EMS

SimX Nursing Bundle
Social Determinants of Health
CBRN Bundle
EMS Bundle
PCC Bundle
SLS for RN Bundle
SUC Bundle
The Virtual Manikin™ Series

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Bundles
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Social Determinants of Health
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Air Methods
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Bundle of Rays
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Vituity
VR Support Center Europe
Complexity
Advanced Complexity
Moderate Complexity
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Standard Complexity
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: 15x15
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,

Acute Myocardial Infarction

SENA

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are expected to recognize inferior STEMI by history, exam, and EKG, activate cath lab, and start fluids, heparin, and pressors if needed. If the participant does...

Cardiology

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are...

Case Information:
Bundles:
Learner Population: EMS, Nursing
Specialty: Cardiology
Author: SENA
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect: Adult
Patient Gender: Female
Tags: AMI, cardiology, emergency department, emergency medicine, English, inferior stemi, myocardial infarction, Nursing,

Bleeding Control—Office Shooting

Sun City

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm...

EMS
Trauma

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient...

Case Information:
Bundles:
Learner Population: EMS, Nursing, Resident
Specialty: EMS, Trauma
Author: Sun City
Language: English
Room size: 18x13
Setting: Workplace
Patient ect: Adult
Patient Gender: Multiple
Tags: arterial bleeding, arterial hemorrhage, gunshot wound, hemorrhage control, hemorrhagic shock, mass casualty, pressure dressing, tourniquette, venous bleeding, wound packing,

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

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:
Learner Population: EMS
Specialty: Prehospital
Author: VR Support Center Europe
Language: English, Dutch
Room size: 16x16
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,

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...

EMS

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
Specialty: EMS
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect: Adult
Patient Gender: Male
Tags: allergic reaction, allergy, anaphylactic shock, anaphylaxis, cardiac arrest, difficulty breathing, dyspnea, epinephrine, food allergy, peanut allergy,

EMS Anaphylaxis with Difficult Airway

SimX VALOR

Learner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family member says the patient was eating take-out food and suddenly had difficulty breathing. The patient has a known severe peanut allergy. Learner will perform an...

Emergency Medicine
Prehospital

EMS Anaphylaxis with Difficult Airway

EMS Bundle

Learner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 10x10
Setting: Ambulance, Home
Patient ect: Adult
Patient Gender: Female
Tags: Adult, AEMT, als, anaphylaxis, bls, Distributive shock, EMT, Military, Paramedic, prehospital, respiratory distress,

EMS 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,

EMS Combative—Suicidal Intent

SimX VALOR

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The patient refuses to talk to police at the beginning of the case. Police ask the EMS providers to help convince the patient to be transported...

Emergency Medicine
Prehospital

EMS Combative—Suicidal Intent

EMS Bundle

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 16x14
Setting: Ambulance, Home
Patient ect: Adult
Patient Gender: Female
Tags: Alcohol Intoxication, De-escalation, EMT, Firearm Safety, Homicidal Ideation, Military, Paramedic, psychiatric, psychiatry, ptsd, scene safety,

EMS Congestive Heart Failure

SimX VALOR

Learner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on scene, identify the patient's dyspnea and hypoxia, and provide appropriate respiratory support. The patient is in respiratory distress and can speak in only 1-2 syllable...

Emergency Medicine
Prehospital

EMS Congestive Heart Failure

EMS Bundle

Learner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 16x16
Setting: Ambulance, Home
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: AEMT, als, bls, CHF, CPAP, EMT, Flash Pulmonary Edema, heart failure, Left Bundle Branch Block, Military, Nitroglycerine, Paramedic, Pulmonary Edema, respiratory failure,

EMS Diabetic Emergency

SimX VALOR

Learner is called to scene for reports of altered mental status. On arrival, they will find the 35-year-old female patient lying in the front yard who is localizing to pain but otherwise unresponsive. Bystanders gave one dose of naloxone without effect. Learner will perform an initial assessment and history from...

Emergency Medicine
Prehospital

EMS Diabetic Emergency

EMS Bundle

Learner is called to scene for reports of altered mental status. On arrival, they will find the 35-year-old female patient lying in the front yard...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect: Adult
Patient Gender: Female
Tags: AEMT, altered mental status, bls, Diabetic emergency, EMT, hypoglycemia, Military, Paramedic, prehospital,

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...

EMS

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
Specialty: EMS
Author: SimX
Language: English, Spanish
Room size: 15x15
Setting: Home, Ambulance
Patient ect: Adult
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,

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...

EMS

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
Specialty: EMS
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
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,

EMS Obstetrics Emergency

SimX VALOR

Learner will arrive on-scene to find a 26-year-old female patient in the bathroom in the final stage of labor. Learner will perform an initial assessment and identify that delivery is imminent. The Learner will aid in delivery which will proceed in an uncomplicated fashion. The newborn will initially be blue...

Emergency Medicine
OB/GYN
Pediatrics
Prehospital

EMS Obstetrics Emergency

EMS Bundle

Learner will arrive on-scene to find a 26-year-old female patient in the bathroom in the final stage of labor. Learner will perform an initial assessment...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, OB/GYN, Pediatrics, Prehospital
Author: SimX VALOR
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect: Adult, Neonatal
Patient Gender: Male and Female
Tags: abdominal pain, AEMT, als, bls, ems, EMT, field delivery, Military, neonatal resuscitation, newborn, normal delivery, NRP, OB, OBGYN, Obstetrics, Paramedic, prehospital,

EMS Pediatric Hypovolemic Shock

SimX VALOR

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient is suffering from a respiratory illness with fever and vomiting. She recently passed out when trying to stand up. Current vitals are HR 150, BP...

Emergency Medicine
Pediatrics
Prehospital

EMS Pediatric Hypovolemic Shock

EMS Bundle

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Pediatrics, Prehospital
Author: SimX VALOR
Language: English
Room size: 13x10
Setting: Ambulance, Home
Patient ect: Pediatric
Patient Gender: Female
Tags: AEMT, als, bls, EMT, Febrile Illness, Hypovolemic shock, Military, Paramedic, pediatrics, prehospital, sepsis,

EMS Pediatric Overdose

SimX VALOR

Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and identify that the patient ingested some hydrocodone-acetaminophen tablets that belonged to the parent, with an open bottle on the bathroom counter. Learner will recognize signs...

Emergency Medicine
Pediatrics
Prehospital
Toxicology

EMS Pediatric Overdose

EMS Bundle

Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Pediatrics, Prehospital, Toxicology
Author: SimX VALOR
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect: Pediatric
Patient Gender: Male
Tags: AEMT, altered mental status, bls, ems, EMT, Military, Opiate overdose, pals, Paramedic, pediatrics, prehospital, toxicology,

EMS Pool Accident

SimX VALOR

Learner will arrive on-scene to find an 18-year-old male unresponsive patient with a bleeding head wound lying next to a pool in the backyard. Learner should perform an initial assessment, identify no pulses, initiate CPR, apply a defibrillator, and identify the patient is in PEA cardiac arrest. A cervical collar...

Emergency Medicine
Prehospital

EMS Pool Accident

EMS Bundle

Learner will arrive on-scene to find an 18-year-old male unresponsive patient with a bleeding head wound lying next to a pool in the backyard. Learner...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 12x12
Setting: Outdoor, Ambulance, Home
Patient ect: Adult
Patient Gender: Male
Tags: AEMT, Airway Management, BVM, Cervical Collar, cpr, EMT, Manual Ventilation, Military, Near Drowning, Paramedic, respiratory failure, SCI, spinal cord injury, Spinal Precautions,

EMS Prehospital Pediatric Trauma

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, Spanish
Room size: 12x12
Setting: Hospital, Outdoor, Ambulance
Patient ect: Pediatric
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,

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...

EMS

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
Specialty: EMS
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Home, Ambulance
Patient ect: Adult
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 Trauma—Electrocution

SimX VALOR

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the patient just suffered an electrocution injury during a home repair and is now bradycardic secondary to pacemaker failure. The patient also has electric burn injuries...

Emergency Medicine
Prehospital

EMS Trauma—Electrocution

EMS Bundle

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 13x13
Setting: Ambulance, Home
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: acls, Adult, AEMT, als, altered mental status, bls, bradycardia, Cardiac Dysrhythmia, Electrocution, EMT, Heart Block, Military, Paramedic, prehospital,

EMS Trauma—Stabbing

SimX VALOR

Learner will arrive on-scene to find a 19-year-old male patient on the ground after having just been stabbed in the left upper quadrant and left upper back (only visible when rolling patient). Learner will perform an initial assessment and identify that the patient has a bleeding wound to the abdomen...

Emergency Medicine
Prehospital

EMS Trauma—Stabbing

EMS Bundle

Learner will arrive on-scene to find a 19-year-old male patient on the ground after having just been stabbed in the left upper quadrant and left...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 13x13
Setting: Outdoor, Ambulance, Home
Patient ect: Adult
Patient Gender: Male
Tags: Adult, AEMT, als, atls, blood transfusion, bls, EMT, Hypovolemic shock, Military, needle decompression, Paramedic, pneumothorax, prehospital, tension pneumothorax, trauma,

PCC Burn Management

SimX VALOR

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess the patient and determine TBSA burn. They should upgrade the airway to an endotracheal tube or surgical airway and place the patient on a ventilator....

Critical Care
Emergency Medicine
Prehospital
Trauma
Wound Care

PCC Burn Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS, Physician, Resident, Other
Specialty: Critical Care, Emergency Medicine, Prehospital, Trauma, Wound Care
Author: SimX VALOR
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect: Adult
Patient Gender: Female
Tags: airway control, analgesia and anxiolysis, burn management, fluid resuscitation, prolonged casualty care, surgical airway, TBSA calculation, telemedical consult, ventilator management, wound dressing,

PCC Crush Syndrome

SimX VALOR

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush injury. During the evaluation, the casualty develops compartment syndrome that requires fasciotomy, and rhabdomyolysis with hyperkalemia. The learner should identify hyperkalemia and give appropriate medications...

Critical Care
Emergency Medicine
Prehospital
Trauma
Wound Care

PCC Crush Syndrome

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS, Physician, Resident, Other
Specialty: Critical Care, Emergency Medicine, Prehospital, Trauma, Wound Care
Author: SimX VALOR
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect: Adult
Patient Gender: Male
Tags: compartment syndrome, Crush injury, evacuation planning, fasciotomy, hyperkalemia, iv fluids, prolonged casualty care, rhabdomyolysis, sepsis management, teleconsultation,

PCC Sepsis Management

SimX VALOR

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation the casualty decompensates into septic shock with hypotension, tachycardia, and prolonged capillary refill. The learner should provide local wound care, debride the wound, administer appropriate...

Critical Care
Emergency Medicine
Prehospital
Trauma
Wound Care

PCC Sepsis Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS, Physician, Resident, Other
Specialty: Critical Care, Emergency Medicine, Prehospital, Trauma, Wound Care
Author: SimX VALOR
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect: Adult
Patient Gender: Male
Tags: antibiotic administration, evacuation request, hypotension management, IV fluid bolus, MARC2H3-PAWS-L algorithm, prolonged casualty care, sepsis management, septic shock, teleconsultation, wound debridement,

PCC Severe Traumatic Brain Injury

SimX VALOR

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including bilateral lower extremity amputations. The learner should assess the patient, initially recognizing that the cric placed in the field is a false passage. They should...

Critical Care
Emergency Medicine
Prehospital
Trauma
Wound Care

PCC Severe Traumatic Brain Injury

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS, Physician, Resident, Other
Specialty: Critical Care, Emergency Medicine, Prehospital, Trauma, Wound Care
Author: SimX VALOR
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect: Adult
Patient Gender: Female, Male
Tags: blast injury, blood resuscitation, brain herniation, cricothyrotomy, endotracheal intubation, lateral canthotomy, multiple patients, palliative care, prolonged casualty care, retrobulbar hematoma, Severe TBI,