Car Accident—Prehospital
XR Support Center EuropeThis 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...
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...
Triage Mass Casualty
XR Support Center EuropeIn this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded street. The scene is divided into hot and warm zones. QRT teams from EMS/Fire/Police/Defense will enter the scene to perform triage. As a mass casualty...
In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded...
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...
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...
Hypotension Post TAA
University of Pennsylvania School of NursingPatient 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...
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...
Bleeding Control—Office Shooting
Sun City SimulationThis 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...
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...
Severe Trauma
Sun City SimulationIn 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...
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...
Shortness of Breath
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...
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...
EMS TCA Overdose
SimXThis 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 TCA Overdose
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...
EMS Anaphylaxis
SimXIn 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 Anaphylaxis
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...
EMS Motor Vehicle Accident
SimXIn 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 Motor Vehicle Accident
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...
EMS MCA Stroke
SimXUpon 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 MCA Stroke
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,...
Pediatric Dysrhythmia (Resuscitation)
SimXIn this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...
In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...
EMS Inferior STEMI
SimXA patient is being 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...
EMS Inferior STEMI
A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...
Chest Pain in the ED (Resuscitation)
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...
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....
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,...
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...
Lumbar Radiculopathy
Parker UniversityA 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized chiropractic evaluation and look through the x-rays available in the EMR. Exams will consist of a range of motion, neuro, orthopedic, and palpation tests including...
A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized...
Spinal Tumor
Parker UniversityA 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a complete range of motion, palpation, orthopedic, and neuro exam. During the testing process, the learner will discover that the patient has been having worsening pain...
A 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a...
Lumbar Stenosis
Parker UniversityA 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination including a range of motion, palpation, orthopedic, and neuro evaluation. Following the exam, the learner will formulate a differential diagnosis and have access to xrays...
A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination...
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...
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...
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...
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...
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...
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...
Sepsis Care
University of Nebraska Medical CenterThe patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...
Sepsis Care
The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...
Prioritization of Multiple Patients
University of Nebraska Medical CenterIn this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....
Prioritization of Multiple Patients
In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...
Primary Care COVID-19
University of Nebraska Medical CenterA 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...
A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...