Mixed Mass Casualty Incident Triage
Uniformed Services University of the Health SciencesIn this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of four among the injured: a father, mother, a five-year-old child, and an infant. The scenario is designed to test the learners' ability to perform under...
In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of...
Pediatric Blunt Abdominal Trauma and Hemorrhage
Children's Mercy Kansas CityThis scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a community hospital emergency department trauma room. An EMS provider arrives with the patient and provides a report. The patient is an irritable child with blood...
This scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a...
TCCC Blast Injury
VALOR ProgramSet in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg tourniquets, identify all wounds, recognize tension pneumothorax, perform a needle decompression, and give a dose of antibiotics.
Set in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg...
TCCC Blunt Trauma
VALOR ProgramSet in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for hemorrhagic shock. If performed, an ultrasound will demonstrate free abdominal fluid indicating intra abdominal hemorrhage. They should attend to a patient's pain, give antibiotics, provide...
Set in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for...
TCCC Dual Patient
VALOR ProgramSet in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic injuries. One casualty has a significant blunt head injury. The other casualty had blunt abdominal, chest, and lower extremity injuries. Participants will have to work...
Set in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic...
TCCC Penetrating Trauma
VALOR ProgramSet in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey, decompress tension pneumothorax, place leg tourniquet, and apply a foley to a junctional axillary wound.
Set in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey,...
TCCC Severe Head Injury
VALOR ProgramSet in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to provide much history. The participant should perform a MARCH assessment, recognize severe head injury and initiate appropriate life saving interventions such as airway protection, hypertonic...
Set in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to...
Tracheostomy Complications—Chronic Tracheostomy with Tracheoinnominate Fistula
NYU Grossman School of MedicinePatient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 20 days ago. The learner is called to the bedside by the MICU nurse due to bright red blood oozing from the tracheostomy and from the stoma....
Patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 20 days...
Postpartum Hemorrhage in ED
VituityA 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and subsequent placenta delivery, the patient becomes hemodynamically unstable from postpartum hemorrhage and requires aggressive resuscitation. If this is performed properly, the patient will improve, if...
A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and...
Hypotension Post TAA
University of Pennsylvania School of NursingPatient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR...
Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two...
Bleeding Control—Office Shooting
Sun City SimulationThis scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm...
This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient...
GI Bleed
Ohio State UniversityThe patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...
The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...