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Cervical Spondylotic Myelopathy

Parker University

65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait. Examination shows atrophy of hand muscles, widened and slower gait, diminished reflexes over brachioradialis, positive supinator reflexes, and hyperreflexia over triceps and lower extremity MSRs....

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65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait....

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Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: Babinski sign, Cervical Spondylotic Myelopathy, CSM, differential diagnosis, gait instability, geriatric medicine, hand muscle atrophy, Hoffman’s sign, hyperreflexia, myelopathy symptoms, neurology simulation, neurosurgery, Parker University, physical therapy training, spinal cord compression, spinal MRI,
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Pediatric Traumatic Brain Injury (TBI)—Deployed

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 Pediatric 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, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Pediatric, 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, Arm Fracture, Arm Injury, Arm Splint, atls, AVPU, brain herniation, C-Spine, c-spine protection VR, cervical spine precautions, CT, Cultural Differences, Epidural Hematoma, Epidural Hemorrhage, epidural hemorrhage VR, Evaluates for Hemorrhage, Foreign Language, Full Exposure, GCS, GCS <8 airway management, Glucose, head injury, Hypertonic Solution, Hypothermia Management, increased intracranial pressure management, interpreter, intubation, medical VR simulation, Neck Injury, Neurology, neurosurgery, Open Fracture, pediatric pharmacology, pediatric seizure management, pediatric TBI simulation, pediatric traumatic brain injury, Rapid Sequence Intubation, RSI, sedation, seizure, Serious Head Injury, SimX, TBI, Translation, Trauma Assessment, trauma primary survey MARCH, Trauma Surgery, traumatic brain injury, Ventilator, virtual reality trauma training, VR medical education, VR neurosurgery consult, X-Ray,
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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 Pediatric 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...

View Scenario
Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Pediatric, 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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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 Pediatric Trauma
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A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric, 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,