Advanced Practice Provider

SimX Nursing Bundle
Social Determinants of Health
EMS Bundle
SLS for RN Bundle
Standard Curriculum Bundle
The Virtual Manikin™ Series

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Bundles
SimX Nursing Bundle
Social Determinants of Health
EMS Bundle
SLS for RN Bundle
Standard Curriculum Bundle
The Virtual Manikin™ Series
Learner Population
Specialty
Cardiology
Community Health
Critical Care
Emergency Medicine
Internal Medicine
Neurology
OB/GYN
Pediatrics
Psychiatry
Chiropractics
EMS
Family Medicine
Home Health
Intensive Care
Nursing
Prehospital
Surgery
Trauma
Author
Air Methods
Baylor College of Medicine
Bundle of Rays
Dymstec
Eastern Michigan
Indiana University East SoN
Inselspital
IUPUC
Children's National
Elsevier
George Mason University
Maimonides
Mount Saint Mary
Northshore University Healthcare System
NYU Grossman School of Medicine
Ohio State University
Parker University
SENA
SimX
Southeastern Illinois Univeristy
Sun City
University of Nebraska Medical Center
University of Pennsylvania SoN
Vituity
VR Support Center Europe
Language(s)
Room Size
Setting
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

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:
Learner Population: Advanced Practice Provider, Allied Health Professionals, EMS, Nursing, Physician, Resident
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,

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

Social Determinants of Health

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: Social Determinants of Health
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,

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

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:
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 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...

Emergency Medicine

Chest Pain in the ED (Resuscitation)

Standard Curriculum Bundle

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: Standard Curriculum Bundle
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
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,

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

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:
Learner Population: Advanced Practice Provider, Allied Health Professionals, EMS, Nursing, Physician, Resident
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,

Coarctation

Children's National

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...

Cardiology
Pediatrics

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...

Case Information:
Bundles:
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: Female
Tags: CXR, ED, icu, pediatrics, PGE, respiratory distress,

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

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:
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,

EMS Pediatric Patient

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...

Emergency Medicine

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: Advanced Practice Provider, EMS, Physician
Specialty: Emergency Medicine
Author: SENA
Language: English
Room size: 12x12
Setting: Hospital, Outdoor, Ambulance
Patient ect: Pediatric
Patient Gender: Male
Tags:

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

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:
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,

Inferior STEMI

SimX

A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If...

Emergency Medicine

Inferior STEMI

EMS Bundle

A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...

Case Information:
Bundles: EMS Bundle
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Ambulance
Patient ect: Adult
Patient Gender: Female
Tags: cardiac arrest, cardiogenic shock, cath lab activation, chest pain, fluid resuscitation, heparin, inferior stemi, nitroglycerin side effects, rv infarct, stemi,

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

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:
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,

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

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:
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

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:
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 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: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine, OB/GYN
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

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: 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,

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

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:
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,

Sepsis Care

University of Nebraska Medical Center

The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...

Internal Medicine

Sepsis Care

SimX Nursing Bundle

The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician
Specialty: Internal Medicine
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: abdominal infection, antibiotics, infection, sepsis, septic shock,

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

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:
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,

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...

Emergency Medicine

Shortness of Breath

Standard Curriculum Bundle

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: Standard Curriculum Bundle
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, shortness of breath,

Social Determinants of Health Bundle

SimX

This bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters, learners experience various scenarios that highlight the complex social, environmental, and psychological factors affecting patient health. Each scenario is meticulously crafted to challenge the learner...

Cardiology
Community Health
Critical Care
Emergency Medicine
Internal Medicine
Neurology
OB/GYN
Pediatrics
Psychiatry
Chiropractics
EMS
Home Health
Intensive Care
Nursing
Prehospital
Surgery
Trauma

Social Determinants of Health Bundle

Social Determinants of Health

This bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters,...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Advanced Practice Provider, Allied Health Professionals, EMS, Nursing, Physician, Resident, Chiropractor, Students
Specialty: Cardiology, Community Health, Critical Care, Emergency Medicine, Internal Medicine, Neurology, OB/GYN, Pediatrics, Psychiatry, Chiropractics, EMS, Home Health, Intensive Care, Nursing, Prehospital, Surgery, Trauma
Author: SimX
Language:
Room size:
Setting:
Patient ect:
Patient Gender:
Tags:

Tracheostomy Complications – Occluded Inner Cannula (Fresh Tracheostomy)

NYU Grossman School of Medicine

The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...

Internal Medicine
Intensive Care

The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Internal Medicine, Intensive Care
Author: NYU Grossman School of Medicine
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags:

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

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:
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,

Tracheostomy Complications: Displacement

NYU Grossman School of Medicine

The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for 24 hours. He had a total laryngectomy performed one day prior for laryngeal carcinoma. He required mechanical ventilatory support immediately postoperatively via a #8 cuffed...

Internal Medicine

The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Resident
Specialty: Internal Medicine
Author: NYU Grossman School of Medicine
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: hypoxia, icu, laryngeal carcinoma, laryngectomy, laryngectomy stoma, postoperative, respiratory distress, SICU, tracheostomy,

Tracheostomy Complications: Occluded Inner Cannula

NYU Grossman School of Medicine

In this scenario, the patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia. He underwent percutaneous tracheostomy insertion 2 days ago and requires continued mechanical ventilatory support. The learner is called to the bedside by the MICU nurse due to bright red blood oozing from the...

Internal Medicine

In this scenario, the patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia. He underwent percutaneous tracheostomy insertion 2 days ago...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Resident
Specialty: Internal Medicine
Author: NYU Grossman School of Medicine
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: ards, ENT consultation, pneumonia, TIF, tracheostomy,