EXONICUS

Medical readiness doesn’t scale. Critical lifesaving skills decay without frequent practice, qualified instructor time is scarce, and organizations lack objective data to understand whether personnel are truly ready. Traditional training is resource-intensive, difficult to deliver consistently across distributed teams, and cannot provide enough repetitions to maintain proficiency at scale.

Exonicus builds medical readiness at scale. MilExTS® delivers immersive, instructorless medical training that enables personnel to practice critical skills repeatedly, anytime and anywhere. The platform combines dynamic patient physiology, automated feedback and after-action review with objective performance data, allowing organizations to train more people, maximize scarce instructor capacity, measure readiness, and continuously improve performance across the enterprise.

Exonicus has progressed from R&D to paid government programs, operational deployments, and an expanding procurement pipeline. The company has secured $13.6M+ in funded programs to date, conducted 1,500+ test sessions and demonstrations, and built active relationships across U.S. defense, NATO, and European organizations. MilExTS® has been deployed in Ukraine with 50 systems supporting 500+ users, while U.S. military and NATO evaluations provide additional field validation. Exonicus also reports 12 ongoing pilots and 100+ hot leads/product-sale requests, demonstrating growing demand as the company transitions toward enterprise procurement and recurring licenses.

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  Exonicus | HealthySimulation.com

  HealthySimulation.com · May 5, 2025

  Exonicus delivers advanced XR trauma training to prepare military, medical, and emergency personnel for high-stress, life-threatening situations. Our mission is to achieve zero preventable deaths giving everyone another tomorrow by making everyone a First Responder with MilExTS®. Using physiologically driven simulations in immersive, scenario-based environments, we build decision-making, procedural accuracy, and readiness. Scalable and cost-effective,

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  Evaluation of virtual reality in trauma training: randomized controlled trial

  RSU

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  Frontiers | Ready Medic One: A Feasibility Study of a Semi-Autonomous Virtual Reality Trauma Simulator

  Frontiers

  IntroductionVirtual reality (VR) technologies have rapidly advanced and offer increasingly higher fidelity visually immersive learning environments. Several ...

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  Feasibility and perceived educational value of extended reality trauma simulation for emergency medical teams in a multinational training context - Advances in Simulation

  SpringerLink

  Background Large-scale civil military medical live simulation exercises such as NATO Centre of Excellence for Military Medicine’s (NATO MILMED COE) Vigorous Warrior (VW) series provide authentic environments to test interoperability and clinical performance of Emergency Medical Teams (EMTs). However, such exercises are resource intensive, logistically demanding, and infrequent, raising challenges for sustained workforce readiness. Extended Reality (XR) has emerged as a complementary modality with potential to extend access to trauma training, reduce costs, and support distributed learning. This study aimed to examine the educational feasibility of XR trauma simulation when embedded in multinational large scale live simulation. Methods We conducted an educational feasibility study during Vigorous Warrior 2024 in Hungary, embedded within NATO MILMED COE’s multinational large scale medical live simulation. Twenty-five EMT members from three countries (physicians, anaesthesiologists, nurses, and radiographers) participated in an XR-based penetrating chest trauma scenario using the MilExTS XR platform (Meta Quest 3 headset). Feasibility outcomes were evaluated across recruitment, implementation, usability, acceptability and perceived educational value using session logs, post-simulation surveys (Likert scales 1–5), and open-ended qualitative feedback. Data were analysed descriptively and thematically, in line with published feasibility frameworks for medical education. Results Recruitment and completion thresholds were fully achieved (100% participation, 100% survey completion). Acceptability was high, with 88% of participants rating XR as good or excellent for trauma training and indicating willingness to use it in future education. Two-thirds (66%) endorsed XR for enhancing teamwork, while 68% valued opportunities for individual decision-making practice in a safe environment. Usability findings were mixed: 56% of participants rated scenario realism as average or below, cited limited physiological fidelity, lack of tactile feedback, headset navigation challenges, and insufficient role differentiation. Qualitative data supported XR’s perceived educational value while identifying areas requiring further technological and pedagogical development. Conclusion XR trauma simulation demonstrated educational feasibility, high acceptability, and perceived learning value when embedded within a complex multinational large scale live simulation exercise. While limitations in realism and interface design remain, XR shows promise as a complementary modality for interprofessional trauma training. Further research should progress to efficacy testing, cost-effective analysis and curricular integration before wider adoption.

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  Exonicus secures €85,000 syndicate investment from LatBAN

  en.ain.ua

  Exonicus has secured an €85,000 syndicate investment from the Latvian Business Angels Network (LatBAN). - AIN