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Mixed Mass Casualty Incident Triage

Uniformed Services University of the Health Sciences

In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of four among the injured: a father, mother, a five-year-old child, and an infant. The scenario is designed to test the learners' ability to perform under...

Critical Care Disaster Medicine Emergency Emergency Medicine Paramedic Pediatric Trauma Wound Care

In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric, Disaster Medicine, Emergency, Paramedic, Trauma, Wound Care
Author: Uniformed Services University of the Health Sciences
Language: English
Room size: 18x18
Setting: Military Airshow, Tent
Patient ect:
Patient Gender: Female, Male
Tags: Airway Management, AVPU Scale, Cervical Spine Control, Disaster Response, hemorrhagic shock, Hypothermia Prevention, MARCH Algorithm, mass casualty incident, MCI Triage, military medicine, needle decompression, pediatric emergency, SimX, tension pneumothorax, tourniquet application, Trauma Simulation, USUHS, VR Healthcare Training, Weight-Based Dosing,
Coming Soon

Pediatric Blunt Abdominal Trauma and Hemorrhage

Children's Mercy Kansas City

This scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a community hospital emergency department trauma room. An EMS provider arrives with the patient and provides a report. The patient is an irritable child with blood...

Critical Care Emergency Emergency Medicine Pediatric Trauma Wound Care

This scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric, Emergency, Trauma, Wound Care
Author: Children's Mercy Kansas City
Language: English
Room size: 15x15
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: 4-Year-Old Patient, blood transfusion, Blunt Abdominal Trauma, Children's Mercy Kansas City, Community Hospital ED, Cultural Competency, emergency medicine, FAST Ultrasound, hemorrhage, hemorrhagic shock, medical VR, needle decompression, Pediatric Respiratory Failure, pediatric trauma, Spanish Interpreter, tension pneumothorax, Trauma Assessment,
Coming Soon

Management of Pediatric Trauma

Air Methods

Seven-year-old Ethan and his friend Jake were playing unsupervised at Jake’s house when they discovered a 9mm handgun in an unlocked nightstand drawer. Curious and unaware of the danger, they handled the firearm, and in a tragic moment, it discharged, striking Ethan in the right temple. The gunshot sent Jake...

Critical Care Emergency Medicine Paramedic Pediatric Transport Nurse Trauma

Seven-year-old Ethan and his friend Jake were playing unsupervised at Jake’s house when they discovered a 9mm handgun in an unlocked nightstand drawer. Curious and...

Case Information:
Bundles:
Learner Population: EMS/Prehospital
Specialty: Critical Care, Emergency Medicine, Pediatric, Paramedic, Transport Nurse, Trauma
Author: Air Methods
Language: English
Room size: 10x10
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: Air Medical Transport, Air Methods, Airway Management, Clinical Simulation, Crew Resource Management, CRM, emergency medicine, GSW, gunshot wound, hemorrhage control, Level 1 Trauma, pals, Pediatric Advanced Life Support, pediatric trauma, resuscitation, TBI, traumatic brain injury, VR Healthcare,
Coming Soon

Management of Infant Hyponatremia

Air Methods

This scenario involves the assessment and management of infant hyponatremia and hypoglycemia in a 5-day-old male. Learners are dispatched to a small community ER to transport the patient, Davy Humphrey, who presents with lethargy and irritability. Report and dialogue with the Mother reveal that the Mother has been diluting and...

Critical Care Emergency Neonatology Pediatric Resuscitation

This scenario involves the assessment and management of infant hyponatremia and hypoglycemia in a 5-day-old male. Learners are dispatched to a small community ER to...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital
Specialty: Critical Care, Pediatric, Emergency, Neonatology, Resuscitation
Author: Air Methods
Language: English
Room size: 10x10
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: Air Methods, Critical Care Transport, dehydration, EMR Interpretation, Formula Dilution, Infant Hyponatremia, Metabolic Distress, Neonatal Assessment, Neonatal Hypoglycemia, neonatal resuscitation, Newborn stabilization, pediatric emergency, Seizure Prevention, VR medical simulation,
Coming Soon

Virtual Manikin™ — Interprofessional Trauma Management

VALOR Program

Set in a community hospital, participants will evaluate injured patients who require immediate stabilization and resuscitation before eventually being transferred to a trauma center. There are options to start the scenario in a home garage, a rural roadside, or the hospital trauma Bay. Patients can be transported via ambulance to...

Advanced EMT Ambulatory Care/Outpatient Services Burn Critical Care Emergency Emergency Medicine EMT Medical/Surgical Paramedic Resuscitation Surgery Trauma Trauma Surgery Wound Care

Set in a community hospital, participants will evaluate injured patients who require immediate stabilization and resuscitation before eventually being transferred to a trauma center. There...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Critical Care, Emergency Medicine, Advanced EMT, Ambulatory Care/Outpatient Services, Burn, Emergency, EMT, Medical/Surgical, Paramedic, Resuscitation, Surgery, Trauma, Trauma Surgery, Wound Care
Author: VALOR Program
Language: English
Room size: 20x20
Setting: Ambulance, Garage, Mountain Road, Trauma Bay
Patient ect:
Patient Gender: Female, Male
Tags: Airway Management, chest tube, emergency medicine, EMS training, FAST exam, GCS, hemorrhage control, interprofessional training, intubation, Medical Simulation, nursing education, orthopedic trauma, primary survey, resuscitation, secondary survey, shock management, Spinal Precautions, stabilization, Trauma Assessment, trauma management, triage, ultrasound, VALOR Program, Virtual Manikin, VR Simulation,
Coming Soon

Postoperative Cardiac Emergency

Cleveland Clinic

The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was successfully extubated and has been recovering in the CVICU. Patient is alert, oriented and able to converse with the medical team. Patient reports on initial...

Cardiac/Telemetry Cardiology Critical Care Emergency Emergency Medicine Perioperative Resuscitation Surgery

The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Cardiology, Critical Care, Emergency Medicine, Cardiac/Telemetry, Emergency, Perioperative, Resuscitation, Surgery
Author: Cleveland Clinic
Language: English
Room size: 12x12
Setting: CVICU
Patient ect:
Patient Gender: Male
Tags: acls, advanced cardiac life support, cardiac arrest, Cardiac Emergency, cardiac surgery, Cardiac Tamponade, Critical Care, CVICU, emergency medicine, emergent resternotomy, internal defibrillation, intra-cardiac epinephrine, Medical Simulation, nursing intervention, Nursing Interventions, Post-Surgical, postoperative cardiac emergency, postoperative care, Resternotomy, resuscitation, Surgery Complications, V-Fib, ventricular fibrillation,
Coming Soon

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

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...

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,
Coming Soon

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

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...

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,
Coming Soon

Adolescent Respiratory Distress

Children's National

Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion since yesterday evening. He was initially brought to the ED where he received initial treatment, was placed on BiPAP and was transferred to the PICU....

Critical Care Pediatric

Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Pediatric
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: Adolescent Respiratory Distress, asthma management, Bronchodilator escalation, Critical Care, Intubation practice, mechanical ventilation, Pediatric ICU, pediatric intubation, PICU Training, respiratory failure, Status Asthmaticus,
Coming Soon

Pediatric Fever with Sickle Cell Disease

Children's National

Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child has had a low-grade fever for 2 days, vomiting, diarrhea and today refused to eat and has been sleeping all day. Patient has a history...

Critical Care Pediatric

Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Pediatric
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: asplenia, communication skills, crisis resource management, Critical Care, emergency medicine, immunocompromised, internal medicine, intubation, IV fluid bolus, lab interpretation, nurse practitioner, nursing education, pediatric fever, pediatric shock, pediatrics, physician assistant, PICU, resident training, septic shock, sickle cell disease, triage, vasoactive medications,
Coming Soon

Sudden Onset Respiratory Distress

Children's National

A 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.

Critical Care Emergency Medicine Pediatric

A 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: cardiac arrest, Critical Care, Duchenne Muscular Dystrophy, healthcare education, intubation, medical emergency, medical training, PE, pulmonary embolism, respiratory distress, resuscitation,
Coming Soon

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

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, 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,

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

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: Interprofessional, Speech-Language Pathologist
Specialty: Critical Care
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,

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

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, Interprofessional
Specialty: Critical Care, Emergency
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 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, Interprofessional, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, 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 Geriatric Internal Medicine 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, Interprofessional, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Geriatric, 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,

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,...

Advanced EMT Cardiology Critical Care Emergency Medicine EMT Family Medicine Internal 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,

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, 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, 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 Pediatric 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, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric, 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,

PALS Assessment And Resuscitation

Sacramento VAMC

A six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary, and secondary assessment and effectively manage the patient’s clinical condition. This case has two different clinical presentations for the learner to address appropriately. The moderator...

Critical Care Emergency Medicine Pediatric

A six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary,...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric
Author: Sacramento VAMC
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: Airway, asthma, Croup, pals, respiratory distress,

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 Family Medicine Internal Medicine Leadership Mental Health OB/GYN Psychiatry

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, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine, Leadership, Mental Health, Psychiatry
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 Pediatric

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, Pediatric
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....

Anesthesiology Critical Care Emergency Medicine Internal 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...

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,