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Postoperative Cardiac Emergency

Cleveland Clinic

The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was successfully extubated and has been recovering in the CVICU. Patient is alert, oriented and able to converse with the medical team. Patient reports on initial...

Cardiac/Telemetry Cardiology Critical Care Emergency Emergency Medicine Perioperative Resuscitation Surgery
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The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was...

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Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Cardiology, Critical Care, Emergency Medicine, Cardiac/Telemetry, Emergency, Perioperative, Resuscitation, Surgery
Author: Cleveland Clinic
Language: English
Room size: 12x12
Setting: CVICU
Patient ect:
Patient Gender: Male
Tags: acls, advanced cardiac life support, cardiac arrest, Cardiac Emergency, cardiac surgery, Cardiac Tamponade, Critical Care, CVICU, emergency medicine, emergent resternotomy, internal defibrillation, intra-cardiac epinephrine, Medical Simulation, nursing intervention, Nursing Interventions, Post-Surgical, postoperative cardiac emergency, postoperative care, Resternotomy, resuscitation, Surgery Complications, V-Fib, ventricular fibrillation,
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Recognition and Management of Cardiogenic Shock

TriHealth

This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry floor, Learners receive handoff inside the patient's room from the nurse coming off their shift. Upon entering the patient's room, the Learner should actively assess...

Cardiac/Telemetry Cardiology Critical Care
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This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry...

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Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Cardiac/Telemetry
Author: TriHealth
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: 'SUSPECT-CS', best practice alert, cardiogenic shock, cardiovascular, clinical skills, Critical Care, healthcare simulation, heart failure, meded, Medical Simulation, nursing care steps, nursing education, patient assessment, patient decompensation, shock management, SimX, telemetry, Virtual Reality, VR training,
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Pediatric Traumatic Brain Injury (TBI)—Hospital-Based

Uniformed Services University of the Health Sciences

A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...

Critical Care Emergency Medicine Family Medicine Internal Medicine Pediatrics Surgery Trauma
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A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...

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Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Pediatrics, Family Medicine, Surgery, Trauma
Author: Uniformed Services University of the Health Sciences
Language: English
Room size: 12x12
Setting: Outdoor, Emergency Department, ICU, PICU
Patient ect:
Patient Gender: Female, Male
Tags: Abnormal Neurologic Exam, airway protection, anti-epileptic medications, Arm Fracture, Arm Injury, Arm Splint, atls, AVPU, brain herniation, C-Spine, cervical spine precautions, Critical Care, CT, Cultural Differences, emergency medicine, Epidural Hematoma, Epidural Hemorrhage, Evaluates for Hemorrhage, Foreign Language, Full Exposure, GCS, GCS assessment, Glucose, head injury, healthcare simulation, Hypertonic Solution, Hypothermia Management, increased intracranial pressure management, interpreter, intubation, Neck Injury, neuro decline, Neurology, neurosurgery, neurosurgery consultation, Open Fracture, pediatric trauma care, pediatric traumatic brain injury, Peds TBI, Rapid Sequence Intubation, RSI, sedation, seizure, Serious Head Injury, SimX, TBI, TBI simulation, Translation, trauma, Trauma Assessment, Trauma Surgery, traumatic brain injury, traumatic seizure, Ventilator, virtual reality simulation, VR medical training, VR training, X-Ray,
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Adolescent Respiratory Distress

Children's National

Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion since yesterday evening. He was initially brought to the ED where he received initial treatment, was placed on BiPAP and was transferred to the PICU....

Critical Care Pediatrics
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Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion...

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: Adolescent Respiratory Distress, asthma management, Bronchodilator escalation, Critical Care, Intubation practice, mechanical ventilation, Pediatric ICU, pediatric intubation, PICU Training, respiratory failure, Status Asthmaticus,
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Pediatric Fever with Sickle Cell Disease

Children's National

Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child has had a low-grade fever for 2 days, vomiting, diarrhea and today refused to eat and has been sleeping all day. Patient has a history...

Critical Care Pediatrics
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Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child...

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: asplenia, communication skills, crisis resource management, Critical Care, emergency medicine, immunocompromised, internal medicine, intubation, IV fluid bolus, lab interpretation, nurse practitioner, nursing education, pediatric fever, pediatric shock, pediatrics, physician assistant, PICU, resident training, septic shock, sickle cell disease, triage, vasoactive medications,
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Sudden Onset Respiratory Distress

Children's National

A 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.

Critical Care Emergency Medicine Pediatrics
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A 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: cardiac arrest, Critical Care, Duchenne Muscular Dystrophy, healthcare education, intubation, medical emergency, medical training, PE, pulmonary embolism, respiratory distress, resuscitation,
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NICU Nutrition Management

George Mason University

A 3-day-old preterm infant, born at 32 weeks gestation, is in the NICU receiving care for growth restriction and feeding support. The infant is transitioning from parenteral to enteral nutrition. Participants will collaborate to assess the infant's condition, monitor feeding tolerance, calculate nutritional needs, and communicate updates to the healthcare...

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A 3-day-old preterm infant, born at 32 weeks gestation, is in the NICU receiving care for growth restriction and feeding support. The infant is transitioning...

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Case Information:
Bundles:
Learner Population: Dietetics
Specialty:
Author: George Mason University
Language: English
Room size: 12x12
Setting: NICU
Patient ect:
Patient Gender: Female
Tags: AACN Essentials, Care Planning, Competency-Based Training, Critical Care, Dietetics, Enteral Nutrition, Family Communication, Feeding Support, Growth Restriction, Healthcare Training, Infant Health, interdisciplinary team, Medical Simulation, neonatal, NICU, Nursing, Nutrition Management, Parenteral Nutrition, patient care, Pediatric Care, Preterm Infant, Virtual Reality, VR Simulation,

Suicidal Veteran

Houston VA

68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son said that there were empty pill bottles at home, which were the patient's heart/blood pressure medications. However, the patient reports taking only a few pills....

Medical/Surgical Mental Health Psychiatry
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68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son...

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Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Medical/Surgical, Mental Health, Psychiatry
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: bradycardia, clinical skills, communication skills, Critical Care, De-escalation, dehydration, emergency medicine, healthcare education, healthcare simulation, Healthcare Training, hypotension, inpatient care, medical education, Medical Simulation, medical training, medical VR, mental health, National Patient Safety Goals, nursing education, nursing simulation, overdose, patient care, Patient Safety, physician training, professional development, SAVE policy, SBAR communication, SimX, Suicidal Veteran, suicide prevention, veteran care, Virtual Reality, VR Simulation,