Medical/Surgical UTI/DKA
Southeastern Illinois CollegePatient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report from the nursing staff in the ED and the ED paperwork/EHR. The participant should administer ordered IV antibiotics (initially Bactrim ordered but participant needs to...
Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report...
ICU Sepsis – CVVHD
Houston VANick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical floor unit ED 2 days ago for PNA, ARF/AKI, and Sepsis. Patient has AKI with hyperkalemic fluid-overload, requiring dialysis. He also has sever hypotension, requiring...
Nick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical...
Ankylosing Spondylitis
Parker University35 year old male presents with complaints of 6 months of pain in low back and buttocks and general fatigue. Pain is over SI/gluteal region, worse in the morning. The patient also exhibits anterior uveitis. Manipulation will not help the patient. Imaging can be performed which shows pathognomonic bamboo spine....
35 year old male presents with complaints of 6 months of pain in low back and buttocks and general fatigue. Pain is over SI/gluteal region,...
Postpartum Hemorrhage—Hospital
Southeastern Illinois College30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at 39 weeks gestation, P3G2A1. Patient had a retained placenta requiring manual extraction. Patient has had 3 pads saturated in 1 hour and currently feels a...
30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at...
Effects of Opioid Abuse on Children and Families
George Mason UniversityJerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian man who struggles with an opioid addiction. Jerome has a younger half-sister, Namazzi (age 12). Namazzi told Jerome that her stepfather has been sleeping a...
Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian...
Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...
Primary Care UTI/BPH
University of Nebraska Medical CenterIn this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with symptoms of UTI. Learners must successfully assess the patient, recognize any abnormal findings, and respond with appropriate care. Throughout the scenario, learners must also communicate...
In this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with...
Tracheostomy Complications—Displacement (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed two days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...
Shoulder Dystocia in a Rural ED
Air MethodsThis scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care...
This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing...
Precipitous Labor & Neonatal Resuscitation
SimXThis scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart...
This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital...
Anesthesia Post-op
University of Pennsylvania School of NursingIn the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic...
In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is...
Preeclampsia
SimXYou are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...
You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...
Car Accident—Prehospital
XR Support Center EuropeThis is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...
This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...
Postpartum Hemorrhage in ED
VituityA 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and subsequent placenta delivery, the patient becomes hemodynamically unstable from postpartum hemorrhage and requires aggressive resuscitation. If this is performed properly, the patient will improve, if...
A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and...
Hypotension Post TAA
University of Pennsylvania School of NursingPatient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR...
Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two...
Bleeding Control—Office Shooting
Sun City SimulationThis scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm...
This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient...
Severe Trauma
Sun City SimulationIn this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the left arm, having placed them in an extrication C-collar, and initiated a simple mask for oxygen delivery. The patient is moved from a resuscitation room...
In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the...
Shortness of Breath
SimXIn this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of breath. The learner must perform a full work up on the patient, develop a differential diagnosis, and treat the patient according to that diagnosis. There...
In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of...
EMS TCA Overdose
SimXThis scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the patient may have overdosed on medications as she has been depressed since breaking up with her girlfriend last week. The learner can observe several medication...
EMS TCA Overdose
This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the...
EMS Anaphylaxis
SimXIn this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with a known allergy. The learner must give Epi and the patient will improve. However, the patient will require a second dose of epi. If neither...
EMS Anaphylaxis
In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with...
EMS Motor Vehicle Accident
SimXIn this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the ambulance while the patient is on a stretcher with a C collar in place. The patient has blood on his clothes and is screaming in...
EMS Motor Vehicle Accident
In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the...
EMS MCA Stroke
SimXUpon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should...
EMS MCA Stroke
Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment,...
EMS Inferior STEMI
SimXA patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If...
EMS Inferior STEMI
A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...
Chest Pain in the ED (Resuscitation)
SimXA patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging. The learner must assess the patient's ABCs and provide initial resuscitation. They must then correctly diagnose PE. This case is successfully completed by treating the...
A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging....