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Team Dynamics During Patient Escalation

Nationwide Children's Hospital

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Emergency Medicine
Internal Medicine
Psychiatry/Mental Health

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Psychiatry/Mental Health
Author: Nationwide Children's Hospital
Language: English
Room size: 12x12
Setting: Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: agitation management, closed-loop communication, communication skills, De-escalation, emergency department, emergency response, patient escalation, role delegation, team dynamics, teamwork in healthcare,

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,

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,

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...

Critical Care
Emergency Medicine
Surgery
Trauma

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: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Surgery, Trauma
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....

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

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, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
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,

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...

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

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: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
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.

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

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, Paramedic, Psychiatry/Mental Health
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...

Emergency Medicine
Internal Medicine
Community/Public Health
Family 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,

Establishing Vascular Access for Long-Term Antibiotic Therapy

CLINSPEC Solutions CVC Health Care PICC Pros

A 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will evaluate the patient, review medical history, and establish vascular access using the appropriate technique.

Critical Care
Internal Medicine
Interprofessional
Medical/Surgical

A 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Interprofessional, Medical/Surgical
Author: CLINSPEC Solutions, CVC Health Care, PICC Pros
Language: English
Room size: 13x14
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Catheter Measurement, Complication Risk Management, Infusion Clinic, Long-Term Antibiotic Therapy, Osteomyelitis, Patient Medical History, PICC Line Placement, Ultrasound-Guided Access, Vancomycin, Vascular Access,

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
Interprofessional
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: Physician/Advanced Practice Provider
Specialty: Anesthesiology, Interprofessional, 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,

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
Psychiatry/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, Psychiatry/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...

Emergency Medicine
Internal Medicine
OB/GYN
Family Medicine

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: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine
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...

Emergency Medicine
Internal Medicine
Family Medicine

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: 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, 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.

Emergency Medicine
Internal Medicine
Family Medicine

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, 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, 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.

Emergency Medicine
Internal Medicine
Family Medicine
Toxicology

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, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Toxicology
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
Internal Medicine
Family 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.

Emergency Medicine
Internal Medicine
Family Medicine

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: 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, 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.

Emergency Medicine
Internal Medicine
Family Medicine

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: 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, 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.

Emergency Medicine
Internal Medicine
Family Medicine

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: 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, 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.

Emergency Medicine
Internal Medicine
Family Medicine

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: 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, 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
Internal Medicine
Family 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,

Virtual Manikin™ — Pediatric Respiratory

SimX

Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other...

Emergency Medicine
Pediatrics
Advanced EMT
EMT
Paramedic

Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatrics, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: anaphylaxis, anemia, asthma, bronchiolitis, cardiac arrest, Croup, DKA, Epiglottitis, foreign body, Manikin, Opiate overdose, pediatric, pneumonia, pneumothorax, respiratory,

Virtual Manikin™ — Adult Chest Pain

SimX

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other words,...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Advanced EMT
EMT
Family Medicine
Paramedic
Pulmonology

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Advanced EMT, EMT, Family Medicine, Paramedic, Pulmonology
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: acls, Anterior stemi, Aortic dissection, cardiac arrest, chest pain, chest tube, congestive heart failure, Diuresis, Esophageal rupture, Fluid overload, Heart Block, Heart strain, inferior stemi, intubation, Manikin, Mobitz block, needle decompression, NSTEMI, Pneumomediastinum, pneumonia, pneumothorax, Posterior stemi, pulmonary embolism, sepsis, Shingles, Spontaneous pneumothorax, stemi, Tamponade, trauma, Wolf parkinson white, Zoster,