CBRN Sarin Gas Exposure from IED
VALOR ProgramSet in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on the road and recovered an IED that partially detonated, with its nose open and cracked. Unknown to them, it was a rare chemical weapon prototype...
CBRN Sarin Gas Exposure from IED
Set in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on...
CBRN Radiation Accident with Burn Management
VALOR ProgramSet in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a closed room that caught on fire. He suffered extensive burns to the head, face and chest. This patient will require immediate airway management along with...
CBRN Radiation Accident with Burn Management
Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a...
CBRN Opiate Gas Attack
VALOR ProgramSet in the subway environment, the learner responds to the scene after a bombing. The victim is suffering from opiate gas exposure and will require decontamination along with antidote administration.
CBRN Opiate Gas Attack
Set in the subway environment, the learner responds to the scene after a bombing. The victim is suffering from opiate gas exposure and will require...
CBRN Nerve Agent Exposure Field Decontamination
VALOR ProgramThis case is set in the industrial environment. The Learner responds to the scene after there was an explosion and possible exposure to nerve agent. One patient is moderately symptomatic with small pupils and nausea. The patient is tachycardic with a normal blood pressure. A second patient is deceased at...
CBRN Nerve Agent Exposure Field Decontamination
This case is set in the industrial environment. The Learner responds to the scene after there was an explosion and possible exposure to nerve agent....
CBRN Hydrogen Cyanide Exposure
VALOR ProgramSet in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient had significant toxic fume inhalation for a period of time. They develop symptoms of cyanide toxicity. The patient suffers minor traumatic injuries. The patient requires...
CBRN Hydrogen Cyanide Exposure
Set in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient...
CBRN Dirty Bomb Urban Attack
VALOR ProgramSet in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower extremity amputations and will require one tourniquet placement on each leg. The patient will also require decontamination and treatment for exposure.
CBRN Dirty Bomb Urban Attack
Set in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower...
EMS Diabetic Emergency
VALOR ProgramLearner 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...
EMS Diabetic Emergency
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...
EMS Trauma—Stabbing
VALOR ProgramLearner 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...
EMS Trauma—Stabbing
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...
EMS Anaphylaxis with Difficult Airway
VALOR ProgramLearner 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...
EMS Anaphylaxis with Difficult Airway
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...
EMS Pool Accident
VALOR ProgramLearner 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...
EMS Pool Accident
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...
EMS Pediatric Hypovolemic Shock
VALOR ProgramLearner 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...
EMS Pediatric Hypovolemic Shock
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...
EMS Obstetrics Emergency
VALOR ProgramLearner 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...
EMS Obstetrics Emergency
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...
EMS Combative—Suicidal Intent
VALOR ProgramLearner 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...
EMS Combative—Suicidal Intent
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...
EMS Trauma—Electrocution
VALOR ProgramLearner 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...
EMS Trauma—Electrocution
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...
EMS Congestive Heart Failure
VALOR ProgramLearner 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...
EMS Congestive Heart Failure
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...
EMS Pediatric Overdose
VALOR ProgramLearner 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...
EMS Pediatric Overdose
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...
Alcohol Withdrawal, CIWA
Houston VAMolly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she drinks heavily and thinks she passed out drunk. She came to the ER alert and oriented x 3. She is ambulatory but stumbles occasionally. She...
Molly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she...
Suicidal Veteran
Houston VA68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son said that there were empty pill bottles at home, which were the patient's heart/blood pressure medications. However, the patient reports taking only a few pills....
68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son...
Outpatient Clinic Visit
Houston VAPatient presenting is seated, waiting for his appointment to see the physician. The clinic is very busy today and appointment times have been delayed. The patient gets up from his seat and walks to the counter to speak with the participant. He has been waiting to see the physician for...
Patient presenting is seated, waiting for his appointment to see the physician. The clinic is very busy today and appointment times have been delayed. The...
PALS Assessment And Resuscitation
Sacramento VAMCA six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary, and secondary assessment and effectively manage the patient’s clinical condition. This case has two different clinical presentations for the learner to address appropriately. The moderator...
A six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary,...
Adult with Worsening Cough
St. John Fisher University, Wegmans School of NursingA 57-year-old male presents to a primary care clinic with a worsening cough over the past month. Learners need to identify and manage the acute COPD exacerbation and advance the treatment of the patient’s chronic condition according to GOLD criteria. The scenario includes an option for the student to present...
A 57-year-old male presents to a primary care clinic with a worsening cough over the past month. Learners need to identify and manage the acute...
Non-Fatal Suicide Attempt in an Adult
Southeastern Illinois CollegeA 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by her mother. Initially, the participant should perform a mental health assessment for a client in a short-term mental health setting, exhibit professional caring attitude, and...
A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by...
Hepatic Encephalopathy with AMS
Southeastern Illinois CollegeA 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had a change in mood the last day or so and now appears confused. The patient's family reports he had just been treated for a UTI...
A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had...
Interprofessional Gender-Affirming Care in an Adult
George Mason UniversityKatarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t eaten much in the last three days because she’s been sleeping in a friend’s car after being “kicked out” of the house. The RN notices...
Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t...