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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,

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 Crush Syndrome

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush injury. During the evaluation, the casualty develops compartment syndrome that requires fasciotomy, and rhabdomyolysis with hyperkalemia. The learner should identify hyperkalemia and give appropriate medications...

Emergency Medicine
Surgery
Trauma

PCC Crush Syndrome

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush...

Case Information:
Bundles: PCC Bundle
Learner Population: Military, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Surgery, Trauma
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: compartment syndrome, Crush injury, evacuation planning, fasciotomy, hyperkalemia, iv fluids, prolonged casualty care, rhabdomyolysis, sepsis management, teleconsultation,

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,

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,

Virtual Manikin™ — SUC Abdominal Pain

VALOR Program

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs, and determine physical exam findings that relate to abdominal complaints. These include ability to change the physical exam features for patient tenderness, ultrasound images, urine...

Emergency Medicine
Internal Medicine
OB/GYN
Family Medicine

Virtual Manikin™ — SUC Abdominal Pain

SUC Bundle

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs,...

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

Virtual Manikin™ — SUC ENT and Pulmonary

VALOR Program

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs, and determine physical exam findings that relate to common ENT and pulmonary complaints. These include otitis media, peritonsillar abscess, sinusitis, upper respiratory infection, bronchitis, and...

Emergency Medicine
Internal Medicine
Family Medicine

Virtual Manikin™ — SUC ENT and Pulmonary

SUC Bundle

Set in the small unit care tent, the moderator will have options to choose which patient they use for the scenario, will set vital signs,...

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, Male
Tags: ambulatory evaluation, ENT, pulmonary, small unit care,

SUC Ingrown Toenail

VALOR Program

The patient presents to the clinic with toe 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 Ingrown Toenail

SUC Bundle

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

Case Information:
Bundles: SUC Bundle
Learner Population: 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, Male
Tags: ambulatory evaluation, ingrown toenail, small unit care,

SUC Snake Envenomation

VALOR Program

The patient presents to the clinic with leg 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
Toxicology

SUC Snake Envenomation

SUC Bundle

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

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

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 Deep Venous Thrombosis

VALOR Program

The patient presents to the clinic with leg 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 Deep Venous Thrombosis

SUC Bundle

The patient presents to the clinic with leg 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, Male
Tags: ambulatory evaluation, deep vein thrombosis, dvt, lower limb edema, small unit care, vascular ultrasound,

SUC Flank Pain

VALOR Program

Patient presents to the clinic with back 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 Flank Pain

SUC Bundle

Patient presents to the clinic with back pain. Perform a history, exam and appropriate assessment. Develop a differential diagnosis, perform testing to confirm or rule...

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, Male
Tags: abdominal pain, ambulatory evaluation, flank pain, hydronephrosis, kidney stone, nausea, small unit care,

SUC Peritonsillar Abscess

VALOR Program

The patient presents to the clinic with a sore throat. 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 Peritonsillar Abscess

SUC Bundle

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

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, Male
Tags: ambulatory evaluation, ear pain, otitis media, peritonsillar abscess, small unit care, Sore Throat, tonsillitis,

SUC Cold Related Illness

VALOR Program

The patient presents to the clinic with altered mental status. 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 Cold Related Illness

SUC Bundle

The patient presents to the clinic with altered mental status. Perform a history, exam, and appropriate assessment. Develop a differential diagnosis, perform testing to confirm...

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, Male
Tags: ambulatory evaluation, cold injury, hypothermia, small unit care, snow, winter,

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,

CBRN Mustard Gas Exposure and Eye Irritation

VALOR Program

Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a closed room that caught on fire. He suffered extensive burns to the head, face and chest. This patient will require immediate airway management along with...

Emergency Medicine
Burn
Disaster Medicine
Toxicology
Trauma

CBRN Mustard Gas Exposure and Eye Irritation

CBRN Bundle

Set in the industrial environment, the learner responds to the scene after an explosion with possible exposure to radioactive material. One patient was in a...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Emergency Medicine, Burn, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 20x16
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: chemical biological radiation, chemical burn, chemical exposure, chemical rash, decon, decontamination, eye exposure, gas mask, HAZMAT, morgan lens, mustard gas exposure, rural disaster response,

CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma

VALOR Program

Set in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a gunshot wound to the left chest, developing tension pneumothorax that requires decompression. There is blood in the chest when a tube is placed and the...

Emergency Medicine
Disaster Medicine
Toxicology
Trauma

CBRN Phosgene Oxime (CX) Exposure with Penetrating Trauma

CBRN Bundle

Set in a woodland environment, the learner responds to a scene where there was an attack and suspected dirty bomb. The patient has suffered a...

Case Information:
Bundles: CBRN Bundle
Learner Population: EMS/Prehospital, Military, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Emergency Medicine, Disaster Medicine, Toxicology, Trauma
Author: VALOR Program
Language: English
Room size: 20x15
Setting: Outdoor, Roadside, Tent
Patient ect:
Patient Gender: Male
Tags: anticholinergic exposure, ATNAA and CANA autoinjectors, blood resuscitation, blood transfusion, chemical agent exposure, chemical biological radiation, chest tube, cholinergic, decon, decontamination, dirty bomb, duodote, HAZMAT, hemothorax, needle decompression, penetrating chest wound, penetrating trauma, pneumothorax, radiation exposure, rural disaster response, tension pneumothorax, toxidrome, tranexamic acid, trauma, traumatic injuries, txa,