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Critical Care

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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,

ICU Clinical Swallow Evaluation—Speech Pathology

University of Delaware College of Health Sciences

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 learner will complete a case history, oral motor exam, therapeutic PO trials, make recommendations, and complete a FEES study.

Critical Care
Interprofessional

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...

Case Information:
Bundles:
Learner Population: Speech-Language Pathologist
Specialty: Critical Care, Interprofessional
Author: University of Delaware College of Health Sciences
Language: English
Room size: 16x13
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: aspiration, Clinical Swallow Evaluation, Dysphagia, Endocarditis, FEES Study, Oral Motor Exam, Prolonged Intubation, septic shock, Speech-Language Pathology, swallow evaluation, Therapeutic PO Trials, Vocal Fold Paralysis,

PCC Severe Traumatic Brain Injury

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including bilateral lower extremity amputations. The learner should assess the patient, initially recognizing that the cric placed in the field is a false passage. They should...

Critical Care
Emergency Medicine
Surgery
Trauma

PCC Severe Traumatic Brain Injury

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including...

Case Information:
Bundles: PCC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: blast injury, blood resuscitation, brain herniation, cricothyrotomy, endotracheal intubation, lateral canthotomy, multiple patients, palliative care, prolonged casualty care, retrobulbar hematoma, Severe TBI,

PCC Burn Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess the patient and determine TBSA burn. They should upgrade the airway to an endotracheal tube or surgical airway and place the patient on a ventilator....

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

PCC Burn Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female
Tags: airway control, analgesia and anxiolysis, burn management, fluid resuscitation, prolonged casualty care, surgical airway, TBSA calculation, telemedical consult, ventilator management, wound dressing,

PCC Sepsis Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation the casualty decompensates into septic shock with hypotension, tachycardia, and prolonged capillary refill. The learner should provide local wound care, debride the wound, administer appropriate...

Critical Care
Emergency Medicine
Surgery
Trauma

PCC Sepsis Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: antibiotic administration, evacuation request, hypotension management, IV fluid bolus, MARC2H3-PAWS-L algorithm, prolonged casualty care, sepsis management, septic shock, teleconsultation, wound debridement,

Virtual Manikin™ — Prolonged Casualty Care (PCC)

VALOR Program

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient. Moderator can choose injury patterns and will have control over the patient's physiology through the scenario. All of the tools from the PCC curriculum are...

Critical Care
Emergency Medicine
Burn
Surgery
Trauma

Virtual Manikin™ — Prolonged Casualty Care (PCC)

PCC Bundle

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient....

Case Information:
Bundles: PCC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Burn, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: airway interventions, burn management, circulation management, desert, evisceration, hygiene, hypothermia, jungle, MARC2H3-PAWS-L algorithm, massive hemorrhage management, pallor, patient care, prolonged casualty care, resuscitation, teleconsultation, urban warzone, woodlands, wound care,

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,

Establishing Vascular Access in a Difficult Intravenous Access Patient

CLINSPEC Solutions CVC Health Care PICC Pros

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, 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...

Critical Care
Internal Medicine
Interprofessional
Medical/Surgical

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,...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Interprofessional, Medical/Surgical
Author: CLINSPEC Solutions, CVC Health Care, PICC Pros
Language: English
Room size: 13x14
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: anatomical site selection, difficult IV access, IV documentation, midline placement, peripheral IV access, PICC vs. midline, ultrasound-guided insertion, Vascular Access, vascular access device, vascular assessment,

Establishing Vascular Access for Long-Term Antibiotic Therapy

CLINSPEC Solutions CVC Health Care PICC Pros

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 evaluate the patient, review medical history, and establish vascular access using the appropriate technique.

Critical Care
Internal Medicine
Interprofessional
Medical/Surgical

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Interprofessional, Medical/Surgical
Author: CLINSPEC Solutions, CVC Health Care, PICC Pros
Language: English
Room size: 13x14
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Catheter Measurement, Complication Risk Management, Infusion Clinic, Long-Term Antibiotic Therapy, Osteomyelitis, Patient Medical History, PICC Line Placement, Ultrasound-Guided Access, Vancomycin, Vascular Access,

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,

Virtual Manikin™ — CBRN Chemical Exposure

VALOR Program

The patient was part of an attack involving a chemical exposure. The potential settings include an industrial complex or urban environment with deployed military bag sets. There are no predetermined case-specific learning objectives, critical actions, states, or outcomes. Instead, the moderator will be able to select from two patients and...

Critical Care
Emergency Medicine
Neurology
Disaster Medicine
Toxicology
Trauma

Virtual Manikin™ — CBRN Chemical Exposure

CBRN Bundle

The patient was part of an attack involving a chemical exposure. The potential settings include an industrial complex or urban environment with deployed military bag...

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: Female, Male
Tags: blisters, blunt chest trauma, blunt head trauma, blunt traumatic injury, burns, chemical biological radiation, chemical burns, cyanide, decon, decontamination, GSW, gun shot wound, HAZMAT, hydrogen cyanide rash, industrial disaster response, internal bleeding, laceration, mustard gas, nerve agent, opiate, penetrating chest trauma, TBI, TIC, TIC/TIMs, toxic industrial chemicals, toxic industrial materials, trauma evaluation, trauma resuscitation, traumatic brain injury, urban disaster response,

CBRN Sarin Gas Exposure from IED

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 Sarin Gas Exposure from IED

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: 18x13
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: anticholinergic exposure, ATNAA and CANA autoinjectors, chemical agent exposure, chemical biological radiation, cholinergic, decon, decontamination, dirty bomb, dual patient, duodote, HAZMAT, humvee, IED, improvised explosive device, mass casualty, multi-patient, radiation exposure, roadside, rural disaster response, sarin gas, sarin shell, toxidrome,

CBRN Hydrogen Cyanide Exposure

VALOR Program

Set in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient had significant toxic fume inhalation for a period of time. They develop symptoms of cyanide toxicity. The patient suffers minor traumatic injuries. The patient requires...

Critical Care
Emergency Medicine
Disaster Medicine
Toxicology
Trauma

CBRN Hydrogen Cyanide Exposure

CBRN Bundle

Set in the woodland environment, the Learner responds to the scene after an accident with a burning military vehicle. The wind shifted and the patient...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Critical Care, Emergency Medicine, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 20x13
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: B12, chemical biological radiation, Cherry Red, Cyanokit, decon, decontamination, HAZMAT, Hydroxocobalamin, roadside, rural disaster response, Sodium Thiosulphate,

EMS Anaphylaxis with Difficult Airway

VALOR Program

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 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...

Critical Care
Emergency Medicine

EMS Anaphylaxis with Difficult Airway

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine
Author: VALOR Program
Language: English
Room size: 10x10
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: Adult, AEMT, als, anaphylaxis, bls, Distributive shock, EMT, Military, Paramedic, prehospital, respiratory distress,

EMS Congestive Heart Failure

VALOR Program

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 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...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

EMS Congestive Heart Failure

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: VALOR Program
Language: English
Room size: 16x16
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, als, bls, CHF, CPAP, EMT, Flash Pulmonary Edema, heart failure, Left Bundle Branch Block, Military, Nitroglycerine, Paramedic, Pulmonary Edema, respiratory failure,

EMS Pediatric Overdose

VALOR Program

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 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...

Critical Care
Emergency Medicine
Pediatrics
Toxicology

EMS Pediatric Overdose

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Toxicology
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, altered mental status, bls, ems, EMT, Military, Opiate overdose, pals, Paramedic, pediatrics, prehospital, toxicology,

Workplace Violence & De-escalation

George Mason University

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 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...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
OB/GYN
Family Medicine
Interprofessional
Leadership
Psychiatry/Mental Health

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine, Interprofessional, Leadership, Psychiatry/Mental Health
Author: George Mason University
Language: English
Room size: 15x15
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, non-verbal cues, OODA loop, verbal cues, verbal techniques, Workplace Violence,

Unstable SVT in the ED

Children's National

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. He has given adenosine twice for supraventricular tachycardia and now requires further intervention.  

Cardiology
Critical Care
Emergency Medicine
Pediatrics

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....

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Pediatrics
Author: Children's National
Language: English
Room size: 12x12
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: cardiac ICU, cardioversion, pals, supraventricular tachycardia, torsades,

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—Occluded Inner Cannula (Fresh Tracheostomy)

NYU Grossman School of Medicine

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 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...

Critical Care
Internal Medicine
Surgery

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...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Surgery
Author: NYU Grossman School of Medicine
Language: English
Room size: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, hypoventilation, hypoxia, inner cannula, occlusion, percutaneous, tension pneumothorax, Trach, tracheostomy,

Tracheostomy Complications—Displacement (Fresh Total Laryngectomy)

NYU Grossman School of Medicine

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 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...

Critical Care
Emergency Medicine
Internal Medicine
Anesthesiology

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...

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: 17x15
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: hypoxia, icu, laryngeal carcinoma, laryngectomy, laryngectomy stoma, postoperative, respiratory distress, SICU, tracheostomy,

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,