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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 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 Pediatric Hypovolemic Shock

VALOR Program

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient is suffering from a respiratory illness with fever and vomiting. She recently passed out when trying to stand up. Current vitals are HR 150, BP...

Emergency Medicine Pediatric

EMS Pediatric Hypovolemic Shock

EMS Bundle

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatric
Author: VALOR Program
Language: English
Room size: 13x10
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: AEMT, als, bls, EMT, Febrile Illness, Hypovolemic shock, Military, Paramedic, pediatrics, prehospital, sepsis,

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,

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,

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,

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,

Medical/Surgical UTI/DKA

Southeastern Illinois College

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 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...

Medical/Surgical

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: allergic reaction, diabetes, interdisciplinary team, medication reaction, nursing measures,

Atypical Presentation of an Older Adult

St. John Fisher University, Wegmans School of Nursing

Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The student will have the opportunity to assess the patient, recognize confusion and s/sx of UTI/pyelonephritis, and order point of care testing, including glucose, dipstick U/A,...

Internal Medicine

Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Internal Medicine
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: antibiotics, Back pain, Dipstick urinalysis, EKG, Pyelonephritis, SOAP format, uti,

Postpartum Hemorrhage—Hospital

Southeastern Illinois College

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 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...

Maternal and Child Health (MCH)

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional
Specialty: Maternal and Child Health (MCH)
Author: Southeastern Illinois College
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: bleeding after childbirth, emergency obstetric care, maternal health, maternal hemorrhage, obstetric hemorrhage, obstetrics training, postnatal care simulation, postpartum emergency, postpartum hemorrhage, PPH management, resuscitation training, uterine atony,

Coarctation of the Aorta

Children's National

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 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...

Cardiac/Telemetry Cardiology Neonatology

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Cardiology, Cardiac/Telemetry, Neonatology
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: CXR, ED, icu, pediatrics, PGE, respiratory distress,

Aggressive Behavior Management for Dementia Patient

Keimyoung University

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing aggressive behaviors such as screaming and swearing. She is able to communicate easily with an MMSE score of 15/30, but she is angry with her...

Geriatric Leadership

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Geriatric, Leadership
Author: Keimyoung University
Language: English, Korean
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: aggressive behavior, behavior management, dementia, elder care, fall injury, fall risk, high blood pressure, hyperlipidemia, MMSE,

BTT Shunt Occlusion in Interstage Patient with HLHS

Children's National

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5. Her intraoperative and postoperative course was relatively unremarkable, and she had been in the hospital for two weeks post-op, working on feeding issues. She has...

Cardiac/Telemetry Cardiology Pediatric

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5....

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Cardiology, Pediatric, Cardiac/Telemetry
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: emesis, hypoplastic, infant, norwood, pediatrics, postoperative, shunt,

Shoulder Dystocia in a Rural ED

Air Methods

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 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...

Emergency Emergency Medicine Maternal and Child Health (MCH) OB/GYN

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: Air Methods
Language: English, French, Korean, Spanish
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: active delivery, high-risk, imminent delivery, labor & delivery, newborn, ob/gyn, postpartum hemorrhage, shoulder dystocia,

Precipitous Labor & Neonatal Resuscitation

SimX

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 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...

Emergency Emergency Medicine Maternal and Child Health (MCH) Neonatology OB/GYN Resuscitation

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...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Interprofessional, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Maternal and Child Health (MCH), Neonatology, Resuscitation
Author: SimX
Language: English, Spanish
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Female, Male
Tags: emergency department, imminent birth, labor and delivery, neonatal, NRP, ob/gyn, ppv,

Anesthesia Post-op

University of Pennsylvania School of Nursing

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 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...

Perioperative

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 20x20
Setting: Hospital, Operating Room
Patient ect:
Patient Gender: Female
Tags: Anesthesia, anesthesia complication, extubation, extubation protocol, paralytic, pseudocholinesterase deficiency, train of four, ventilator management, ventilator settings,

Preeclampsia

SimX

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 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...

Emergency Emergency Medicine Maternal and Child Health (MCH) Neurology OB/GYN

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: abdominal pain, eclamptic seizure, ED, emergency department, OBGYN, preeclampsia, pregnant, seizure,

Pedestrian Injury from Distracted Driver

Northshore University Healthcare System

It’s a day like any other and you are a passenger in a vehicle bound for school. Your friend Max (the driver) gets distracted by a series of notifications on his phone. It all happens too fast, the next thing you know a skateboarder is on the ground and Max...

It’s a day like any other and you are a passenger in a vehicle bound for school. Your friend Max (the driver) gets distracted by...

Case Information:
Bundles:
Learner Population: Community Education
Specialty:
Author: Northshore University Healthcare System
Language: English
Room size: 15x15
Setting: Outdoor
Patient ect:
Patient Gender: Female
Tags: car accident, community health, distracted driving, driver, emergency medicine, ems, first responders, leg injury,

Triage Mass Casualty

XR Support Center Europe

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded street. The scene is divided into hot and warm zones. QRT teams from EMS/Fire/Police/Defense will enter the scene to perform triage. As a mass casualty...

Advanced EMT Disaster Medicine Emergency Medicine EMT Paramedic Trauma

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, Disaster Medicine, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 18x18
Setting: Outdoor
Patient ect:
Patient Gender: Female, Male
Tags: cpr, gun shot wound, hot zone, mass casualty, needle decompress, ppe, scene safety, shooters, tag, terrorist attack, tourniquette, triage, warm zone,

Postpartum Hemorrhage in ED

Vituity

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 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...

Emergency Medicine OB/GYN

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...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN
Author: Vituity
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: delivery kit, foley catheter, hemorrhage, hemorrhagic shock, hypotension, massive transfusion protocol, methergine, misoprostol, neonatal crash cart, oxytocin, placental delivery, postpartum hemorrhage, resuscitation, shock, txa, uterine massage,