Fully integrated with audio/video technology, supports state-of-the-art simulation training aids. Dr. Grant Goold shows us around American River College's new SIM lab unit. The front of the truck serves as a emergency room environment the rear acts as an ambulance. Rosenbauer's customization is shown in our medical mobile simulation training vehicles. We first built three for the SDSIM project in 2011 serving the training nees of rural areas of South Dakota. Since that time we have built simulation vehicles which now serve areas of North Dakota, Nebraska, Montana, North Carolina and now in California.