Operating room
Glioblastoma near the motor strip
Navigation, motor mapping and 5-ALA fluorescence. How much is safe to remove?
Simulation-based medical training
To transform the way
health professionals learn.
Synapse puts students, residents and nurses inside the operating room, the neuro ICU and the stroke code — with a patient whose anatomy and physiology respond to every decision they make. All before the first real patient.
SCORMDelivered as a SCORM course that runs inside HealthStream, so your nurses use the login they already have.
Runs in a web browser. No headset, lab or install. Free pilot through spring 2027 for selected hospitals and schools.
HR88
ABP142/84
ICP24
12interactive cases
40+3D surgical instruments
50+drugs with real effects
100point scored debrief
A sample decision
At the bedside, every decision counts.
A decision from the neuro ICU case. In every Synapse case the learner decides, the patient responds, and the debrief explains why.
Neuro ICU · 02:14
ICP 27 mmHg · CPP 58
Marcus, the night after his subdural hematoma was evacuated. His ICP has crept up to 27, he's bucking the ventilator, and the nurse clamped his drain for a reading. What do you do first?
Inside a case
Three rooms. One patient who reacts to everything.
Operate layer by layer
Scalp, bone, dura and brain are separate tissues. Each one is cut, drilled, opened and closed in the right order, with the right instrument from a tray of 40+.
- Blood and irrigation flow, pool and clot. An arterial bleed spurts.
- CT and MRI slices reflect the surgery as it stands right now.
- About half of operations bring an emergency: air embolism, anaphylaxis, malignant hyperthermia, seizure…
Work the night shift
A full night in the neuro ICU, 21:40 to dawn. Pages from the nurse, a drain to manage, pupils to check, labs, a CT trip and an SBAR call to the attending.
- Brain pressure follows the Monro–Kellie principle.
- Pupils change with herniation. Blood loss drives blood pressure.
- Code blue with 2-minute CPR cycles, rhythm checks, shocks and drugs.
Door-to-needle time in the stroke code
Every choice costs minutes, just as it does from door to needle. Nurses perform the full 15-item NIH Stroke Scale, get the patient through CT and act on the read, check for blood thinners and verify the thrombolytic dose.
- Stroke code, stroke unit, brain bleed and stroke mimic cases.
- Blood pressure targets and anticoagulant reversal, practiced hands-on.
- A 6-page pocket stroke toolkit for the unit.
Learning that sticks
Do. See. Understand. Again.
Videos and slides tell learners what to do. Synapse has them do it, then shows exactly what their choices did to the patient.
- 01
Do
Learners make every decision: instruments, orders, doses and timing.
- 02
See
The patient responds right away on the monitor, the field and the scans.
- 03
Understand
The debrief scores the case out of 100 and explains each mistake in terms of real patient harm.
- 04
Repeat
Fresh patient numbers every run, so nobody memorizes answers. Progress and common mistakes are tracked.
0/ 100
- Burr holes placed before the flap was turned
- Mannitol given while ICP was over 22
- Bipolar on the dural sinus: in a real patient this risks major venous bleeding and air embolism
- Dura tacked up before closing
The case library
Twelve cases, from the first incision to the first hour.
Operating room
Acute subdural hematoma
Trauma craniotomy, the bleeding source and the bone-off decision.
Operating room
Malignant MCA infarction
Decompressive hemicraniectomy with expansile duraplasty.
Neuro ICU
Night shift in the neuro ICU
The drain, the pressure and the pupils, from 21:40 to dawn.
Hospital program
The stroke code
NIH Stroke Scale, imaging and thrombolysis against the clock.
Start here
Acute epidural hematoma
Emergency temporal craniotomy, from the first mark to the last staple.
- Acute epidural hematoma
- Acute subdural hematoma
- Glioblastoma
- Spinal cord tumor
- Malignant MCA infarction
- External ventricular drain
- Lateral lumbar fusion (OLIF)
- Neuro ICU night shift
- Stroke code
- Stroke unit
- Brain bleed code
- Stroke mimic
For hospitals
A stroke program your nurses will actually finish.
- Stroke code, stroke unit, brain bleed and stroke mimic
- Sold as a SCORM course for HealthStream: upload it, assign it, and completions land on each nurse's transcript. No new logins for staff.
- Automatic stroke education records for each nurse, as PDF and CSV
- No patient data. Every case uses fictional patients.
For schools
Operating-room practice without the operating room.
- 7 operations plus a full night in the neuro ICU
- Educator classes, progress tracking and certificates
- Practice anytime in a browser, with no lab, cadaver or equipment needed
- FERPA-aware privacy for student records
For hospitals · SCORM
Built to run in HealthStream.
Hospitals buy Synapse as a SCORM course for HealthStream. Your education team adds it like any other course, and your nurses take it with the HealthStream login they already use.
- 01
We send it
Your licensed SCORM 1.2 package: the whole stroke program, or one case at a time.
- 02
You upload it
Add it to HealthStream as a course. It takes a few minutes, and we walk your team through it.
- 03
Nurses take it
Assign it to a unit or a class. Nurses open it in HealthStream, with no separate account to make.
- 04
Results come back
Completion, score, pass or fail and time spent go to each nurse's HealthStream transcript.
Not on HealthStream? The same package works in any learning system that accepts SCORM 1.2.
Why Synapse
More than a click-through module.
SynapseTypical e-learning
Hands-on 3D operations, step by step✓—
A live patient: blood pressure, brain pressure, drugs✓—
Complications that strike mid-case✓—
Fresh patient numbers every run✓—
Each mistake explained in terms of patient harm✓—
Plugs into HealthStream (SCORM)✓✓
Certificates and education records✓✓
Pricing
Annual pricing, quoted for you.
Schools
Per studentBilled yearly
A written quote for your program, built around your class sizes and term.
Get a school quoteHospitals
Per employeeBilled yearly
A written quote for your units, built around your staff and your learning system.
Get a hospital quoteFree through spring 2027
Selected hospitals and schools join at no cost. We set you up, walk your team through a live demo and track results with you.
Apply for the pilotAbout Synapse
Where learning meets the bedside.
Our vision
To transform the way health professionals learn.
Our mission
To make learning engaging, interactive, and practical for real-world healthcare.
Our four core values
Engagement
Learners do the work themselves instead of watching someone else do it.
Practicality
Real protocols, real instruments and the decisions nurses and doctors actually face.
Impact
Habits that carry over to the bedside, where they protect real patients.
Accessibility
Runs in a web browser, anytime, with no lab, headset or equipment needed.
Why the name Synapse?
Synapse represents the connection between learning and application. When we hear "synapse," we think of three words: connection, learning, application.
ConnectionLearningApplication
Our team
Built by people who know the bedside.
Clinical, technical and marketing leadership working toward one goal: training that carries over to real patients.
01CEO
Eddie Rogers
Chief Technology Officer
02Co-CEO
Godwin Kiwuwa, LPN
Chief Clinical Officer
03Co-CEO
Pippala Balaji
Chief Marketing Officer
Talk to us
See Synapse with your team.
Book a live 30-minute walkthrough, or tell us how many learners you have and we'll send a written quote.
- We reply within one business day
- No patient data is ever needed
- Pilot spots are limited