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Postoperative Cardiac Emergency

Cleveland Clinic

The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was successfully extubated and has been recovering in the CVICU. Patient is alert, oriented and able to converse with the medical team. Patient reports on initial...

Cardiac/Telemetry Cardiology Critical Care Emergency Emergency Medicine Perioperative Resuscitation Surgery

The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Cardiology, Critical Care, Emergency Medicine, Cardiac/Telemetry, Emergency, Perioperative, Resuscitation, Surgery
Author: Cleveland Clinic
Language: English
Room size: 12x12
Setting: CVICU
Patient ect:
Patient Gender: Male
Tags: acls, advanced cardiac life support, cardiac arrest, Cardiac Emergency, cardiac surgery, Cardiac Tamponade, Critical Care, CVICU, emergency medicine, emergent resternotomy, internal defibrillation, intra-cardiac epinephrine, Medical Simulation, nursing intervention, Nursing Interventions, Post-Surgical, postoperative cardiac emergency, postoperative care, Resternotomy, resuscitation, Surgery Complications, V-Fib, ventricular fibrillation,
Coming Soon

Patient Advocacy in Correctional Nursing

St. John Fisher University, Wegmans School of Nursing

This scenario places Learners in a correctional facility where they must assess an inmate who sustained a head injury during a prison fight. Learners will navigate the complexities of this unique environment, utilizing the TeamSTEPPS protocol to advocate for a thorough neurological assessment, recognizing potential biases, and ensuring proper communication...

Ambulatory Care/Outpatient Services Community/Public Health Leadership SDOH Trauma

This scenario places Learners in a correctional facility where they must assess an inmate who sustained a head injury during a prison fight. Learners will...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Ambulatory Care/Outpatient Services, Community/Public Health, Leadership, SDOH, Trauma
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 10x10
Setting: Infirmary, Prison
Patient ect:
Patient Gender: Male
Tags: correctional nursing, decompensating patient, documentation, head injury assessment, interprofessional communication, neurological assessment, Nursing Interventions, patient advocacy, prison healthcare, resource limitations, security concerns, TeamSTEPPS,
Coming Soon

Interprofessional Medication Error Management and Disclosure

George Mason University

Carmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing nurse who reports that the patient is feeling unwell. Learner(s) will enter the room to assess the patient, identify that she has hypoglycemia from an...

Leadership

Carmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: accountability, apology, error disclosure, error management, healthcare administration, hypoglycemia, insulin error, interprofessional medication, medication error, nursing leadership, nursing simulation, patient communication, Patient Safety, VR Simulation,
Coming Soon

Recognition and Management of Cardiogenic Shock

TriHealth

This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry floor, Learners receive handoff inside the patient's room from the nurse coming off their shift. Upon entering the patient's room, the Learner should actively assess...

Cardiac/Telemetry Cardiology Critical Care

This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Cardiac/Telemetry
Author: TriHealth
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: 'SUSPECT-CS', best practice alert, cardiogenic shock, cardiovascular, clinical skills, Critical Care, healthcare simulation, heart failure, meded, Medical Simulation, nursing care steps, nursing education, patient assessment, patient decompensation, shock management, SimX, telemetry, Virtual Reality, VR training,
Coming Soon

School Nurse—Administration Conflict Resolution

George Mason University

This simulation takes place in a school administrative setting with no requirement to provide clinical care. This simulation is a seated single-player experience. Learners must utilize their conflict resolution skills to navigate two confrontations. The first is an aggressive colleague entering the learner's office and demonstrating combative behavior. The second...

Leadership

This simulation takes place in a school administrative setting with no requirement to provide clinical care. This simulation is a seated single-player experience. Learners must...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Office Building
Patient ect:
Patient Gender: Female, Male
Tags: administrative conflict, advocacy, communication skills, conflict resolution, De-escalation, difficult conversations, healthcare simulation, medical VR, nurse training, nursing education, professional development, school nurse, SimX, virtual reality training, VR Simulation,
Coming Soon

School Nurse—Administrative Coaching

George Mason University

This simulation takes place in the school district environment. Learners will engage in a coaching conversation with Kyson Potts, a nurse who has been in the district for 20 years. Kyson is having performance issues. Learners will need to assess why Kyson is not performing as expected, and develop an...

Leadership

This simulation takes place in the school district environment. Learners will engage in a coaching conversation with Kyson Potts, a nurse who has been in...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Office Building
Patient ect:
Patient Gender: Female
Tags: administrative coaching, closed-loop communication, coaching techniques, difficult conversations, generational dynamics, interpersonal communication, leadership skills, performance improvement, school nurse, team communication,
Coming Soon

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,
Coming Soon

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,

TCCC Blast Injury

VALOR Program

Set in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg tourniquets, identify all wounds, recognize tension pneumothorax, perform a needle decompression, and give a dose of antibiotics.

TCCC

Set in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 14x10
Setting: Urban Street
Patient ect:
Patient Gender: Male
Tags: antibiotics, Battlefield Medicine, blast injury, Casualty Triage, Field Care, hemorrhagic shock, IED Injury, Massive Hemorrhage, needle decompression, Tactical Combat Casualty Care, Tactical Field Care, TCCC, tension pneumothorax, tourniquet, wound care,

TCCC Blunt Trauma

VALOR Program

Set in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for hemorrhagic shock. If performed, an ultrasound will demonstrate free abdominal fluid indicating intra abdominal hemorrhage. They should attend to a patient's pain, give antibiotics, provide...

TCCC

Set in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 13x11
Setting: Desert Road
Patient ect:
Patient Gender: Male
Tags: Airway Management, Analgesia, blood transfusion, Blunt Trauma, Circulation, Field Care, hemorrhagic shock, Hypothermia Prevention, MARCH survey, Massive Hemorrhage, resuscitation, Tactical Combat Casualty Care, Tactical Field Care, TCCC, trauma care, txa, wound care,

TCCC Dual Patient

VALOR Program

Set in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic injuries. One casualty has a significant blunt head injury. The other casualty had blunt abdominal, chest, and lower extremity injuries. Participants will have to work...

TCCC

Set in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 14x11
Setting: Urban Street
Patient ect:
Patient Gender: Male
Tags: Abdominal Trauma, Airway Management, Battlefield Medicine, Blunt Trauma, Casualty Care, Chest Injury, dual patient, Field Care, head injury, hemorrhage control, hemorrhagic shock, Hypothermia Prevention, MARCH Assessment, multiple casualty, Shock Resuscitation, Tactical Combat Casualty Care, TCCC, triage,

TCCC Entrapment

VALOR Program

Set in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound that requires a tourniquet, but they can be pulled to safety. The driver has a pinned/crushed leg and is unable to be moved, requiring a...

TCCC

Set in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 12x13
Setting: Desert Road
Patient ect:
Patient Gender: Male
Tags: Analgesia, antibiotics, Battlefield Medicine, combat medic training, extrication, field amputation, Hypothermia Prevention, low light conditions, MARCH survey, massive hemorrhage control, Shock Resuscitation, Tactical Combat Casualty Care, TCCC Entrapment, tourniquet application, triage, wound care,

TCCC Mass Casualty

VALOR Program

Set in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants should perform immediate life-saving interventions as indicated. The scene then moves to the casualty collection point, where participants can complete a MARCH survey and prepare...

TCCC

Set in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 21x15
Setting: Urban Street
Patient ect:
Patient Gender: Male
Tags: Airway Management, Analgesia, antibiotics, Combat Medicine, Field Care, hemorrhage control, Hypothermia Prevention, Initial Assessment, MARCH Assessment, MASCAL, mass casualty, Massive Hemorrhage, Medical Simulation, Shock Resuscitation, Tactical Combat Casualty Care, Tactical Field Care, TCCC, trauma, triage, wound care,

TCCC Penetrating Trauma

VALOR Program

Set in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey, decompress tension pneumothorax, place leg tourniquet, and apply a foley to a junctional axillary wound.

TCCC

Set in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey,...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Urban Street
Patient ect:
Patient Gender: Male
Tags: Battlefield Medicine, Gunshot Wounds, hemorrhage control, hemorrhagic shock, MARCH survey, Massive Hemorrhage, needle decompression, penetrating trauma, Point of Injury Care, Tactical Combat Casualty Care, Tactical Field Care, TCCC, tension pneumothorax, tourniquet application, trauma resuscitation, Trauma Simulation, wound care,

TCCC Severe Head Injury

VALOR Program

Set in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to provide much history. The participant should perform a MARCH assessment, recognize severe head injury and initiate appropriate life saving interventions such as airway protection, hypertonic...

TCCC

Set in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Urban Street
Patient ect:
Patient Gender: Male
Tags: airway interventions, Airway Management, Analgesia, antibiotics, Blunt Trauma, breathing assessment, circulation management, Field Care, hemorrhagic shock, hypertonic saline, Hypothermia Prevention, low light conditions, MARCH Assessment, massive hemorrhage control, pulse oximetry, severe head injury, Shock Resuscitation, Tactical Combat Casualty Care, Tactical Field Care, TCCC, wound care,

Virtual Manikin™ — Tactical Combat Casualty Care (TCCC)

VALOR Program

This scenario allows full moderator control of patient vital signs, clinical features, and learning objectives. Potential environments include a jungle scene, desert road, HH-60 helicopter, and forward surgical tent. There are also multiple male and female patient options to select.

TCCC

This scenario allows full moderator control of patient vital signs, clinical features, and learning objectives. Potential environments include a jungle scene, desert road, HH-60 helicopter,...

Case Information:
Bundles:
Learner Population: Military
Specialty: TCCC
Author: VALOR Program
Language: English
Room size: 15x15
Setting: Air Transport, Desert Road, FST, Jungle
Patient ect:
Patient Gender: Male
Tags: Airway Management, Battlefield Medicine, combat trauma care, field triage, massive hemorrhage control, medical training, military medicine, prolonged casualty care, Shock Resuscitation, Tactical Combat Casualty Care, Tactical Field Care, TCCC, trauma intervention, virtual reality training, VR medical simulation,

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...

Prolonged Casualty Care (PCC)

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: Military
Specialty: Prolonged Casualty Care (PCC)
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....

Prolonged Casualty Care (PCC)

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
Specialty: Prolonged Casualty Care (PCC)
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...

Prolonged Casualty Care (PCC)

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
Specialty: Prolonged Casualty Care (PCC)
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...

Prolonged Casualty Care (PCC)

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
Specialty: Prolonged Casualty Care (PCC)
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...

Prolonged Casualty Care (PCC)

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: Military
Specialty: Prolonged Casualty Care (PCC)
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,