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Virtual Reality Simulated Patient Encounters

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Scenario Description

A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness of breath following severe pneumonia. The patient is sedated and on assist-control ventilation, but despite initial settings, the patient’s condition worsens, with the patient hypotensive and oxygen saturation remaining below the acceptable range despite interventions. Learners will assess a deteriorating, ventilated patient; recognize the signs of worsening ARDS; and initiate, prioritize, and communicate evidence-based interventions to stabilize the patient.

This scenario has been designed for a moderatorless experience.

Learning Objectives

1. Learners will conduct a focused respiratory and hemodynamic assessment on a patient with ARDS to recognize clinical manifestations of worsening hypoxemia and respiratory distress.
2. Learners will initiate evidence-based interventions for ARDS, such as preparing vasopressors or recommending changes in PEEP or positioning.
3. Learners will demonstrate effective communication with the interdisciplinary team (e.g., respiratory therapy, physician) to report findings and collaborate on interventions.
4. Learners will prioritize interventions for a patient with worsening ARDS based on assessment findings to prevent further deterioration.
5. Learners will implement safety protocols related to managing a ventilated patient by checking ETT placement and ensuring a secure airway during the escalation phase.

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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