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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,

Critical Care Post-MVA

Southeastern Illinois College

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...

Critical Care
Emergency
Interprofessional

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Critical Care, Emergency, Interprofessional
Author: Southeastern Illinois College
Language: English
Room size: 17x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: blood transfusion, chest tube management, critical thinking, evidence-based practice, hemorrhage control, ICU stabilization, intubation, motor vehicle crash, nursing process, trauma care,

Rapid Sequence Intubation

TriHealth

The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks. He was placed on BiPAP and transferred to the ICU. The learner will evaluate and facilitate the resuscitation of the patient.

Critical Care
Emergency Medicine
Anesthesiology
Emergency
Geriatric/Palliative Care
Interprofessional

The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks....

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Critical Care, Emergency Medicine, Anesthesiology, Emergency, Geriatric/Palliative Care, Interprofessional
Author: TriHealth
Language: English
Room size: 16x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: BiPAP, copd, Failed Intubation, icu, intubation, medication administration, Patient Safety, respiratory distress, resuscitation,

CBRN Nerve Agent Exposure with Severe Head Injury

VALOR Program

Set in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on the road and recovered an IED that partially detonated, with its nose open and cracked. Unknown to them, it was a rare chemical weapon prototype...

Critical Care
Emergency Medicine
Neurology
Disaster Medicine
Toxicology
Trauma

CBRN Nerve Agent Exposure with Severe Head Injury

CBRN Bundle

Set in the woodland environment, the learner responds to the scene after reports of soldiers feeling ill after recovering an IED. The patients were on...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Critical Care, Emergency Medicine, Neurology, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 20x16
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: airway protection, anticholinergic exposure, ATNAA and CANA autoinjectors, chemical biological radiation, cholinergic, decon, decontamination, duodote, HAZMAT, intubation, nerve agent exposure, rural disaster response, sarin gas, severe head injury, TBI, toxidrome, traumatic brain injury, unconscious, unresponsive, VX,

Virtual Manikin™ — Adult Chest Pain

SimX

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other words,...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Advanced EMT
EMT
Family Medicine
Paramedic
Pulmonology

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Advanced EMT, EMT, Family Medicine, Paramedic, Pulmonology
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: acls, Anterior stemi, Aortic dissection, cardiac arrest, chest pain, chest tube, congestive heart failure, Diuresis, Esophageal rupture, Fluid overload, Heart Block, Heart strain, inferior stemi, intubation, Manikin, Mobitz block, needle decompression, NSTEMI, Pneumomediastinum, pneumonia, pneumothorax, Posterior stemi, pulmonary embolism, sepsis, Shingles, Spontaneous pneumothorax, stemi, Tamponade, trauma, Wolf parkinson white, Zoster,

CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

VALOR Program

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require decontamination along with antidote administration and immediate airway interventions.

Emergency Medicine
Disaster Medicine
Toxicology
Trauma

CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

CBRN Bundle

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Emergency Medicine, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 18x15
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Female
Tags: airway protection, B12, Cherry Red, cyanide, Cyanokit, decon, decontamination, dirty bomb, HAZMAT, Hydroxocobalamin, intubation, naloxone, narcan, opiate gas, Opiate overdose, Sodium Thiosulphate, subway, urban disaster response,

CBRN Radiation Accident with Burn Management

VALOR Program

Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a closed room that caught on fire. He suffered extensive burns to the head, face and chest. This patient will require immediate airway management along with...

Emergency Medicine
Burn
Disaster Medicine
Toxicology
Trauma

CBRN Radiation Accident with Burn Management

CBRN Bundle

Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Emergency Medicine, Burn, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 18x18
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Male
Tags: airway burn, airway compromise, Airway Management, airway protection, burn injury, burn resuscitation, chemical biological radiation, decon, decontamination, dual patient, HAZMAT, industrial disaster response, intubation, mass casualty, multi-patient, mutliple patients, radiation, radiation poisoning, severe burns, urban disaster response,

Tracheostomy Complications—Chronic Tracheostomy with Tracheoinnominate Fistula

NYU Grossman School of Medicine

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 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....

Critical Care
Emergency Medicine
Internal Medicine
Anesthesiology

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...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Anesthesiology
Author: NYU Grossman School of Medicine
Language: English
Room size: 16x13
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: Airway, Airway Management, Arterial Bleed, Fistula, hemorrhage, hemorrhagic shock, intubation, Trach, tracheostomy, Utley Maneuver,

Tracheostomy Complications—Displacement (Fresh Tracheostomy)

NYU Grossman School of Medicine

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed two days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...

Critical Care
Emergency Medicine
Internal Medicine
Anesthesiology

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Anesthesiology
Author: NYU Grossman School of Medicine
Language: English
Room size: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, chest tube, hypoxemia, intubation, needle decompression, tension pneumothorax, Trach, tracheostomy,

Pediatric Asthma Requiring Airway in a Rural ED

Air Methods

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 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...

Critical Care
Emergency Medicine
Pediatrics
Emergency
Interprofessional
Paramedic

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...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Emergency, Interprofessional, Paramedic
Author: Air Methods
Language: English
Room size: 17x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: asthma, ED, hypotension, intubation, pediatrics, refractory asthma, severe asthma, shortness of breath,

EMS TCA Overdose

SimX

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the patient may have overdosed on medications as she has been depressed since breaking up with her girlfriend last week. The learner can observe several medication...

Critical Care
Emergency Medicine
Paramedic
Toxicology

EMS TCA Overdose

EMS Bundle

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Paramedic, Toxicology
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: abc’s, abnormal ekg, abnormal vital signs, aspiration, ems, intubation, overdose, qrs, respiratory failure, sodium bicarbonate, suicide attempt, tca overdose, toxicology, unresponsive, ventricular tachycardia, wide qrs,

Intubation of Pediatric Patient with Suspected COVID

Children's National

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to respiratory failure and the patient requires immediate intubation. Learners will start outside the room and receive pre-arrival information of impending respiratory failure. The learner must...

Critical Care
Emergency Medicine
Pediatrics
Anesthesiology
Cardiac/Telemetry
Interprofessional

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Anesthesiology, Cardiac/Telemetry, Interprofessional
Author: Children's National
Language: English
Room size: 18x14
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: congenital heart disease, covid, intubation, pediatric covid, pediatric intubation, pediatric respiratory distress, ppe, respiratory distress, respiratory failure,