Triage Mass Casualty
XR Support Center EuropeIn 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...
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...
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...
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,...
Pediatric Dysrhythmia (Resuscitation)
SimXIn this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...
In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...
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....
Lumbar Radiculopathy
Parker UniversityA 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized chiropractic evaluation and look through the x-rays available in the EMR. Exams will consist of a range of motion, neuro, orthopedic, and palpation tests including...
A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized...
Lumbar Stenosis
Parker UniversityA 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination including a range of motion, palpation, orthopedic, and neuro evaluation. Following the exam, the learner will formulate a differential diagnosis and have access to xrays...
A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination...
GI Bleed
Ohio State UniversityThe patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...
The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...
STEMI V-Fib Arrest
Ohio State UniversityA patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The case starts off with an EMS handoff. Their symptoms are progressively worsening since first appearing one hour before; upon arrival at the ED, they are...
A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The...
Tracheostomy Complications—Cuff Leak
NYU Grossman School of MedicineIn this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10...
In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm...
Prioritization of Multiple Patients
University of Nebraska Medical CenterIn this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....
Prioritization of Multiple Patients
In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...
Primary Care COVID-19
University of Nebraska Medical CenterA 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...
A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...
Geriatric Pneumonia—Inpatient
University of Nebraska Medical CenterA 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that the patient is in respiratory distress and begin interventions to treat him, including administering oxygen via nasal cannula or non-rebreather. The learner is expected to...
Geriatric Pneumonia—Inpatient
A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that...
Post-op Mobility and Elimination
University of Nebraska Medical CenterA 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...
Post-op Mobility and Elimination
A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...
Goals of Care Discussion
Maimonides Medical CenterIn this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer, appears frail and very ill, and is in the emergency department requiring BIPAP for respiratory support. The learner must take the role of the emergency...
In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer,...
C. Diff
Indiana University School of NursingThis scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...
This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...
Violent Adolescent Drug Abuse
Indiana University East School of Nursing and Health SciencesSamuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system for thirteen years and with his current family for a year. The learner will have the chance to speak to the foster parents alone and...
Violent Adolescent Drug Abuse
Samuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system...
Pediatric Tonsil and Adenoid
Indiana University East School of Nursing and Health SciencesRicky Stone is an 8-year-old African American male that arrived at the emergency department with his mom. He is seven days postoperative from a tonsil and adenoidectomy. Today, he vomited at home and filled a bowl of clotted blood. After the initial examination, learners are expected to articulate pertinent findings...
Pediatric Tonsil and Adenoid
Ricky Stone is an 8-year-old African American male that arrived at the emergency department with his mom. He is seven days postoperative from a tonsil...
Epileptic Seizure
Inselspital - Universitätsspital BernA patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial assessment during which the patient will show worsening confusion and, eventually, will have a generalized tonic-clonic seizure. The learner must treat the seizure with benzodiazepines,...
A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial...
Community Health Nurse Experience
Eastern Michigan University School of NursingIn this scenario, the learner will treat patients at a mosque as part of a community health fair. The learner must interview a 70-year-old Bangladeshi male with a history of hypertension and depression. Initial assessment requires them to go through a number of health screenings with him. The learner should...
Community Health Nurse Experience
In this scenario, the learner will treat patients at a mosque as part of a community health fair. The learner must interview a 70-year-old Bangladeshi...