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altered mental status

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Altered Mental Status—MVA

Children's National

A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.

Critical Care
Emergency Medicine
Pediatrics
Trauma

A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Trauma
Author: Children's National
Language: English
Room size: 12x12
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: abnormal neurological exam, altered mental status, brain herniation, emergency treatment, increased intracranial pressure, intubation, neurological assessment, neurological exam, neurosurgery, pediatric trauma, severe head injury, subdural hematoma, traumatic brain injury, VR medical training,

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 Trauma—Electrocution

VALOR Program

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the patient just suffered an electrocution injury during a home repair and is now bradycardic secondary to pacemaker failure. The patient also has electric burn injuries...

Cardiology
Emergency Medicine
Burn
Prehospital Medicine
Trauma

EMS Trauma—Electrocution

EMS Bundle

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Burn, Prehospital Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 13x13
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: acls, Adult, AEMT, als, altered mental status, bls, bradycardia, Cardiac Dysrhythmia, Electrocution, EMT, Heart Block, Military, Paramedic, prehospital,

EMS Pediatric Overdose

VALOR Program

Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and identify that the patient ingested some hydrocodone-acetaminophen tablets that belonged to the parent, with an open bottle on the bathroom counter. Learner will recognize signs...

Critical Care
Emergency Medicine
Pediatrics
Toxicology

EMS Pediatric Overdose

EMS Bundle

Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Toxicology
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, altered mental status, bls, ems, EMT, Military, Opiate overdose, pals, Paramedic, pediatrics, prehospital, toxicology,

Hepatic Encephalopathy with AMS

Southeastern Illinois College

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had a change in mood the last day or so and now appears confused. The patient's family reports he had just been treated for a UTI...

Emergency
Interprofessional
Medical/Surgical

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Interprofessional, Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 15x13
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: altered mental status, babinksi sign, Hepatic Encephalopathy, hyperreflexia, jaundice,

Car Accident—Prehospital

XR 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...

Emergency Medicine
Advanced EMT
EMT
Paramedic
Trauma

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:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 16x16
Setting: Outdoor
Patient ect:
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Geriatric Pneumonia—Inpatient

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...

Geriatric/Palliative Care
Medical/Surgical

Geriatric Pneumonia—Inpatient

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: Geriatric/Palliative Care, Medical/Surgical
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: altered mental status, arterial blood gas, copd, delirium, infection, pneumonia, respiratory distress, shortness of breath, wheezing,

Hypoglycemic Shock

Mount Saint Mary's University

The patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner who then performs an initial assessment. In that assessment, the learner should recognize that the patient has low blood sugar and is altered from baseline....

Medical/Surgical

Hypoglycemic Shock

SimX Nursing Bundle

The patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Mount Saint Mary's University
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: altered mental status, diabetes, hypoglycemia, nursing assessment,