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Artificial Airway

University of Pennsylvania School of Nursing

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...

Fundamentals
Medical/Surgical

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Medical/Surgical
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway Management, anemia, Artificial airway, clinical evaluation, cough, fever, hemorrhagic stroke, mechanical ventilation, oxygen therapy, patient monitoring, respiratory assessment, stroke, tracheostomy, tracheostomy care, vital signs assessment,

Heat Stroke Pain Management in an Adult

Mount Saint Mary's University

The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...

Fundamentals
Medical/Surgical

The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Medical/Surgical
Author: Mount Saint Mary's University
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: alternative pain relief, dehydration, discomfort evaluation, electrolyte imbalance, emergency department, headache, Heat stroke, medication administration, nursing intervention, pain management, patient assessment,

ICU Clinical Swallow Evaluation—Speech Pathology

University of Delaware College of Health Sciences

The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The learner will complete a case history, oral motor exam, therapeutic PO trials, make recommendations, and complete a FEES study.

Critical Care
Interprofessional

The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The...

Case Information:
Bundles:
Learner Population: Speech-Language Pathologist
Specialty: Critical Care, Interprofessional
Author: University of Delaware College of Health Sciences
Language: English
Room size: 16x13
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: aspiration, Clinical Swallow Evaluation, Dysphagia, Endocarditis, FEES Study, Oral Motor Exam, Prolonged Intubation, septic shock, Speech-Language Pathology, swallow evaluation, Therapeutic PO Trials, Vocal Fold Paralysis,

Pharmacotherapy of Endocarditis and Septic Shock

University of Pittsburgh School of Pharmacy

A 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their diagnosis on rounds and guide the team’s treatment plan as well as communicate that plan with the patient’s family.

Emergency Medicine

A 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their...

Case Information:
Bundles:
Learner Population: Pharmacy
Specialty: Emergency Medicine
Author: University of Pittsburgh School of Pharmacy
Language: English
Room size: 16x12
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: Antibiotic Stewardship, diagnosis, emergency department, Endocarditis, hypotension, infective endocarditis, interdisciplinary team, interprofessional team, patient education, Pharmacotherapy, pharmacotherapy care plan, Pharmacy, prosthetic mitral valve, septic shock,

Women’s Health, UG Nursing—Prenatal, Intrapartum, and Newborn Care

St. John Fisher University, Wegmans School of Nursing

Tonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special focus on identifying and discussing SDOH for UG nursing students enrolled in a women’s health course. During each phase the student team will complete an...

Community/Public Health
Maternal and Child Health (MCH)
SDOH

Tonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, Maternal and Child Health (MCH), SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 13x15
Setting: Maternity Unit, Other
Patient ect:
Patient Gender: Female
Tags: discharge planning, Discussion-Based, Intrapartum care, Labor progress, Newborn stabilization, nursing assessment, OB Clinic, prenatal care, SDOH (Social Determinants of Health), therapeutic communication, women's health,

PCC Severe Traumatic Brain Injury

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including bilateral lower extremity amputations. The learner should assess the patient, initially recognizing that the cric placed in the field is a false passage. They should...

Critical Care
Emergency Medicine
Surgery
Trauma

PCC Severe Traumatic Brain Injury

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: blast injury, blood resuscitation, brain herniation, cricothyrotomy, endotracheal intubation, lateral canthotomy, multiple patients, palliative care, prolonged casualty care, retrobulbar hematoma, Severe TBI,

PCC Burn Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess the patient and determine TBSA burn. They should upgrade the airway to an endotracheal tube or surgical airway and place the patient on a ventilator....

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

PCC Burn Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female
Tags: airway control, analgesia and anxiolysis, burn management, fluid resuscitation, prolonged casualty care, surgical airway, TBSA calculation, telemedical consult, ventilator management, wound dressing,

PCC Crush Syndrome

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush injury. During the evaluation, the casualty develops compartment syndrome that requires fasciotomy, and rhabdomyolysis with hyperkalemia. The learner should identify hyperkalemia and give appropriate medications...

Emergency Medicine
Surgery
Trauma

PCC Crush Syndrome

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: compartment syndrome, Crush injury, evacuation planning, fasciotomy, hyperkalemia, iv fluids, prolonged casualty care, rhabdomyolysis, sepsis management, teleconsultation,

PCC Sepsis Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation the casualty decompensates into septic shock with hypotension, tachycardia, and prolonged capillary refill. The learner should provide local wound care, debride the wound, administer appropriate...

Critical Care
Emergency Medicine
Surgery
Trauma

PCC Sepsis Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: antibiotic administration, evacuation request, hypotension management, IV fluid bolus, MARC2H3-PAWS-L algorithm, prolonged casualty care, sepsis management, septic shock, teleconsultation, wound debridement,

Virtual Manikin™ — Prolonged Casualty Care (PCC)

VALOR Program

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient. Moderator can choose injury patterns and will have control over the patient's physiology through the scenario. All of the tools from the PCC curriculum are...

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

Virtual Manikin™ — Prolonged Casualty Care (PCC)

PCC Bundle

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient....

Case Information:
Bundles: PCC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: airway interventions, burn management, circulation management, desert, evisceration, hygiene, hypothermia, jungle, MARC2H3-PAWS-L algorithm, massive hemorrhage management, pallor, patient care, prolonged casualty care, resuscitation, teleconsultation, urban warzone, woodlands, wound care,

SDOH Food Insecurity, Women’s Health

St. John Fisher University, Wegmans School of Nursing

Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that “mom never eats.” After obtaining a thorough history using open-ended questions and reviewing the patient’s available lab and imaging results, the patient is identified as...

Community/Public Health
Maternal and Child Health (MCH)
SDOH

Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, Maternal and Child Health (MCH), SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 16x13
Setting: Other
Patient ect:
Patient Gender: Female
Tags: community-based organizations, food insecurity, nutrition discussion, nutritional needs, ob triage, open-ended questions, pica signs, point-of-care testing, pregnant patient, SDOH,

Virtual Manikin™ — Outpatient Soft Skills

SimX

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over the patient's physiology throughout the scenario. The conditions available are obesity, traumatic brain injury, language disorders, Parkinson’s disease, hearing loss, type 2 diabetes, and malnutrition.

Emergency Medicine
Internal Medicine
Neurology
Advanced EMT
Community/Public Health
EMT
Fundamentals
Paramedic
Psychiatry/Mental Health

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Neurology, Advanced EMT, Community/Public Health, EMT, Fundamentals, Paramedic, Psychiatry/Mental Health
Author: SimX
Language: English
Room size: 16x16
Setting: Outpatient Clinic, Other
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory care, communication skills, diabetes management, healthcare simulation, outpatient care, Parkinson's disease, patient assessment, soft skills training, traumatic brain injury, Virtual Manikin,

SDOH Housing Instability

St. John Fisher University, Wegmans School of Nursing

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for 6 months. She does not have access to routine healthcare and is not currently utilizing any social services. The first touchpoint with Maria is at...

Emergency Medicine
Internal Medicine
Community/Public Health
Family Medicine
Medical/Surgical
SDOH

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Community/Public Health, Family Medicine, Medical/Surgical, SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 13x15
Setting: Outdoor, Emergency Department, Other
Patient ect:
Patient Gender: Female
Tags: discharge planning, DKA, health history, Housing Instability, patient education, prenatal care, SDOH, social determinants of health, therapeutic communication, urban encampment,

Critical Care Post-MVA

Southeastern Illinois College

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...

Critical Care
Emergency
Interprofessional

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Critical Care, Emergency, Interprofessional
Author: Southeastern Illinois College
Language: English
Room size: 17x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: blood transfusion, chest tube management, critical thinking, evidence-based practice, hemorrhage control, ICU stabilization, intubation, motor vehicle crash, nursing process, trauma care,

Management of Complications During Laparoscopic Surgery

NYU Langone Health Department of Anesthesiology

The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks. He was placed on BiPAP and transferred to the ICU. The learner will evaluate and facilitate the resuscitation of the patient.

Anesthesiology
Interprofessional
Perioperative

The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks....

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Anesthesiology, Interprofessional, Perioperative
Author: NYU Langone Health Department of Anesthesiology
Language: English
Room size: 12x13
Setting: Operating Room
Patient ect:
Patient Gender: Female
Tags: Albuterol, allergic reaction, anaphylactic shock, anaphylaxis, Anesthesiology, Benadryl, Diphenhydramine, epinephrine, hives, hypotension, medication reaction, shock, Steroids, Tryptase, urticaria, ventilator management, wheezing,

Difficult Client

Georgian College

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital, involuntarily.

Emergency Medicine
Internal Medicine
Family Medicine
Leadership
Psychiatry/Mental Health

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital,...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Leadership, Psychiatry/Mental Health
Author: Georgian College
Language: English
Room size: 20x20
Setting: Other
Patient ect:
Patient Gender: Male
Tags: client interactions, communication, De-escalation, escalating patient behaviors, safety precautions, setting limits,

De-escalation of Agitated Patient

College of St. Scholastica

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and APRNs will work together with an interdisciplinary approach to de-escalate the client.

Emergency
Leadership
Psychiatry/Mental Health

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Leadership, Psychiatry/Mental Health
Author: College of St. Scholastica
Language: English
Room size: 17x17
Setting: Emergency Department
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, interdisciplinary team,

Virtual Manikin™ — SUC Abdominal Pain

VALOR Program

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs, and determine physical exam findings that relate to abdominal complaints. These include ability to change the physical exam features for patient tenderness, ultrasound images, urine...

Emergency Medicine
Internal Medicine
OB/GYN
Family Medicine

Virtual Manikin™ — SUC Abdominal Pain

SUC Bundle

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs,...

Case Information:
Bundles: SUC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: abdominal pain, ambulatory evaluation, small unit care,

Virtual Manikin™ — SUC ENT and Pulmonary

VALOR Program

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs, and determine physical exam findings that relate to common ENT and pulmonary complaints. These include otitis media, peritonsillar abscess, sinusitis, upper respiratory infection, bronchitis, and...

Emergency Medicine
Internal Medicine
Family Medicine

Virtual Manikin™ — SUC ENT and Pulmonary

SUC Bundle

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs,...

Case Information:
Bundles: SUC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, ENT, pulmonary, small unit care,

SUC Ingrown Toenail

VALOR Program

The patient presents to the clinic with toe pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Ingrown Toenail

SUC Bundle

The patient presents to the clinic with toe pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, ingrown toenail, small unit care,

SUC Snake Envenomation

VALOR Program

The patient presents to the clinic with leg pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine
Toxicology

SUC Snake Envenomation

SUC Bundle

The patient presents to the clinic with leg pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Toxicology
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, small unit care, snake bite, venom, wilderness medicine,

SUC Rhabdomyolysis

VALOR Program

The patient presents to the clinic with body aches. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Rhabdomyolysis

SUC Bundle

The patient presents to the clinic with body aches. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, hyperkalemia, rhabdomyolysis, small unit care,

SUC Deep Venous Thrombosis

VALOR Program

The patient presents to the clinic with leg pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Deep Venous Thrombosis

SUC Bundle

The patient presents to the clinic with leg pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, deep vein thrombosis, dvt, lower limb edema, small unit care, vascular ultrasound,

SUC Flank Pain

VALOR Program

Patient presents to the clinic with back pain. Perform a history, exam and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Flank Pain

SUC Bundle

Patient presents to the clinic with back pain. Perform a history, exam and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule...

Case Information:
Bundles: SUC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: abdominal pain, ambulatory evaluation, flank pain, hydronephrosis, kidney stone, nausea, small unit care,