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Language(s)
Room Size
ACLS Knowledge Update
Air MethodsIn 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...
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,
BOR Bronchiolitis
Bundle of RaysA 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,...
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 RaysThis 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...
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,
Chest Pain
Children's NationalIn 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...
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 in the ED
SimXA 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...
Chest Pain in the ED
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,
Chest Pain: ACS
Bundle of RaysA 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...
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 MethodsIn 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...
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,
COVID-19 ED Evaluation
SimXIn 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...
COVID-19 ED Evaluation
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,
COVID-19 Triage
SimXIn this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient comes in with complaints of fever and chills as well as 1 day of coughing. The learner must put on the correct form of PPE,...
COVID-19 Triage
Standard Curriculum Bundle
In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient...
Case Information:
Bundles: Standard Curriculum Bundle
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags:
chills,
cough,
covid,
covid-19,
discharge instructions,
fever,
history,
isolation,
ppe,
triage,
vital signs,
Desaturation & Bradycardia
Children's NationalIn 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...
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,
Epileptic Seizure
InselspitalA 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,...
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,
GI Bleed
Ohio State UniversityThe 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...
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
MaimonidesIn 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...
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,
Hypotension post TAA
University of Pennsylvania SoNPatient 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...
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,
Inferior STEMI
SimXA patient is 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 the...
Inferior STEMI
EMS Bundle
A patient is brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior...
Case Information:
Bundles: EMS 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:
cardiac arrest,
cardiogenic shock,
cath lab activation,
chest pain,
fluid resuscitation,
heparin,
inferior stemi,
nitroglycerin side effects,
rv infarct,
stemi,
Intubation of Suspected COVID Patient
Children's NationalIn 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...
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 NationalA 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...
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,
Post-Op SVT
Children's NationalIn 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...
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 NationalIn 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.
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 Hemorrhage in ED
VituityA 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...
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,
Pulmonary Hypertensive Crisis
Children's NationalIn 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...
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,
STEMI V-Fib Arrest
Ohio State UniversityA 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...
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,
Tracheostomy Complications: Cuff Leak
NYU Grossman School of MedicineIn 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...
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,
Trauma Case 1
Sun CityIn 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...
Trauma Case 1
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,
