Stand Alone

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Patient Ect

ACLS Knowledge Update

Air Methods

In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will progress to unstable Vtach, Vfib arrest, and then PEA arrest throughout the case. Learners will work to provide compressions, medications, electrical therapy, and airway interventions...

Emergency Medicine

ACLS Knowledge Update

Stand Alone

In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident, Allied Health Professionals
Specialty: Emergency Medicine
Author: Air Methods
Language: English
Room size: 10x10
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, bls, bradycardia, cardiac arrest, cardioversion, defib, defibrillation, ems, ems cardiac arrest, sinus bradycardia, synchronized cardioversion., ventricular fibrillation, ventricular tachycardia, vfib, vtach,

Air Methods ACLS

Air Methods

This case is designed as a semi-annual refresher to be completed in the time between bi-annual ACLS and BLS recertifications. Participants will work to provide compressions, medications, electrical therapy and airway interventions to cardiac arrest and peri-arrest patients. The setting is a standard ER room with the patient in a...

Emergency Medicine
Prehospital
Trauma

Air Methods ACLS

Stand Alone

This case is designed as a semi-annual refresher to be completed in the time between bi-annual ACLS and BLS recertifications. Participants will work to provide...

Case Information:
Bundles: Stand Alone
Learner Population: EMS
Specialty: Emergency Medicine, Prehospital, Trauma
Author: Air Methods
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, bradycardia, cardiac arrest, cardioversion, chest compressions, epinephrine, rsi, synchronized cardioversion., tachycardia, transcutaneous pacing,

BOR Bronchiolitis

Bundle of Rays

A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize respiratory distress, and escalate oxygen. The patient will decompensate, which requires the learner(s) to call a code blue, support the patient’s airway, suction the airway,...

Emergency Medicine
Pediatrics

BOR Bronchiolitis

Stand Alone

A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine, Pediatrics
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: airway emergencies, bronchiolitis, pals, pediatrics, respiratory distress, shortness of breath,

BOR Postpartum Hemorrhage

Bundle of Rays

This scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care as the situation turns complicated and the patient begins to lose a lot of blood. The learner needs to check if the baby is okay...

OB/GYN

BOR Postpartum Hemorrhage

Stand Alone

This scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: OB/GYN
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: labor and delivery, ob/gyn, postpartum care, pregnancy complications, women's health,

Brief Psychotic Disorders: Mental Health

IUPUC

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the past couple of weeks; in particular, he noticed poor hygiene, bizarre behaviors, and interrupted sleep patterns. He also believes she has auditory and visual hallucinations....

Emergency Medicine
Psychiatry

Brief Psychotic Disorders: Mental Health

Stand Alone

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing
Specialty: Emergency Medicine, Psychiatry
Author: IUPUC
Language: English
Room size:
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: ativan, mental health, nursing students, psych rotation, psychiatric, psychiatric medications, psychosis,

C Diff

Indiana University East SoN

This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...

Internal Medicine

C Diff

Stand Alone

This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: antibiotic side effect, c dif, colitis, counsel, diarrhea, disrobe, doff, don, ppe,

Car Accident (prehospital)

VR Support Center Europe

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...

Prehospital

Car Accident (prehospital)

Stand Alone

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...

Case Information:
Bundles: Stand Alone
Learner Population: EMS
Specialty: Prehospital
Author: VR Support Center Europe
Language: English, Dutch
Room size: 12x12
Setting: Outdoor
Patient ect: Adult
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Cellulitis and PICC line Care Skills

Bundle of Rays

A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and follow medication administration orders. The Learner(s) will also perform a PICC line dressing change procedure which includes, cleaning the area, monitoring for movement of the...

Cellulitis and PICC line Care Skills

Stand Alone

A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty:
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: cellulitis, central line care, dressing care, medication administration,

Chest Pain

Children's National

In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a 15-year-old previously healthy male who developed fever, nasal congestion, rhinorrhea, cough, and malaise 1 week ago. He was seen by his PMD and started on...

Cardiology
Emergency Medicine
Pediatrics

Chest Pain

Stand Alone

In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Emergency Medicine, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: adolescent, cardiology, chest pain, cticu, dyspnea, emergency, malaise, pediatrics,

Chest Pain: ACS

Bundle of Rays

A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and has a cardiac arrest with ventricular tachycardia, which can be seen on the monitor. The learner is expected to evaluate the patient, order and interpret...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

Chest Pain: ACS

Stand Alone

A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, acute coronary syndrome, als, cardiac arrest, cardiology, chest pain, cpr, emergency medicine, myocardial infarction, stemi,

Climbing Accident and Rescue

Air Methods

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived prior to any other first responders. The patient has sustained multiple traumatic injuries and is hemodynamically unstable when the flight crew arrives. The learner must...

Emergency Medicine

Climbing Accident and Rescue

Stand Alone

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident, Allied Health Professionals
Specialty: Emergency Medicine
Author: Air Methods
Language: English
Room size: 12x12
Setting: Outdoor
Patient ect: Adult
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

Desaturation & Bradycardia

Children's National

In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is POD#0 from stitch closure of ASD and patch repair of the VSD. The post-op TEE shows a small residual ASD, no residual VSD, and good...

Cardiology
Pediatrics

Desaturation & Bradycardia

Stand Alone

In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing, Physician, Resident
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: asd, cariology, conoventricular septal defect, infant, patch repair, pediatrics, postoperative, tee, vsd,
Placeholder

Diabetes

Indiana University East SoN

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...

Internal Medicine

Diabetes

Stand Alone

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: blood sugar, diabetes, diabetes counseling, diabetes education, hyperglycemia, hypoglycemia, insulin, insulin injecting, new onset diabetes, poct glucose, subcutaneous insulin, type 2 diabetes,

Epileptic Seizure

Inselspital

A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial assessment during which the patient will show worsening confusion and, eventually, will have a generalized tonic-clonic seizure. The learner must treat the seizure with benzodiazepines,...

Emergency Medicine
Internal Medicine
Neurology

Epileptic Seizure

Stand Alone

A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial...

Case Information:
Bundles: Stand Alone
Learner Population: Physician, Resident
Specialty: Emergency Medicine, Internal Medicine, Neurology
Author: Inselspital
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: epilepsy, headache, seizure, subarachnoid hemorrhage,

Fall in the Hospital

Dymstec

A 78-year-old woman with a history of a stroke is currently admitted with a GI bleed. The learner does a basic nursing assessment including a neurologic exam consistent with previous deficits related to the stroke and leaves the room. While they are absent the patient falls, which requires the learner...

Fall in the Hospital

Stand Alone

A 78-year-old woman with a history of a stroke is currently admitted with a GI bleed. The learner does a basic nursing assessment including a...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty:
Author: Dymstec
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: fall, geriatrics, neuro exam,

GI Bleed

Ohio State University

The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...

Emergency Medicine

GI Bleed

Stand Alone

The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...

Case Information:
Bundles: Stand Alone
Learner Population: Physician, Resident
Specialty: Emergency Medicine
Author: Ohio State University
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: blood transfusion, causes of dizziness, causes of weakness, drowsy, gi bleed, hematemesis, hemorrhagic shock, hypotension, lightheaded, ng tube, pea, resuscitation, tachycardia, weak,

Goals of Care Discussion

Maimonides

In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer, appears frail and very ill, and is in the emergency department requiring BIPAP for respiratory support. The learner must take the role of the emergency...

Emergency Medicine
Internal Medicine

Goals of Care Discussion

Stand Alone

In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer,...

Case Information:
Bundles: Stand Alone
Learner Population: Physician, Resident
Specialty: Emergency Medicine, Internal Medicine
Author: Maimonides
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: communication, geriatrics, goals of care, palliative care, respiratory distress, shortness of breath,

Home Health COVID

University of Nebraska Medical Center

A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...

Internal Medicine

Home Health COVID

Stand Alone

A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Male
Tags: continuity of care, covid, nasal swab, personal protective equipment, shortness of breath, telehealth,

Hypotension post TAA

University of Pennsylvania SoN

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR...

Cardiology
Surgery

Hypotension post TAA

Stand Alone

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Cardiology, Surgery
Author: University of Pennsylvania SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: aneurysm repair, arterial line, hemorrhagic shock, hypotension, lumbar drain, post surgical hypotension, spinal shock,

Intubation of Suspected COVID Patient

Children's National

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to respiratory failure and the patient requires immediate intubation. Learners will start outside the room and receive pre-arrival information of impending respiratory failure. The learner must...

Pediatric

Intubation of Suspected COVID Patient

Stand Alone

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Pediatric
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: congenital heart disease, covid, intubation, pediatric covid, pediatric intubation, pediatric respiratory distress, ppe, respiratory distress, respiratory failure,

Low Cardiac Output Syndrome

Children's National

A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops junctional ectopic tachycardia with a narrow pulse pressure and hypotension. Learners must recognize and diagnose the arrhythmia and provide therapies to improve the cardiac output...

Cardiology
Pediatrics

Low Cardiac Output Syndrome

Stand Alone

A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: arrhythmia, cardiology, hypotension, infant, junctional ectopic tachycardia, neonatal, pediatrics, post op, postoperative,

Lumbar Stenosis

Parker University

A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination including a range of motion, palpation, orthopedic, and neuro evaluation. Following the exam, the learner will formulate a differential diagnosis and have access to xrays...

Chiropractics

Lumbar Stenosis

Stand Alone

A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination...

Case Information:
Bundles: Stand Alone
Learner Population: Chiropractor
Specialty: Chiropractics
Author: Parker University
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Male
Tags: babinski reflex, chiropractic manipulative therapy, chiropractics, dual inclinometer, lateral recumbent treatment, low back pain, lumbar stenosis, mri, neuro exam, spine xray,

Post-Op SVT

Children's National

In this scenario, a 7-day old infant is in the cardiac intensive care unit recovering from a coarctation repair. The patient is intubated with all postoperative lines, drains, etc. and is in hemodynamically unstable supraventricular tachycardia at the beginning of the scenario. The patient has already been given adenosine twice...

Cardiology
Pediatrics

Post-Op SVT

Stand Alone

In this scenario, a 7-day old infant is in the cardiac intensive care unit recovering from a coarctation repair. The patient is intubated with all...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing, Physician, Resident
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Unspecified
Tags: adenosine, arrhythmia, arrhythmia-associated hypotension, cardiology, cardioversion, coarctation repair, icu, infant, postoperative, unstable svt,