Patient safety has been raising global concern due to alarming numbers of medical errors. For patient safety, training of emergency care skills is essential in medical education. Also, the demand for healthcare and a broader health workforce will increase dramatically because of an aging population. Current simulation technologies can meet the challenges but present limited clinical scenarios and lack of medical validation. We have created AbcdeSIM-VR to prepare medical/ health professionals in emergency environments and to be used as a self-directed learning tool for complex skills for experienced clinicians. It allows trainees to gain practical experiences in an immersive virtual environment in their own time and the scenarios can be tailor-made to suit the changing needs of complex treatments. Our objective is to add a tool for custom scenario generation and adapt it to VR environtment, as weel as developing a commercial plan with stakeholders.