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EMS Prehospital Pediatric Trauma

Servicio Nacional de Aprendizaje (SENA)

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is confused with recent amnesia, but responds to orders. Two EMS must secure the area, give him first attention, and take him in their ambulance to...

Advanced EMT Emergency Medicine EMT Paramedic Pediatric Trauma

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatric, Advanced EMT, EMT, Paramedic, Trauma
Author: Servicio Nacional de Aprendizaje (SENA)
Language: English, Spanish
Room size: 12x12
Setting: Hospital, Outdoor, Ambulance
Patient ect:
Patient Gender: Male
Tags: ambulance transport, car accident simulation, emergency care protocols, EMS training, first response, fracture management, head injury, medical VR scenario, pediatric emergency, pediatric trauma,

Shoulder Dystocia in a Rural ED

Air Methods

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care...

Emergency Emergency Medicine Maternal and Child Health (MCH) OB/GYN

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: Air Methods
Language: English, French, Korean, Spanish
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: active delivery, high-risk, imminent delivery, labor & delivery, newborn, ob/gyn, postpartum hemorrhage, shoulder dystocia,

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...

Emergency Emergency Medicine Maternal and Child Health (MCH) Neonatology OB/GYN Resuscitation

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:
Learner Population: Nursing, EMS/Prehospital, Interprofessional, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Maternal and Child Health (MCH), Neonatology, Resuscitation
Author: SimX
Language: English, Spanish
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Female, Male
Tags: emergency department, imminent birth, labor and delivery, neonatal, NRP, ob/gyn, ppv,

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 Emergency Medicine Maternal and Child Health (MCH) Neurology OB/GYN

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:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: abdominal pain, eclamptic seizure, ED, emergency department, OBGYN, preeclampsia, pregnant, seizure,

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...

Critical Care Emergency Medicine Geriatric Internal Medicine Surgery

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:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Geriatric, Surgery
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: abdominal pain, ED, emergency department, gallbladder, geriatric, hypotensive, PEA arrest, sepsis, septic shock, tachycardia,

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 OB/GYN

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:
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN
Author: Vituity
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
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,

Shortness of Breath

SimX

In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of breath. The learner must perform a full work up on the patient, develop a differential diagnosis, and treat the patient according to that diagnosis. There...

Cardiology Critical Care Emergency Medicine Internal Medicine

In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: SimX
Language: English, Spanish
Room size: 14x14
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, shortness of breath,

EMS TCA Overdose

SimX

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the patient may have overdosed on medications as she has been depressed since breaking up with her girlfriend last week. The learner can observe several medication...

Critical Care Emergency Medicine Paramedic Toxicology

EMS TCA Overdose

EMS Bundle

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Paramedic, Toxicology
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: abc’s, abnormal ekg, abnormal vital signs, aspiration, ems, intubation, overdose, qrs, respiratory failure, sodium bicarbonate, suicide attempt, tca overdose, toxicology, unresponsive, ventricular tachycardia, wide qrs,

EMS Anaphylaxis

SimX

In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with a known allergy. The learner must give Epi and the patient will improve. However, the patient will require a second dose of epi. If neither...

Advanced EMT Critical Care Emergency Medicine EMT Paramedic

EMS Anaphylaxis

EMS Bundle

In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: allergic reaction, allergy, anaphylactic shock, anaphylaxis, cardiac arrest, difficulty breathing, dyspnea, epinephrine, food allergy, peanut allergy,

EMS Motor Vehicle Accident

SimX

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the ambulance while the patient is on a stretcher with a C collar in place. The patient has blood on his clothes and is screaming in...

Advanced EMT Emergency Medicine EMT Trauma

EMS Motor Vehicle Accident

EMS Bundle

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Trauma
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
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,

EMS MCA Stroke

SimX

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should...

Advanced EMT Emergency Medicine EMT Neurology Paramedic

EMS MCA Stroke

EMS Bundle

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment,...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 15x15
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: 911, door to tpa, ems, ems report, ems stroke, facial droop, fast, mca, prehospital stroke, stroke, stroke protocol, stroke symptoms, stroke team, time is brain, tpa,

Pediatric Dysrhythmia (Resuscitation)

SimX

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...

Cardiology Emergency Emergency Medicine Paramedic Pediatric Resuscitation

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Interprofessional, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Pediatric, Emergency, Paramedic, Resuscitation
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: broselow tape, cpr, defibrillation, pals, pediatric defibrillation, pediatric syncope, pediatrics, syncope, ventricular tachycardia,

Chest Pain in the ED (Resuscitation)

SimX

A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging. The learner must assess the patient's ABCs and provide initial resuscitation. They must then correctly diagnose PE. This case is successfully completed by treating the...

Cardiology Critical Care Emergency Medicine Internal Medicine

A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging....

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: cardiac arrest, chest pain, chest pain in the ed, dyspnea, exertional chest pain, pulmonary embolism, right heart strain, shortness of breath, thrombolytics,

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...

Critical Care Emergency Emergency Medicine Internal Medicine

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:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Emergency
Author: Ohio State University
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
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,