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ACLS Knowledge Update

Air Methods

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 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...

Emergency Medicine

ACLS Knowledge Update

Stand Alone

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...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident, Allied Health Professionals
Specialty: Emergency Medicine
Author: Air Methods
Language: English
Room size: 10x10
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, bls, bradycardia, cardiac arrest, cardioversion, defib, defibrillation, ems, ems cardiac arrest, sinus bradycardia, synchronized cardioversion., ventricular fibrillation, ventricular tachycardia, vfib, vtach,

Aggressive Behavior Management

Dymstec Keimyoung University

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital and is showing aggressive behaviors such as screaming and swearing. There is a risk of falling by trying to get out of bed on her own. Besides dementia, she has high...

Internal Medicine

Aggressive Behavior Management

Stand Alone

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

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: Dymstec, Keimyoung University
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: aggressive behavior, communication, dementia, fall injury, fall risk, geriatric, high blood pressure, hyperlipidemia, nursing home,

BOR Bronchiolitis

Bundle of Rays

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 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,...

Emergency Medicine
Pediatrics

BOR Bronchiolitis

Stand Alone

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...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine, Pediatrics
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: airway emergencies, bronchiolitis, pals, pediatrics, respiratory distress, shortness of breath,

BOR Postpartum Hemorrhage

Bundle of Rays

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 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...

OB/GYN

BOR Postpartum Hemorrhage

Stand Alone

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...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: OB/GYN
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: labor and delivery, ob/gyn, postpartum care, pregnancy complications, women's health,

Brief Psychotic Disorders: Mental Health

IUPUC

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the past couple of weeks; in particular, he noticed poor hygiene, bizarre behaviors, and interrupted sleep patterns. He also believes she has auditory and visual hallucinations....

Emergency Medicine
Psychiatry

Brief Psychotic Disorders: Mental Health

Stand Alone

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, Nursing
Specialty: Emergency Medicine, Psychiatry
Author: IUPUC
Language: English
Room size:
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: ativan, mental health, nursing students, psych rotation, psychiatric, psychiatric medications, psychosis,

C Diff

Indiana University East SoN

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 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...

Internal Medicine

C Diff

Stand Alone

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...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: antibiotic side effect, c dif, colitis, counsel, diarrhea, disrobe, doff, don, ppe,

Car Accident (prehospital)

VR Support Center Europe

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...

Prehospital

Car Accident (prehospital)

Stand Alone

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...

Case Information:
Bundles: Stand Alone
Learner Population: EMS
Specialty: Prehospital
Author: VR Support Center Europe
Language: English, Dutch
Room size: 12x12
Setting: Outdoor
Patient ect: Adult
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Cellulitis and PICC line Care Skills

Bundle of Rays

A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and follow medication administration orders. The Learner(s) will also perform a PICC line dressing change procedure which includes, cleaning the area, monitoring for movement of the...

Cellulitis and PICC line Care Skills

Stand Alone

A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty:
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: cellulitis, central line care, dressing care, medication administration,

Chest Pain in the ED

SimX

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. 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...

Emergency Medicine

Chest Pain in the ED

Standard Curriculum Bundle

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....

Case Information:
Bundles: Standard Curriculum Bundle
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: cardiac arrest, chest pain, chest pain in the ed, dyspnea, exertional chest pain, pulmonary embolism, right heart strain, shortness of breath, thrombolytics,

Chest Pain: ACS

Bundle of Rays

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 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...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

Chest Pain: ACS

Stand Alone

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...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing, Physician, Resident
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: Bundle of Rays
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, acute coronary syndrome, als, cardiac arrest, cardiology, chest pain, cpr, emergency medicine, myocardial infarction, stemi,

Chiari Malformation

Parker University

A 35-year-old male presents to the chiropractor with a headache and neck pain. The learner must assess the patient and view imaging studies including an MRI and x-ray in the EMR. The examination will include a range of motion, palpation, orthopedic, and neuro evaluation. Following these tests, the learner will...

Chiropractics

Chiari Malformation

Stand Alone

A 35-year-old male presents to the chiropractor with a headache and neck pain. The learner must assess the patient and view imaging studies including an...

Case Information:
Bundles: Stand Alone
Learner Population: Chiropractor
Specialty: Chiropractics
Author: Parker University
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Unspecified
Tags: cerebellar symptoms, chiropractics, headache, mri, myotome, neck pain, neuro exam, range of motion, spine x-ray,

Climbing Accident and Rescue

Air Methods

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived prior to any other first responders. The patient has sustained multiple traumatic injuries and is hemodynamically unstable when the flight crew arrives. The learner must...

Emergency Medicine

Climbing Accident and Rescue

Stand Alone

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived...

Case Information:
Bundles: Stand Alone
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician, Resident, Allied Health Professionals
Specialty: Emergency Medicine
Author: Air Methods
Language: English
Room size: 12x12
Setting: Outdoor
Patient ect: Adult
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

Community Health Nurse Experience

Eastern Michigan

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 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...

Internal Medicine
Community Health

Community Health Nurse Experience

SimX Nursing Bundle

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...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Internal Medicine, Community Health
Author: Eastern Michigan
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Male
Tags: communication, community health, diabetes screening, health literacy, hypertension, preventive screening, public health, vaccination,

Community Newborn Checkup

University of Nebraska Medical Center

A 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to appropriately assess the new mother’s concerns. During this visit, the learner will discuss breastfeeding, identify any safety issues in the home environment, and examine the...

Pediatrics
Community Health

Community Newborn Checkup

SimX Nursing Bundle

A 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Pediatrics, Community Health
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Home
Patient ect: Infant
Patient Gender: Female
Tags: breastfeeding, community health, home safety, home visit, house call, newborn, obstetrics and gynecology, parenting, pediatrics, postpartum, public health, social determinants of health,

COVID-19 ED Evaluation

SimX

In this scenario, a middle-aged woman with multiple medical problEMS presents to the ED with one week of fever and cough with worsening shortness of breath. The learner must perform a full work up on the patient, develop a differential diagnosis, and treat the patient according to that diagnosis. There...

Emergency Medicine

COVID-19 ED Evaluation

Standard Curriculum Bundle

In this scenario, a middle-aged woman with multiple medical problEMS presents to the ED with one week of fever and cough with worsening shortness of...

Case Information:
Bundles: Standard Curriculum Bundle
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, shortness of breath,

COVID-19 Triage

SimX

In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient comes in with complaints of fever and chills as well as 1 day of coughing. The learner must put on the correct form of PPE,...

Emergency Medicine

COVID-19 Triage

Standard Curriculum Bundle

In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient...

Case Information:
Bundles: Standard Curriculum Bundle
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: chills, cough, covid, covid-19, discharge instructions, fever, history, isolation, ppe, triage, vital signs,

Cumulative Complex Patient

Indiana University East SoN

Deanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has a long history of anemia, non-insulin dependent diabetes mellitus, HTN, and chronic pyelonephritis resulting in permanent damage to her kidneys. Learners are expected to prioritize...

Internal Medicine

Cumulative Complex Patient

SimX Nursing Bundle

Deanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: anemia, anemia of chronic kidney disease av fistula, chronic kidney disease, confusion, end stage renal disease, fatigue, lethargy, organ failure,
Placeholder

Diabetes

Indiana University East SoN

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...

Internal Medicine

Diabetes

Stand Alone

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...

Case Information:
Bundles: Stand Alone
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: blood sugar, diabetes, diabetes counseling, diabetes education, hyperglycemia, hypoglycemia, insulin, insulin injecting, new onset diabetes, poct glucose, subcutaneous insulin, type 2 diabetes,

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...

Community Health

Distracted Driver

Stand Alone

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: Stand Alone
Learner Population: Students
Specialty: Community Health
Author: Northshore University Healthcare System
Language: English
Room size: 12x12
Setting: Outdoor
Patient ect:
Patient Gender: Unspecified
Tags: car accident, community health, distracted driving, driver, emergency medicine, ems, first responders, leg injury,

Domestic Violence

Indiana University East SoN

Farrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both arms and hands and a bath towel is wrapped around both of her arms. The patient is reluctant to talk and her husband is anxious...

Emergency Medicine

Domestic Violence

SimX Nursing Bundle

Farrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Emergency Medicine
Author: Indiana University East SoN
Language: English
Room size:
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: bruising, burns, communication skills, domestic violence, mid-eastern, non accidental trauma,

Elderly Man with Pneumonia

University of Nebraska Medical Center

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 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...

Internal Medicine

Elderly Man with Pneumonia

SimX Nursing Bundle

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...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Internal Medicine
Author: University of Nebraska Medical Center
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: altered mental status, arterial blood gas, copd, delirium, infection, pneumonia, respiratory distress, shortness of breath, wheezing,

EMS Anaphylaxis

SimX

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 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

EMS Anaphylaxis

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS
Specialty: EMS
Author: SimX
Language: English
Room size: 12x12
Setting: Ambulance
Patient ect: Adult
Patient Gender: Male
Tags: allergic reaction, allergy, anaphylactic shock, anaphylaxis, cardiac arrest, difficulty breathing, dyspnea, epinephrine, food allergy, peanut allergy,

EMS ATLS

SimX

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 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

EMS ATLS

EMS Bundle
Standard Curriculum Bundle

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...

Case Information:
Bundles: EMS Bundle, Standard Curriculum Bundle
Learner Population: EMS
Specialty: EMS
Author: SimX
Language: English
Room size: 12x12
Setting: Ambulance
Patient ect: Adult
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

EMS MCA Stroke

SimX

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, 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

EMS MCA Stroke

EMS Bundle

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,...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS
Specialty: EMS
Author: SimX
Language: English
Room size: 12x12
Setting: Home, Ambulance
Patient ect: Adult
Patient Gender: Male
Tags: 911, door to tpa, ems, ems report, ems stroke, facial droop, fast, mca, prehospital stroke, stroke, stroke protocol, stroke symptoms, stroke team, time is brain, tpa,