0

Emergency Medicine

Reset

Showing 25–48 of 64 results

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,

Myocardial Infarction in the ED

Southeastern Illinois College

A 57-year-old male presents to the Emergency Department with chest pain. He reports that the pain started about an hour after dinner, while he was working. He describes the pain as a “crushing pressure” located midsternal and radiating down his left arm and to his back. He rates the pain...

Cardiology
Emergency Medicine
Internal Medicine
Cardiac/Telemetry
Emergency
Interprofessional

A 57-year-old male presents to the Emergency Department with chest pain. He reports that the pain started about an hour after dinner, while he was...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Internal Medicine, Cardiac/Telemetry, Emergency, Interprofessional
Author: Southeastern Illinois College
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: A-Fib, acls, Amiodarone, Atrial Fibrillation, cardiac arrest, cardioversion, chest pain, defibrillation, epinephrine, inferior stemi, stemi, V-Fib, V-Tach, ventricular fibrillation, ventricular tachycardia,

Acute Myocardial Infarction

Servicio Nacional de Aprendizaje (SENA)

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are expected to recognize inferior STEMI by history, exam, and EKG, activate cath lab, and start fluids, heparin, and pressors if needed. If the participant does...

Cardiology
Emergency Medicine
Internal Medicine
Cardiac/Telemetry
Emergency

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Internal Medicine, Cardiac/Telemetry, Emergency
Author: Servicio Nacional de Aprendizaje (SENA)
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect:
Patient Gender: Female
Tags: AMI, cardiology, emergency department, emergency medicine, English, inferior stemi, myocardial infarction, Nursing,

EMS Prehospital Pediatric Trauma

Servicio Nacional de Aprendizaje (SENA)

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is confused with recent amnesia, but responds to orders. Two EMS must secure the area, give him first attention, and take him in their ambulance to...

Emergency Medicine
Pediatrics
Advanced EMT
EMT
Paramedic
Trauma

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatrics, Advanced EMT, EMT, Paramedic, Trauma
Author: Servicio Nacional de Aprendizaje (SENA)
Language: English, Spanish
Room size: 12x12
Setting: Hospital, Outdoor, Ambulance
Patient ect:
Patient Gender: Male
Tags: ambulance transport, car accident simulation, emergency care protocols, EMS training, first response, fracture management, head injury, medical VR scenario, pediatric emergency, pediatric trauma,

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,

Social Determinants of Health Bundle

SimX

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, 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...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Neurology
OB/GYN
Pediatrics
Cardiac/Telemetry
Community/Public Health
Psychiatry/Mental Health
SDOH
Surgery
Trauma

Social Determinants of Health Bundle

Social Determinants of Health

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,...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Nursing, Chiropractor, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Neurology, OB/GYN, Pediatrics, Cardiac/Telemetry, Community/Public Health, Psychiatry/Mental Health, SDOH, Surgery, Trauma
Author: SimX
Language:
Room size:
Setting:
Patient ect:
Patient Gender:
Tags:

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,

Shoulder Dystocia in a Rural ED

Air Methods

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care...

Emergency Medicine
OB/GYN
Emergency
Interprofessional
Maternal and Child Health (MCH)

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Interprofessional, Maternal and Child Health (MCH)
Author: Air Methods
Language: English, French, Korean, Spanish
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: active delivery, high-risk, imminent delivery, labor & delivery, newborn, ob/gyn, postpartum hemorrhage, shoulder dystocia,

Precipitous Labor & Neonatal Resuscitation

SimX

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart...

Emergency Medicine
OB/GYN
Pediatrics
Emergency
Interprofessional
Maternal and Child Health (MCH)
Resuscitation

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Pediatrics, Emergency, Interprofessional, Maternal and Child Health (MCH), Resuscitation
Author: SimX
Language: English, Spanish
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Female, Male
Tags: emergency department, imminent birth, labor and delivery, neonatal, NRP, ob/gyn, ppv,

Tetralogy of Fallot with Hypercyanotic Spell

Children's National

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...

Cardiology
Emergency Medicine
Pediatrics
Cardiac/Telemetry
Interprofessional

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Pediatrics, Cardiac/Telemetry, Interprofessional
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: baby, CICU, cyanotic, emergency, hypercyanotic spell, infant, nasal cannula, neonatal, pediatrics, tetralogy of fallout, triage,

Preeclampsia

SimX

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...

Emergency Medicine
Neurology
OB/GYN
Emergency
Maternal and Child Health (MCH)

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: abdominal pain, eclamptic seizure, ED, emergency department, OBGYN, preeclampsia, pregnant, seizure,

Sepsis

SimX

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 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...

Critical Care
Emergency Medicine
Internal Medicine
Geriatric/Palliative Care
Interprofessional
Surgery

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Geriatric/Palliative Care, Interprofessional, Surgery
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: abdominal pain, ED, emergency department, gallbladder, geriatric, hypotensive, PEA arrest, sepsis, septic shock, tachycardia,

Car Accident—Prehospital

XR Support Center Europe

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...

Emergency Medicine
Advanced EMT
EMT
Paramedic
Trauma

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 16x16
Setting: Outdoor
Patient ect:
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Triage Mass Casualty

XR Support Center Europe

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded street. The scene is divided into hot and warm zones. QRT teams from EMS/Fire/Police/Defense will enter the scene to perform triage. As a mass casualty...

Emergency Medicine
Advanced EMT
Disaster Medicine
EMT
Paramedic
Trauma

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, Disaster Medicine, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 18x18
Setting: Outdoor
Patient ect:
Patient Gender: Female, Male
Tags: cpr, gun shot wound, hot zone, mass casualty, needle decompress, ppe, scene safety, shooters, tag, terrorist attack, tourniquette, triage, warm zone,

Postpartum Hemorrhage in ED

Vituity

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and subsequent placenta delivery, the patient becomes hemodynamically unstable from postpartum hemorrhage and requires aggressive resuscitation. If this is performed properly, the patient will improve, if...

Emergency Medicine
OB/GYN

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN
Author: Vituity
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: delivery kit, foley catheter, hemorrhage, hemorrhagic shock, hypotension, massive transfusion protocol, methergine, misoprostol, neonatal crash cart, oxytocin, placental delivery, postpartum hemorrhage, resuscitation, shock, txa, uterine massage,

Bleeding Control—Office Shooting

Sun City Simulation

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm...

Emergency Medicine
Advanced EMT
Disaster Medicine
EMT
Paramedic
Trauma

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, Disaster Medicine, EMT, Paramedic, Trauma
Author: Sun City Simulation
Language: English
Room size: 18x13
Setting: Office Building
Patient ect:
Patient Gender: Female, Male
Tags: arterial bleeding, arterial hemorrhage, gunshot wound, hemorrhage control, hemorrhagic shock, mass casualty, pressure dressing, tourniquette, venous bleeding, wound packing,

Severe Trauma

Sun City Simulation

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the left arm, having placed them in an extrication C-collar, and initiated a simple mask for oxygen delivery. The patient is moved from a resuscitation room...

Emergency Medicine
Trauma

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: Sun City Simulation
Language: English
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: allergic reaction, allergy, ampicillin, anaphylaxis, deescalation, drug reaction, dyspnea, epinephrine, hives, medication reaction, penicillin, rash, respiratory distress, shortness of breath, urticaria, wheezing,

Shortness of Breath

SimX

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 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...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

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...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: SimX
Language: English, Spanish
Room size: 14x14
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, 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,

EMS Anaphylaxis

SimX

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 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...

Critical Care
Emergency Medicine
Advanced EMT
EMT
Paramedic

EMS Anaphylaxis

EMS Bundle

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...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: allergic reaction, allergy, anaphylactic shock, anaphylaxis, cardiac arrest, difficulty breathing, dyspnea, epinephrine, food allergy, peanut allergy,

EMS Motor Vehicle Accident

SimX

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the ambulance while the patient is on a stretcher with a C collar in place. The patient has blood on his clothes and is screaming in...

Emergency Medicine
Advanced EMT
EMT
Trauma

EMS Motor Vehicle Accident

EMS Bundle

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Trauma
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

EMS MCA Stroke

SimX

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should...

Emergency Medicine
Neurology
Advanced EMT
EMT
Paramedic

EMS MCA Stroke

EMS Bundle

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment,...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 15x15
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: 911, door to tpa, ems, ems report, ems stroke, facial droop, fast, mca, prehospital stroke, stroke, stroke protocol, stroke symptoms, stroke team, time is brain, tpa,

Pediatric Dysrhythmia (Resuscitation)

SimX

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...

Cardiology
Emergency Medicine
Internal Medicine
Pediatrics
Emergency
Paramedic
Resuscitation

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Internal Medicine, Pediatrics, Emergency, Paramedic, Resuscitation
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: broselow tape, cpr, defibrillation, pals, pediatric defibrillation, pediatric syncope, pediatrics, syncope, ventricular tachycardia,