The pandemic’s historical challenge has forced the international academic community to design new learning strategies, explore teaching methods, and develop skills through digital education. Particularly in medical education, early hands-on training is vital for the development of clinical skills. Remote simulations pose an innovative opportunity to encourage reflection on performance and transfer knowledge towards a demonstrable experience. The objective of this study was to develop and assess a remotesynchronous simulation experience. The study considered a quantitative approach with a descriptive and cross-sectional design. The sample consisted of 54 fourth-year medical students enrolled in a distance course on respiratory pathophysiology. The strategy was implemented through remote-synchronous simulations of 90 minutes using a videoconference platform. Students experienced the images, sounds, voices, and tension of an emergency room setting. The process considered 3 phases: 1)Design 2) Implementation 3)Reflective moment. To assess the experience, students were asked to participate in a survey with a 5-point Likert scale, where 5 depicts a more favorable response. Results show that students believe adapting to the remote-simulation was easy (3.92), and participating in the innovation was satisfactory for them (4.70). This remote-synchronous simulation of an emergency room for medical students provided a significant learning experience and a space for reflection that was highly valued for students. It is essential to highlight that it was easy to implement for the faculty members, and it was a low-cost alternative to offer early training experience amid the pandemic. This model may be transferable for other contexts and professions to enrich training in blended-learning formats. Keywords: Educational innovation, medical education, remote-simulation, pandemic adaptations, distance learning