Altered Mental Status—MVA
Children's NationalA 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.
A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.
ICU Clinical Swallow Evaluation—Speech Pathology
University of Delaware College of Health SciencesThe learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The learner will complete a case history, oral motor exam, therapeutic PO trials, make recommendations, and complete a FEES study.
The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The...
Critical Care Post-MVA
Southeastern Illinois CollegeA 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...
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...
Establishing Vascular Access in a Difficult Intravenous Access Patient
CLINSPEC Solutions CVC Health Care PICC ProsA 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately, the nursing staff were unable to establish peripheral IV access after several attempts. The learner will evaluate the patient, review medical history, and establish vascular...
A 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately,...
Establishing Vascular Access for Long-Term Antibiotic Therapy
CLINSPEC Solutions CVC Health Care PICC ProsA 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will evaluate the patient, review medical history, and establish vascular access using the appropriate technique.
A 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will...
Rapid Sequence Intubation
TriHealthThe 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.
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....
Virtual Manikin™ — Adult Chest Pain
SimXPatient 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,...
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...
EMS Anaphylaxis with Difficult Airway
VALOR ProgramLearner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family member says the patient was eating take-out food and suddenly had difficulty breathing. The patient has a known severe peanut allergy. Learner will perform an...
EMS Anaphylaxis with Difficult Airway
Learner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family...
EMS Congestive Heart Failure
VALOR ProgramLearner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on scene, identify the patient's dyspnea and hypoxia, and provide appropriate respiratory support. The patient is in respiratory distress and can speak in only 1-2 syllable...
EMS Congestive Heart Failure
Learner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on...
EMS Pediatric Overdose
VALOR ProgramLearner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and identify that the patient ingested some hydrocodone-acetaminophen tablets that belonged to the parent, with an open bottle on the bathroom counter. Learner will recognize signs...
EMS Pediatric Overdose
Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and...
Workplace Violence & De-escalation
George Mason UniversityYou are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the bed who starts to get annoyed and angry. You and other hospital employees are asked to help. Formerly Known As: VR Interprofessional Simulation Training on...
You are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the...
Unstable SVT in the ED
Children's NationalA 5 day old infant is brought to the emergency department with irritability, decreased oral intake, hypoactivity, and tachycardia. He was intubated for transport here. He has given adenosine twice for supraventricular tachycardia and now requires further intervention.
A 5 day old infant is brought to the emergency department with irritability, decreased oral intake, hypoactivity, and tachycardia. He was intubated for transport here....
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...
Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient us 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 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...
Tracheostomy Complications—Displacement (Fresh Total Laryngectomy)
NYU Grossman School of MedicineThe patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for 24 hours. He had a total laryngectomy performed one day prior for laryngeal carcinoma. He required mechanical ventilatory support immediately postoperatively via a #8 cuffed...
The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for...
Tracheostomy Complications—Displacement (Fresh Tracheostomy)
NYU Grossman School of MedicineThe 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...
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...
Social Determinants of Health Bundle
SimXThis bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters, learners experience various scenarios that highlight the complex social, environmental, and psychological factors affecting patient health. Each scenario is meticulously crafted to challenge the learner...
Social Determinants of Health Bundle
This bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters,...
Pediatric Asthma Requiring Airway in a Rural ED
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...
Sepsis
SimXThe learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was previously told his gallbladder was bad and needs to be removed. Upon initial assessment, the patient is febrile, tachycardic, and hypotensive. If treated aggressively with...
The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was...
Shortness of Breath
SimXIn this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of breath. The learner must perform a full work up on the patient, develop a differential diagnosis, and treat the patient according to that diagnosis. There...
In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of...
EMS TCA Overdose
SimXThis 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...
EMS TCA Overdose
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...
EMS Anaphylaxis
SimXIn this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with a known allergy. The learner must give Epi and the patient will improve. However, the patient will require a second dose of epi. If neither...
EMS Anaphylaxis
In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with...
EMS Inferior STEMI
SimXA patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If...
EMS Inferior STEMI
A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...
Chest Pain in the ED (Resuscitation)
SimXA patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging. The learner must assess the patient's ABCs and provide initial resuscitation. They must then correctly diagnose PE. This case is successfully completed by treating the...
A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging....