The surgical skills required to successfully maintain hemostasis, the control of operative blood, requires considerable deliberate practice. Hemostasis requires the deft orchestration of bi-dexterous tool manipulation. We present our approach to computationally emulate both irrigation and bleeding associated with neurotologic surgical technique. The overall objective is to provide a visually plausible, three dimensional, real-time simulation of bleeding and irrigation in a virtual otologic simulator system. The results present a unique simulation environment for deliberate study and practice.