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Patient Ect

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...

Pediatrics

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: Pediatrics
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,

Mobility and Elimination

University of Nebraska Medical Center

A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...

Internal Medicine

Mobility and Elimination

SimX Nursing Bundle
Stand Alone

A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...

Case Information:
Bundles: SimX Nursing Bundle, Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: ambulation, c diff, diarrhea, gait belt, hip pain, infection, perineal care, physical therapy, post surgery, sequential compression device (scds), thromboembolic deterrent hose (ted hose), wound care,

Pediatric Airway

Air Methods

A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires transfer to a pediatric capable facility. Learners must recognize severe asthma and initiate usual asthma treatment, but the child does not respond to these basic...

Pediatrics

Pediatric Airway

Stand Alone

A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires...

Case Information:
Bundles: Stand Alone
Learner Population: Physician, Resident
Specialty: Pediatrics
Author: Air Methods
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: asthma, ED, hypotension, intubation, pediatrics, refractory asthma, severe asthma, shortness of breath,

Pediatric Asthma Exacerbation

Southeastern Illinois Univeristy

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports having played a football game earlier this week in cold, damp weather. He has a two-day history of a non-productive cough, shortness of breath, and...

Pediatrics

Pediatric Asthma Exacerbation

Stand Alone

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Pediatrics
Author: Southeastern Illinois Univeristy
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: asthma, asthma exacerbation, cough, pediatric asthma, respiratory distress, sbar, shortness of breath, therapeutic communication,

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,

Post-Op: Hypoxia & Hypotension

Children's National

In this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output state with progressive hypotension and hypoxemia. Learners must assess the patient, evaluate the situation, recognize abnormal findings, and respond with appropriate interventions.

Cardiology
Pediatrics

Post-Op: Hypoxia & Hypotension

Stand Alone

In this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output...

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: calcium, cardiology, hlhs, hypotension, hypoxia, infant, inotropy, norwood, pediatrics, post op, postoperative,

Postpartum Depression

Indiana University East SoN

AnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is doing well physically but her sister called the OB/GYN office and shared that she is concerned about AnaLee’s abnormal behavior and lowered mood. They believe...

OB/GYN

Postpartum Depression

Stand Alone

AnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: OB/GYN
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: car seat safety, depression, edinburgh postnatal depression scale, infant bonding, interpreter, postpartum, postpartum depression, spanish speaking,

Postpartum Hemorrhage in ED

Vituity

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and subsequent placenta delivery, the patient becomes hemodynamically unstable from postpartum hemorrhage and requires aggressive resuscitation. If this is performed properly, the patient will improve, if...

Emergency Medicine

Postpartum Hemorrhage in ED

Stand Alone

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: Vituity
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: delivery kit, foley catheter, hemorrhage, hemorrhagic shock, hypotension, massive transfusion protocol, methergine, misoprostol, neonatal crash cart, oxytocin, placental delivery, postpartum hemorrhage, resuscitation, shock, txa, uterine massage,

Precipitous Labor & Neonatal Resuscitation

SimX

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart...

OB/GYN

Precipitous Labor & Neonatal Resuscitation

Stand Alone
Standard Curriculum Bundle

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital...

Case Information:
Bundles: Stand Alone, Standard Curriculum Bundle
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident
Specialty: OB/GYN
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult, Neonatal
Patient Gender: Female, Multiple
Tags: emergency department, imminent birth, labor and delivery, neonatal, NRP, ob/gyn, ppv,

Preeclampsia

University of Nebraska Medical Center

A 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and symptoms of preeclampsia including hypertension, weight gain, and proteinuria on urinalysis. After discussing with the physician, the patient is admitted to the hospital where the...

OB/GYN

Preeclampsia

Stand Alone

A 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: OB/GYN
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: continuity of care, drawing labs, fetal monitoring, hypertension, medication administration, neuro exam, ob/gyn, obstetrics and gynecology, preeclampsia, pregnancy,

Preeclampsia

SimX

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...

Emergency Medicine

Preeclampsia

Stand Alone
Standard Curriculum Bundle

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...

Case Information:
Bundles: Stand Alone, Standard Curriculum Bundle
Learner Population: Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: abdominal pain, eclamptic seizure, ED, emergency department, OBGYN, preeclampsia, pregnant, seizure,

Pulmonary Hypertensive Crisis

Children's National

In this scenario, the patient is a 3-day-old male with a history of obstructed supracardiac TAPVR. He progressively develops a pulmonary hypertensive crisis with decreasing oxygen saturation, elevated heart rate, and decreasing blood pressure. The learner must recognize that the patient is at high risk for a pulmonary hypertensive crisis...

Cardiology
Pediatrics

Pulmonary Hypertensive Crisis

Stand Alone

In this scenario, the patient is a 3-day-old male with a history of obstructed supracardiac TAPVR. He progressively develops a pulmonary hypertensive crisis with decreasing...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: congenital heart disease, hypoxia, inotropy, neonatal cardiac arrest, neonatal hypoxia, neonatal respiratory distress, paralysis, pulmonary hypertensive crisis, sedation, tapvr,

Right L5 Radiculopathy

Parker University

A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized chiropractic evaluation and look through the x-rays available in the EMR. Exams will consist of a range of motion, neuro, orthopedic, and palpation tests including...

Chiropractics

Right L5 Radiculopathy

Stand Alone

A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized...

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, chiropractor, dermatomes, duel inclinometer, extremity pain, low back pain, lumbar spine, musculoskeletal exam, neuro exam, pelvic x-ray, radiculopathy, spine x-ray,

Sepsis

SimX

The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was previously told his gallbladder was bad and needs to be removed. Upon initial assessment, the patient is febrile, tachycardic, and hypotensive. If treated aggressively with...

Emergency Medicine

Sepsis

Stand Alone
Standard Curriculum Bundle

The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was...

Case Information:
Bundles: Stand Alone, Standard Curriculum Bundle
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: abdominal pain, ED, emergency department, gallbladder, geriatric, hypotensive, PEA arrest, sepsis, septic shock, tachycardia,

Severe Trauma

Sun City

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the left arm, having placed them in an extrication C-collar, and initiated a simple mask for oxygen delivery. The patient is moved from a resuscitation room...

EMS

Severe Trauma

Stand Alone

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident
Specialty: EMS
Author: Sun City
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: allergic reaction, allergy, ampicillin, anaphylaxis, deescalation, drug reaction, dyspnea, epinephrine, hives, medication reaction, penicillin, rash, respiratory distress, shortness of breath, urticaria, wheezing,

Spinal Tumor

Parker University

A 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a complete range of motion, palpation, orthopedic, and neuro exam. During the testing process, the learner will discover that the patient has been having worsening pain...

Chiropractics

Spinal Tumor

Stand Alone

A 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a...

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: Female
Tags: chiropractics, dual inclinometer, foot drop, low back pain, mri, neuro exam, reflexes, spine xray, urinary incontinence,

STEMI V-Fib Arrest

Ohio State University

A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The case starts off with an EMS handoff. Their symptoms are progressively worsening since first appearing one hour before; upon arrival at the ED, they are...

Emergency Medicine

STEMI V-Fib Arrest

Stand Alone

A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The...

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: acls, arrhythmia, cardiac arrest, chest heaviness, chest pain, chest pain complications, code blue, defibrillation, stemi, v-fib arrest, ventricular fibrillation, ventricular tachycardia,

Tetralogy of Fallot with Hypercyanotic Spell

Children's National

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...

Pediatrics

Tetralogy of Fallot with Hypercyanotic Spell

Stand Alone

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: baby, CICU, cyanotic, emergency, hypercyanotic spell, infant, nasal cannula, neonatal, pediatrics, tetralogy of fallout, triage,

Tracheostomy Complications: Cuff Leak

NYU Grossman School of Medicine

In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10...

Intensive Care

Tracheostomy Complications: Cuff Leak

Stand Alone

In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing, Physician, Resident
Specialty: Intensive Care
Author: NYU Grossman School of Medicine
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: ards, cuff leak, icu, mechanical ventilation, tracheostomy, tracheostomy complications, tracheostomy exchange, ventilator alarm, ventilator alarms, ventilator care,

Triage Mass Casualty

VR Support Center Europe

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded street. The scene is divided into hot and warm zones. QRT teams from EMS/Fire/Police/Defense will enter the scene to perform triage. As a mass casualty...

Emergency Medicine

Triage Mass Casualty

Stand Alone

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded...

Case Information:
Bundles: Stand Alone
Learner Population: EMS
Specialty: Emergency Medicine
Author: VR Support Center Europe
Language: English, Dutch
Room size: 12x12
Setting: Outdoor
Patient ect: Multiple
Patient Gender: Multiple
Tags: cpr, gun shot wound, hot zone, mass casualty, needle decompress, ppe, scene safety, shooters, tag, terrorist attack, tourniquette, triage, warm zone,