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...
Chest Pain—ACS
Queensland Health ServiceA middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and has a cardiac arrest with ventricular tachycardia, which can be seen on the monitor. The learner is expected to evaluate the patient, order and interpret...
A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and...
Primary Postpartum Hemorrhage
Queensland Health ServiceThis scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care as the situation turns complicated and the patient begins to lose a lot of blood. The learner needs to check if the baby is okay...
This scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care...
Infant with Bronchiolitis
Queensland Health ServiceA 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize respiratory distress, and escalate oxygen. The patient will decompensate, which requires the learner(s) to call a code blue, support the patient’s airway, suction the airway,...
A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize...
Adult Seizure in EMU
Baylor College of MedicineJamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed several AEDs and is admitted to the EMU for seizure classification as part of a presurgical workup for epilepsy surgery. The learner must perform an...
Adult Seizure in EMU
Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed...
ACLS Knowledge Update
Air MethodsIn this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will progress to unstable Vtach, Vfib arrest, and then PEA arrest throughout the case. Learners will work to provide compressions, medications, electrical therapy, and airway interventions...
In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will...
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...
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...