The ABCDE method, used internationally to treat seriously ill patients, is a complex skill that is commonly trained in face-to-face-courses. In the abcdeSlM game, used as a preparation for these courses, players treat patients in a virtual emergency department. We applied the Four Component Instructional Design theory to redesign the existing game. In this article, we describe how the components of this instructional design theory can be applied to a serious game for medical education
