberately contains no drug doses. Nothing in it should be used to make a decision about a real patient. Made by OxidativeRN in partnership with Data Divers LLC.

List generated from the game build 85a551a.