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Virtual Reality Simulated Patient Encounters

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Scenario Description

Sara Ramirez, a 24-year-old female with a known history of type 1 diabetes, is brought to the emergency department by ambulance after several days of feeling unwell. Family reports that she has been excessively thirsty, urinating frequently, and complaining of abdominal pain, nausea, and fatigue. She admits to missing several insulin doses over the past two days. On arrival, Sara appears lethargic, is tachycardic and hypotensive, and is breathing rapidly with deep, labored respirations consistent. Initial laboratory results are consistent with diabetic ketoacidosis (DKA). The patient requires immediate stabilization with IV fluids, careful monitoring of electrolytes, initiation of insulin therapy, and coordination of care among the emergency team.

This scenario has been designed for a moderatorless experience.

Learning Objectives

1. Recognize the clinical presentation of diabetic ketoacidosis by interpreting patient history, physical assessment findings, vital signs, and laboratory values.
2. Demonstrate safe prioritization of care by initiating fluid resuscitation before insulin therapy and monitoring potassium levels prior to medication administration.
3. Implement evidence-based interventions for DKA, including IV fluids, insulin infusion, electrolyte replacement, and continuous monitoring of glucose and neuro status.
4. Collaborate effectively with the interprofessional team by using SBAR communication during handoffs (EMS to ED, ED to floor).
5. Educate the patient on insulin adherence, sick-day management, and recognition of early signs of DKA to prevent recurrence.

MINIMUM:

OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space

RECOMMENDED:

OS: Windows 10
Processor: Intel Core i7-2300 | AMD FX-4350
Memory: 8 GB RAM
Graphics: Nvidia GeForce GTX 3060
DirectX: Version 11
Storage: 12 GB available space

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