EMS Obstetrics Emergency
VALOR ProgramLearner 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...
EMS Obstetrics Emergency
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...
Unstable SVT in the ED
Children's NationalA 5 day old infant is brought to the emergency department with irritability, decreased oral intake, hypoactivity, and tachycardia. He was intubated for transport here. He has given adenosine twice for supraventricular tachycardia and now requires further intervention.
A 5 day old infant is brought to the emergency department with irritability, decreased oral intake, hypoactivity, and tachycardia. He was intubated for transport here....
Coarctation of the Aorta
Children's National2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...
2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...
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...
Tetralogy of Fallot with Hypercyanotic Spell
Children's NationalThe patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...
The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...
Community Newborn Checkup
University of Nebraska Medical CenterA 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to appropriately assess the new mother’s concerns. During this visit, the learner will discuss breastfeeding, identify any safety issues in the home environment, and examine the...
Community Newborn Checkup
A 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to...
Neonatal Abstinence Syndrome
Indiana University School of NursingThe patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s mother is standing next to the baby and the learner is informed–via EMR progress notes on VR tablet–that the patient exhibits fussiness overnight and poor...
Neonatal Abstinence Syndrome
The patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s...
PED 10 – Isabella Burgel – Congestive Heart Failure, Acute Hypokalemia Management
ElsevierThis Simulated Patient Encounter maps to Scenario PED 10 - Isabella Burgel - Ventricular Septal Defect Congestive Heart Failure - Toddler - Acute Hypokalemia Management on the Elsevier Evolve Platform Isabella Burgel is an 18-month-old Hispanic female with Down syndrome who presented to her pediatrician’s office with poor feeding, tachycardia,...
PED 10 – Isabella Burgel – Congestive Heart Failure, Acute Hypokalemia Management
This Simulated Patient Encounter maps to Scenario PED 10 - Isabella Burgel - Ventricular Septal Defect Congestive Heart Failure - Toddler - Acute Hypokalemia Management...
PED 09 – Aaron Jackson – Hirschsprung’s Disease, Ostomy Care
ElsevierThis Simulated Patient Encounter maps to Scenario PED 09 - Aaron Jackson - Hirschsprung's Disease - Infant - Ostomy Care on the Elsevier Evolve Platform Aaron Jackson, a 9-month-old Caucasian male with a history of Hirschsprung’s disease, underwent surgery for aganglionic colon segment removal with temporary colostomy placement. The plan...
PED 09 – Aaron Jackson – Hirschsprung’s Disease, Ostomy Care
This Simulated Patient Encounter maps to Scenario PED 09 - Aaron Jackson - Hirschsprung's Disease - Infant - Ostomy Care on the Elsevier Evolve Platform...
PED 08 – Tran Meng – Dehydration, Specimen Collection
ElsevierThis Simulated Patient Encounter maps to Scenario PED 08 - Tran Meng - Dehydration - Infant - Specimen Collection Catheterization on the Elsevier Evolve Platform Tran Meng, a 7-month-old Vietnamese American male, was brought to the emergency department and his mother reported that he has been lethargic and has refused...
PED 08 – Tran Meng – Dehydration, Specimen Collection
This Simulated Patient Encounter maps to Scenario PED 08 - Tran Meng - Dehydration - Infant - Specimen Collection Catheterization on the Elsevier Evolve Platform...
PED 06 – Haley Medvedev – Bronchiolitis, Management of Respiratory Distress
ElsevierThis Simulated Patient Encounter maps to Scenario PED 06 - Haley Medvedev - Bronchiolitis Presumptive Respiratory Syncytial Virus - Infant - Management of Respiratory Distress on the Elsevier Evolve Platform Haley Medvedev is a 5-month-old Caucasian female who was admitted with a diagnosis of bronchiolitis. Respiratory syncytial virus (RSV) is...
PED 06 – Haley Medvedev – Bronchiolitis, Management of Respiratory Distress
This Simulated Patient Encounter maps to Scenario PED 06 - Haley Medvedev - Bronchiolitis Presumptive Respiratory Syncytial Virus - Infant - Management of Respiratory Distress...
Pediatric Post-op Hypoxia and Hypotension
Children's NationalIn this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output state with progressive hypotension and hypoxemia. Learners must assess the patient, evaluate the situation, recognize abnormal findings, and respond with appropriate interventions.
In this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output...
Desaturation and Bradycardia in Infant
Children's NationalIn this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is POD#0 from stitch closure of ASD and patch repair of the VSD. The post-op TEE shows a small residual ASD, no residual VSD, and good...
In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is...
Pediatric Post-op SVT
Children's NationalIn this scenario, a 4-day old baby boy is in the cardiac intensive care unit recovering from a coarctation repair. The patient is intubated with all postoperative lines, drains, etc. and is in hemodynamically unstable supraventricular tachycardia at the beginning of the scenario. The patient has already been given adenosine...
In this scenario, a 4-day old baby boy is in the cardiac intensive care unit recovering from a coarctation repair. The patient is intubated with...
Pediatric Low Cardiac Output Syndrome
Children's NationalA 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops junctional ectopic tachycardia with a narrow pulse pressure and hypotension. Learners must recognize and diagnose the arrhythmia and provide therapies to improve the cardiac output...
A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops...
Pediatric Pulmonary Hypertensive Crisis
Children's NationalIn this scenario, the patient is a 3-day-old male with a history of obstructed supracardiac TAPVR. He progressively develops a pulmonary hypertensive crisis with decreasing oxygen saturation, elevated heart rate, and decreasing blood pressure. The learner must recognize that the patient is at high risk for a pulmonary hypertensive crisis...
In this scenario, the patient is a 3-day-old male with a history of obstructed supracardiac TAPVR. He progressively develops a pulmonary hypertensive crisis with decreasing...
Intubation of Pediatric Patient with Suspected COVID
Children's NationalIn this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to respiratory failure and the patient requires immediate intubation. Learners will start outside the room and receive pre-arrival information of impending respiratory failure. The learner must...
In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to...