PCC Burn Management
VALOR ProgramStarting 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....
PCC Burn Management
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...
PCC Crush Syndrome
VALOR ProgramStarting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush injury. During the evaluation, the casualty develops compartment syndrome that requires fasciotomy, and rhabdomyolysis with hyperkalemia. The learner should identify hyperkalemia and give appropriate medications...
PCC Crush Syndrome
Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush...
PCC Sepsis Management
VALOR ProgramStarting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation the casualty decompensates into septic shock with hypotension, tachycardia, and prolonged capillary refill. The learner should provide local wound care, debride the wound, administer appropriate...
PCC Sepsis Management
Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation...
SDOH Food Insecurity, Women’s Health
St. John Fisher University, Wegmans School of NursingPatient 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...
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...
SDOH Housing Instability
St. John Fisher University, Wegmans School of NursingMaria 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...
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...
Critical Care Post-MVA
Southeastern Illinois CollegeA 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...
A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...
Establishing Vascular Access in a Difficult Intravenous Access Patient
CLINSPEC Solutions CVC Health Care PICC ProsA 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately, the nursing staff were unable to establish peripheral IV access after several attempts. The learner will evaluate the patient, review medical history, and establish vascular...
A 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately,...
Establishing Vascular Access for Long-Term Antibiotic Therapy
CLINSPEC Solutions CVC Health Care PICC ProsA 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.
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...
Management of Complications During Laparoscopic Surgery
NYU Langone Health Department of AnesthesiologyThe 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.
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....
Difficult Client
Georgian CollegeYou are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital, involuntarily.
You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital,...
De-escalation of Agitated Patient
College of St. Scholastica30-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.
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...
SUC Ingrown Toenail
VALOR ProgramThe 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.
SUC Ingrown Toenail
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...
SUC Snake Envenomation
VALOR ProgramThe 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.
SUC Snake Envenomation
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...
SUC Rhabdomyolysis
VALOR ProgramThe 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.
SUC Rhabdomyolysis
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...
SUC Deep Venous Thrombosis
VALOR ProgramThe 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.
SUC Deep Venous Thrombosis
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...
SUC Flank Pain
VALOR ProgramPatient 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.
SUC Flank Pain
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...
SUC Peritonsillar Abscess
VALOR ProgramThe 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.
SUC Peritonsillar Abscess
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...
SUC Cold Related Illness
VALOR ProgramThe 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.
SUC Cold Related Illness
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...
SUC Abdominal Pain
VALOR ProgramThe 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.
SUC Abdominal Pain
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...
CBRN Environment Safety
VALOR ProgramSet in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient had significant toxic fume inhalation for a period of time. They develop symptoms of cyanide toxicity. The patient suffers minor traumatic injuries. The patient requires...
CBRN Environment Safety
Set in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient...
CBRN Mustard Gas Exposure and Eye Irritation
VALOR ProgramSet in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a closed room that caught on fire. He suffered extensive burns to the head, face and chest. This patient will require immediate airway management along with...
CBRN Mustard Gas Exposure and Eye Irritation
Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a...
CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma
VALOR ProgramSet in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a gunshot wound to the left chest, developing tension pneumothorax that requires decompression. There is blood in the chest when a tube is placed and the...
CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma
Set in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a...
CBRN Nerve Agent Exposure with Severe Head Injury
VALOR ProgramSet in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on the road and recovered an IED that partially detonated, with its nose open and cracked. Unknown to them, it was a rare chemical weapon prototype...
CBRN Nerve Agent Exposure with Severe Head Injury
Set in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on...
CBRN Tool Orientation
VALOR ProgramSet in the industrial environment, there is concern about a possible exposure to weaponized biologic agent. Patient has no symptoms, and requires no medical treatments, but the learner should work through the process of assessment and decon. This case is to introduce learners to the VR environment and tools.
CBRN Tool Orientation
Set in the industrial environment, there is concern about a possible exposure to weaponized biologic agent. Patient has no symptoms, and requires no medical treatments,...