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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,

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.

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

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, Mental Health, Paramedic, Psychiatry
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...

Community/Public Health Emergency Medicine Family Medicine Internal 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

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, Interprofessional
Specialty: Critical Care, Emergency
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 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: Interprofessional, Physician/Advanced Practice Provider
Specialty: Anesthesiology, 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 Family Medicine Internal Medicine Leadership Mental Health Psychiatry

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, Mental Health, Psychiatry
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 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, 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...

Small Unit Care (SUC)

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: Military
Specialty: Small Unit Care (SUC)
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...

Small Unit Care (SUC)

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: Military
Specialty: Small Unit Care (SUC)
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.

Small Unit Care (SUC)

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
Specialty: Small Unit Care (SUC)
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.

Small Unit Care (SUC)

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
Specialty: Small Unit Care (SUC)
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 Family Medicine Internal 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.

Small Unit Care (SUC)

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: Military
Specialty: Small Unit Care (SUC)
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.

Small Unit Care (SUC)

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: Military
Specialty: Small Unit Care (SUC)
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,

SUC Peritonsillar Abscess

VALOR Program

The patient presents to the clinic with a sore throat. 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.

Small Unit Care (SUC)

SUC Peritonsillar Abscess

SUC Bundle

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

Case Information:
Bundles: SUC Bundle
Learner Population: Military
Specialty: Small Unit Care (SUC)
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, ear pain, otitis media, peritonsillar abscess, small unit care, Sore Throat, tonsillitis,

SUC Cold Related Illness

VALOR Program

The patient presents to the clinic with altered mental status. 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.

Small Unit Care (SUC)

SUC Cold Related Illness

SUC Bundle

The patient presents to the clinic with altered mental status. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm...

Case Information:
Bundles: SUC Bundle
Learner Population: Military
Specialty: Small Unit Care (SUC)
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, cold injury, hypothermia, small unit care, snow, winter,

SUC Abdominal Pain

VALOR Program

The patient presents to the clinic with abdominal 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 Family Medicine Internal Medicine

SUC Abdominal Pain

SUC Bundle

The patient presents to the clinic with abdominal 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
Tags: ambulatory evaluation, appendicitis, small unit care,

CBRN Environment Safety

VALOR Program

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 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...

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Environment Safety

CBRN Bundle

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...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 10x10
Setting: Outdoor
Patient ect:
Patient Gender: Female
Tags: antidote, CBRN, chemical agent, chemical biological radiological nuclear, chemical exposure, cyanide toxicity, decontamination, environmental safety, hazardous material, HAZMAT, military vehicle accident, ppe, toxic fume inhalation,

CBRN Mustard Gas Exposure and Eye Irritation

VALOR Program

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 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...

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Mustard Gas Exposure and Eye Irritation

CBRN Bundle

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...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 20x16
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: chemical biological radiation, chemical burn, chemical exposure, chemical rash, decon, decontamination, eye exposure, gas mask, HAZMAT, morgan lens, mustard gas exposure, rural disaster response,

CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma

VALOR Program

Set in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a gunshot wound to the left chest, developing tension pneumothorax that requires decompression. There is blood in the chest when a tube is placed and the...

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma

CBRN Bundle

Set in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 20x15
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: anticholinergic exposure, ATNAA and CANA autoinjectors, blood resuscitation, blood transfusion, chemical agent exposure, chemical biological radiation, chest tube, cholinergic, decon, decontamination, dirty bomb, duodote, HAZMAT, hemothorax, needle decompression, penetrating chest wound, penetrating trauma, pneumothorax, radiation exposure, rural disaster response, tension pneumothorax, toxidrome, tranexamic acid, trauma, traumatic injuries, txa,

CBRN Nerve Agent Exposure with Severe Head Injury

VALOR Program

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 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...

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Nerve Agent Exposure with Severe Head Injury

CBRN Bundle

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...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 20x16
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: airway protection, anticholinergic exposure, ATNAA and CANA autoinjectors, chemical biological radiation, cholinergic, decon, decontamination, duodote, HAZMAT, intubation, nerve agent exposure, rural disaster response, sarin gas, severe head injury, TBI, toxidrome, traumatic brain injury, unconscious, unresponsive, VX,