Simulation. Pilots learn on simulating machines. It has everything to do with reality, but it is a simulation. In fact, all of us learn on simulations. All about learning has to do about simulations, in fact it's symbols, one thing and another thing makes two things, but it represents for real life. But it isn't. Real life includes the desperate cries you describe. But the simulation which involves learning spares that part, like cartoons. Accordingly, you can include anything near death.