hypotension
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![](https://www.simxvr.com/wp-content/uploads/2023/11/Ohio-State-GI-Bleed-Image-1-300x300.png)
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...
![](https://www.simxvr.com/wp-content/uploads/2023/11/Childrens-National-Low-Cardiac-Output-Syndrome-Image-3-300x300.png)
Low Cardiac Output Syndrome
Children's NationalA 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops junctional ectopic tachycardia with a narrow pulse pressure and hypotension. Learners must recognize and diagnose the arrhythmia and provide therapies to improve the cardiac output...
A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops...
![](https://www.simxvr.com/wp-content/uploads/2023/11/Air-Methods-Pediatric-Airway-Image-5-300x300.png)
Pediatric Airway
Air MethodsA 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires transfer to a pediatric capable facility. Learners must recognize severe asthma and initiate usual asthma treatment, but the child does not respond to these basic...
A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires...
![](https://www.simxvr.com/wp-content/uploads/2023/11/Childrens-National-Post-Op-Hypoxia-and-Hypotension-Image-1-300x300.png)
Post-Op: Hypoxia & Hypotension
Children's NationalIn this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output state with progressive hypotension and hypoxemia. Learners must assess the patient, evaluate the situation, recognize abnormal findings, and respond with appropriate interventions.
In this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output...
![](https://www.simxvr.com/wp-content/uploads/2023/11/Vituity-Postpartum-Hemorrhags-in-ED-Image-1-300x300.png)
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...