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Virtual Reality Simulated Patient Encounters

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Team Dynamics During Patient Escalation

Nationwide Children's Hospital

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Emergency Medicine
Internal Medicine
Psychiatry/Mental Health

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Psychiatry/Mental Health
Author: Nationwide Children's Hospital
Language: English
Room size: 12x12
Setting: Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: agitation management, closed-loop communication, communication skills, De-escalation, emergency department, emergency response, patient escalation, role delegation, team dynamics, teamwork in healthcare,

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,

Pharmacotherapy of Endocarditis and Septic Shock

University of Pittsburgh School of Pharmacy

A 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their diagnosis on rounds and guide the team’s treatment plan as well as communicate that plan with the patient’s family.

Emergency Medicine

A 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their...

Case Information:
Bundles:
Learner Population: Pharmacy
Specialty: Emergency Medicine
Author: University of Pittsburgh School of Pharmacy
Language: English
Room size: 16x12
Setting: Emergency Department
Patient ect:
Patient Gender: Male
Tags: Antibiotic Stewardship, diagnosis, emergency department, Endocarditis, hypotension, infective endocarditis, interdisciplinary team, interprofessional team, patient education, Pharmacotherapy, pharmacotherapy care plan, Pharmacy, prosthetic mitral valve, septic shock,

Virtual Manikin™ — Outpatient Soft Skills

SimX

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over the patient's physiology throughout the scenario. The conditions available are obesity, traumatic brain injury, language disorders, Parkinson’s disease, hearing loss, type 2 diabetes, and malnutrition.

Emergency Medicine
Internal Medicine
Neurology
Advanced EMT
Community/Public Health
EMT
Fundamentals
Paramedic
Psychiatry/Mental Health

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Neurology, Advanced EMT, Community/Public Health, EMT, Fundamentals, Paramedic, Psychiatry/Mental Health
Author: SimX
Language: English
Room size: 16x16
Setting: Outpatient Clinic, Other
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory care, communication skills, diabetes management, healthcare simulation, outpatient care, Parkinson's disease, patient assessment, soft skills training, traumatic brain injury, Virtual Manikin,

SDOH Housing Instability

St. John Fisher University, Wegmans School of Nursing

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for 6 months. She does not have access to routine healthcare and is not currently utilizing any social services. The first touchpoint with Maria is at...

Emergency Medicine
Internal Medicine
Community/Public Health
Family Medicine
Medical/Surgical
SDOH

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Community/Public Health, Family Medicine, Medical/Surgical, SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 13x15
Setting: Outdoor, Emergency Department, Other
Patient ect:
Patient Gender: Female
Tags: discharge planning, DKA, health history, Housing Instability, patient education, prenatal care, SDOH, social determinants of health, therapeutic communication, urban encampment,

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,

Difficult Client

Georgian College

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital, involuntarily.

Emergency Medicine
Internal Medicine
Family Medicine
Leadership
Psychiatry/Mental Health

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital,...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Leadership, Psychiatry/Mental Health
Author: Georgian College
Language: English
Room size: 20x20
Setting: Other
Patient ect:
Patient Gender: Male
Tags: client interactions, communication, De-escalation, escalating patient behaviors, safety precautions, setting limits,

SUC Rhabdomyolysis

VALOR Program

The patient presents to the clinic with body aches. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Rhabdomyolysis

SUC Bundle

The patient presents to the clinic with body aches. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory evaluation, hyperkalemia, rhabdomyolysis, small unit care,

SUC Abdominal Pain

VALOR Program

The patient presents to the clinic with abdominal pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule out possible emergent conditions, and arrange transport to the next level of care if appropriate.

Emergency Medicine
Internal Medicine
Family Medicine

SUC Abdominal Pain

SUC Bundle

The patient presents to the clinic with abdominal pain. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or...

Case Information:
Bundles: SUC Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Family Medicine
Author: VALOR Program
Language: English
Room size: 19x16
Setting: Outpatient Clinic, Tent
Patient ect:
Patient Gender: Female
Tags: ambulatory evaluation, appendicitis, small unit care,

Virtual Manikin™ — Pediatric Respiratory

SimX

Patient is a pediatric patient 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...

Emergency Medicine
Pediatrics
Advanced EMT
EMT
Paramedic

Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatrics, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: anaphylaxis, anemia, asthma, bronchiolitis, cardiac arrest, Croup, DKA, Epiglottitis, foreign body, Manikin, Opiate overdose, pediatric, pneumonia, pneumothorax, respiratory,

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,

EMS Diabetic Emergency

VALOR Program

Learner is called to scene for reports of altered mental status. On arrival, they will find the 35-year-old female patient lying in the front yard who is localizing to pain but otherwise unresponsive. Bystanders gave one dose of naloxone without effect. Learner will perform an initial assessment and history from...

Emergency Medicine
Internal Medicine

EMS Diabetic Emergency

EMS Bundle

Learner is called to scene for reports of altered mental status. On arrival, they will find the 35-year-old female patient lying in the front yard...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: AEMT, altered mental status, bls, Diabetic emergency, EMT, hypoglycemia, Military, Paramedic, prehospital,

EMS Trauma—Stabbing

VALOR Program

Learner will arrive on-scene to find a 19-year-old male patient on the ground after having just been stabbed in the left upper quadrant and left upper back (only visible when rolling patient). Learner will perform an initial assessment and identify that the patient has a bleeding wound to the abdomen...

Emergency Medicine
Trauma

EMS Trauma—Stabbing

EMS Bundle

Learner will arrive on-scene to find a 19-year-old male patient on the ground after having just been stabbed in the left upper quadrant and left...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 13x13
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: Adult, AEMT, als, atls, blood transfusion, bls, EMT, Hypovolemic shock, Military, needle decompression, Paramedic, pneumothorax, prehospital, tension pneumothorax, trauma,

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 Pool Accident

VALOR Program

Learner will arrive on-scene to find an 18-year-old male unresponsive patient with a bleeding head wound lying next to a pool in the backyard. Learner should perform an initial assessment, identify no pulses, initiate CPR, apply a defibrillator, and identify the patient is in PEA cardiac arrest. A cervical collar...

Emergency Medicine
Trauma

EMS Pool Accident

EMS Bundle

Learner will arrive on-scene to find an 18-year-old male unresponsive patient with a bleeding head wound lying next to a pool in the backyard. Learner...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Outdoor, Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, Airway Management, BVM, Cervical Collar, cpr, EMT, Manual Ventilation, Military, Near Drowning, Paramedic, respiratory failure, SCI, spinal cord injury, Spinal Precautions,

EMS Pediatric Hypovolemic Shock

VALOR Program

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient is suffering from a respiratory illness with fever and vomiting. She recently passed out when trying to stand up. Current vitals are HR 150, BP...

Emergency Medicine
Pediatrics

EMS Pediatric Hypovolemic Shock

EMS Bundle

Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatrics
Author: VALOR Program
Language: English
Room size: 13x10
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: AEMT, als, bls, EMT, Febrile Illness, Hypovolemic shock, Military, Paramedic, pediatrics, prehospital, sepsis,

EMS Obstetrics Emergency

VALOR Program

Learner will arrive on-scene to find a 26-year-old female patient in the bathroom in the final stage of labor. Learner will perform an initial assessment and identify that delivery is imminent. The Learner will aid in delivery which will proceed in an uncomplicated fashion. The newborn will initially be blue...

Emergency Medicine
OB/GYN
Pediatrics
Family Medicine

EMS Obstetrics Emergency

EMS Bundle

Learner will arrive on-scene to find a 26-year-old female patient in the bathroom in the final stage of labor. Learner will perform an initial assessment...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Pediatrics, Family Medicine
Author: VALOR Program
Language: English
Room size: 12x12
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female, Male
Tags: abdominal pain, AEMT, als, bls, ems, EMT, field delivery, Military, neonatal resuscitation, newborn, normal delivery, NRP, OB, OBGYN, Obstetrics, Paramedic, prehospital,

EMS Combative—Suicidal Intent

VALOR Program

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The patient refuses to talk to police at the beginning of the case. Police ask the EMS providers to help convince the patient to be transported...

Emergency Medicine
Psychiatry/Mental Health

EMS Combative—Suicidal Intent

EMS Bundle

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Psychiatry/Mental Health
Author: VALOR Program
Language: English
Room size: 16x14
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: Alcohol Intoxication, De-escalation, EMT, Firearm Safety, Homicidal Ideation, Military, Paramedic, psychiatric, psychiatry, ptsd, scene safety,

EMS Trauma—Electrocution

VALOR Program

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the patient just suffered an electrocution injury during a home repair and is now bradycardic secondary to pacemaker failure. The patient also has electric burn injuries...

Cardiology
Emergency Medicine
Burn
Prehospital Medicine
Trauma

EMS Trauma—Electrocution

EMS Bundle

Learner arrives on-scene to find a 65-year-old male patient on the floor with decreased responsiveness. Learner should perform an initial assessment and identify that the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Burn, Prehospital Medicine, Trauma
Author: VALOR Program
Language: English
Room size: 13x13
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: acls, Adult, AEMT, als, altered mental status, bls, bradycardia, Cardiac Dysrhythmia, Electrocution, EMT, Heart Block, Military, Paramedic, prehospital,

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
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, 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,

Non-Fatal Suicide Attempt in an Adult

Southeastern Illinois College

A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by her mother. Initially, the participant should perform a mental health assessment for a client in a short-term mental health setting, exhibit professional caring attitude, and...

Emergency Medicine
Internal Medicine
Family Medicine
Interprofessional
Psychiatry/Mental Health

A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Interprofessional, Psychiatry/Mental Health
Author: Southeastern Illinois College
Language: English
Room size: 14x13
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: anxiety, college age, Depressions, mental health, mental health assessment, mood disorder, overdose, personality disorder, substance abuse, suicidal ideation, suicide attempt, therapeutic communication, wound care,

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,