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CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

VALOR Program

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require decontamination along with antidote administration and immediate airway interventions.

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

CBRN Bundle

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 18x15
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Female
Tags: airway protection, B12, Cherry Red, cyanide, Cyanokit, decon, decontamination, dirty bomb, HAZMAT, Hydroxocobalamin, intubation, naloxone, narcan, opiate gas, Opiate overdose, Sodium Thiosulphate, subway, urban disaster response,

CBRN Sarin Gas Exposure from IED

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 Sarin Gas Exposure from IED

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: 18x13
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: anticholinergic exposure, ATNAA and CANA autoinjectors, chemical agent exposure, chemical biological radiation, cholinergic, decon, decontamination, dirty bomb, dual patient, duodote, HAZMAT, humvee, IED, improvised explosive device, mass casualty, multi-patient, radiation exposure, roadside, rural disaster response, sarin gas, sarin shell, toxidrome,

CBRN Radiation Accident with Burn Management

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 Radiation Accident with Burn Management

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: 18x18
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Male
Tags: airway burn, airway compromise, Airway Management, airway protection, burn injury, burn resuscitation, chemical biological radiation, decon, decontamination, dual patient, HAZMAT, industrial disaster response, intubation, mass casualty, multi-patient, mutliple patients, radiation, radiation poisoning, severe burns, urban disaster response,

CBRN Opiate Gas Attack

VALOR Program

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 decontamination along with antidote administration.

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Opiate Gas Attack

CBRN Bundle

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...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 19x14
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Female
Tags: decon, decontamination, dirty bomb, HAZMAT, naloxone, narcan, opiate gas, Opiate overdose, subway, urban disaster response,

CBRN Nerve Agent Exposure Field Decontamination

VALOR Program

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. 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...

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Nerve Agent Exposure Field Decontamination

CBRN Bundle

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....

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 20x20
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Male
Tags: anticholinergic exposure, ATNAA and CANA autoinjectors, chemical biological radiation, cholinergic, decon, decontamination, dual patient, duodote, HAZMAT, industrial disaster response, mass casualty, multi-patient, mutliple patients, nerve agent exposure, sarin gas, toxidrome, urban disaster response, VX,

CBRN Hydrogen Cyanide Exposure

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 Hydrogen Cyanide Exposure

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: 20x13
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: B12, chemical biological radiation, Cherry Red, Cyanokit, decon, decontamination, HAZMAT, Hydroxocobalamin, roadside, rural disaster response, Sodium Thiosulphate,

CBRN Dirty Bomb Urban Attack

VALOR Program

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 extremity amputations and will require one tourniquet placement on each leg. The patient will also require decontamination and treatment for exposure.

Chemical, Biological, Radiological, Nuclear (CBRN)

CBRN Dirty Bomb Urban Attack

CBRN Bundle

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...

Case Information:
Bundles: CBRN Bundle
Learner Population: Military
Specialty: Chemical, Biological, Radiological, Nuclear (CBRN)
Author: VALOR Program
Language: English
Room size: 20x13
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Female
Tags: blast injury, decon, decontamination, dirty bomb, HAZMAT, leg amputations, lower extremity amputations, radiation exposure, tourniquet placement, urban disaster response,

EMS Diabetic Emergency

VALOR Program

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 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...

Emergency Medicine Internal Medicine

EMS Diabetic Emergency

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: AEMT, altered mental status, bls, Diabetic emergency, EMT, hypoglycemia, Military, Paramedic, prehospital,

EMS Trauma—Stabbing

VALOR Program

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 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...

Emergency Medicine Trauma

EMS Trauma—Stabbing

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 13x13
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: Adult, AEMT, als, atls, blood transfusion, bls, EMT, Hypovolemic shock, Military, needle decompression, Paramedic, pneumothorax, prehospital, tension pneumothorax, trauma,

EMS Anaphylaxis with Difficult Airway

VALOR Program

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 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...

Critical Care Emergency Medicine

EMS Anaphylaxis with Difficult Airway

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine
Author: VALOR Program
Language: English
Room size: 10x10
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: Adult, AEMT, als, anaphylaxis, bls, Distributive shock, EMT, Military, Paramedic, prehospital, respiratory distress,

EMS Pool Accident

VALOR Program

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 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...

Emergency Medicine Trauma

EMS Pool Accident

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, Airway Management, BVM, Cervical Collar, cpr, EMT, Manual Ventilation, Military, Near Drowning, Paramedic, respiratory failure, SCI, spinal cord injury, Spinal Precautions,

EMS Obstetrics Emergency

VALOR Program

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 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...

Emergency Medicine Family Medicine OB/GYN Pediatric

EMS Obstetrics Emergency

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Pediatric, Family Medicine
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female, Male
Tags: abdominal pain, AEMT, als, bls, ems, EMT, field delivery, Military, neonatal resuscitation, newborn, normal delivery, NRP, OB, OBGYN, Obstetrics, Paramedic, prehospital,

EMS Combative—Suicidal Intent

VALOR Program

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 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...

Emergency Medicine Mental Health Psychiatry

EMS Combative—Suicidal Intent

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Mental Health, Psychiatry
Author: VALOR Program
Language: English
Room size: 16x14
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: Alcohol Intoxication, De-escalation, EMT, Firearm Safety, Homicidal Ideation, Military, Paramedic, psychiatric, psychiatry, ptsd, scene safety,

Alcohol Withdrawal, CIWA

Houston VA

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 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...

Medical/Surgical Mental Health Psychiatry

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Medical/Surgical, Mental Health, Psychiatry
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway, asthma, Croup, De-escalation, pals, respiratory distress,

Outpatient Clinic Visit

Houston VA

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 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...

Ambulatory Care/Outpatient Services Mental Health

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...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Ambulatory Care/Outpatient Services, Mental Health
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: communication skills, conflict resolution, customer service, De-escalation, outpatient clinic, patient communication, soft skills,

Adult with Worsening Cough

St. John Fisher University, Wegmans School of Nursing

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 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...

Family Medicine Internal Medicine Pulmonology

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...

Case Information:
Bundles:
Learner Population:
Specialty: Internal Medicine, Family Medicine, Pulmonology
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: acute COPD exacerbation, copd, cough, GOLD criteria, Smoking,

Non-Fatal Suicide Attempt in an Adult

Southeastern Illinois College

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 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...

Emergency Medicine Family Medicine Internal Medicine Mental Health Psychiatry

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Mental Health, Psychiatry
Author: Southeastern Illinois College
Language: English
Room size: 14x13
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: anxiety, college age, Depressions, mental health, mental health assessment, mood disorder, overdose, personality disorder, substance abuse, suicidal ideation, suicide attempt, therapeutic communication, wound care,

Hepatic Encephalopathy with AMS

Southeastern Illinois College

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 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...

Emergency Medical/Surgical

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional
Specialty: Emergency, Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 15x13
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: altered mental status, babinksi sign, Hepatic Encephalopathy, hyperreflexia, jaundice,

Interprofessional Gender-Affirming Care in an Adult

George Mason University

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 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...

Cardiac/Telemetry Community/Public Health Family Medicine Internal Medicine Mental Health Psychiatry SDOH

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Internal Medicine, Cardiac/Telemetry, Community/Public Health, Family Medicine, Mental Health, Psychiatry, SDOH
Author: George Mason University
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Transgender
Tags: anxiety, BPSS, depression, Dietetics, GAD-7, Gender-Affirming Care, Nutrition, PHQ-9, Social Work, Transgender,

Workplace Violence & De-escalation

George Mason University

You are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the bed who starts to get annoyed and angry. You and other hospital employees are asked to help. Formerly Known As: VR Interprofessional Simulation Training on...

Cardiology Critical Care Emergency Medicine Family Medicine Internal Medicine Leadership Mental Health OB/GYN Psychiatry

You are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine, Leadership, Mental Health, Psychiatry
Author: George Mason University
Language: English
Room size: 15x15
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, non-verbal cues, OODA loop, verbal cues, verbal techniques, Workplace Violence,

Community Health Worker Program

South Carolina State University

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review the doctor’s care plan, and will then give a presentation and answer questions on basic health maintenance topics – mental health, high blood pressure, and...

Community/Public Health SDOH

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Community/Public Health, SDOH
Author: South Carolina State University
Language: English
Room size: 16x13
Setting: Office Building
Patient ect:
Patient Gender: Female
Tags: Community Health Coach, Community Health Worker, Conference Room, counseling, interprofessional team, outreach, outreach skills,

Myocardial Infarction in the ED

Southeastern Illinois College

A 57-year-old male presents to the Emergency Department with chest pain. He reports that the pain started about an hour after dinner, while he was working. He describes the pain as a “crushing pressure” located midsternal and radiating down his left arm and to his back. He rates the pain...

Cardiac/Telemetry Cardiology Critical Care Emergency Emergency Medicine Internal Medicine

A 57-year-old male presents to the Emergency Department with chest pain. He reports that the pain started about an hour after dinner, while he was...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Cardiac/Telemetry, Emergency
Author: Southeastern Illinois College
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: A-Fib, acls, Amiodarone, Atrial Fibrillation, cardiac arrest, cardioversion, chest pain, defibrillation, epinephrine, inferior stemi, stemi, V-Fib, V-Tach, ventricular fibrillation, ventricular tachycardia,

Acute Myocardial Infarction

Servicio Nacional de Aprendizaje (SENA)

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are expected to recognize inferior STEMI by history, exam, and EKG, activate cath lab, and start fluids, heparin, and pressors if needed. If the participant does...

Cardiac/Telemetry Cardiology Emergency Emergency Medicine Internal Medicine

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Internal Medicine, Cardiac/Telemetry, Emergency
Author: Servicio Nacional de Aprendizaje (SENA)
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect:
Patient Gender: Female
Tags: AMI, cardiology, emergency department, emergency medicine, English, inferior stemi, myocardial infarction, Nursing,

Primary Care MI

University of Nebraska Medical Center

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup and becomes diaphoretic, complaining of chest and arm pain.  

Cardiac/Telemetry Community/Public Health

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Cardiac/Telemetry, Community/Public Health
Author: University of Nebraska Medical Center
Language: English
Room size: 16x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: acute coronary syndrome, chest pain, ecg, sbar, stemi,