Artificial Airway
University of Pennsylvania School of NursingRuma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...
Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...
Heat Stroke Pain Management in an Adult
Mount Saint Mary's UniversityThe patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...
The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized...
ICU Clinical Swallow Evaluation—Speech Pathology
University of Delaware College of Health SciencesThe 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.
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...
Pharmacotherapy of Endocarditis and Septic Shock
University of Pittsburgh School of PharmacyA 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.
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...
Women’s Health, UG Nursing—Prenatal, Intrapartum, and Newborn Care
St. John Fisher University, Wegmans School of NursingTonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special focus on identifying and discussing SDOH for UG nursing students enrolled in a women’s health course. During each phase the student team will complete an...
Tonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special...
TCCC Blast Injury
VALOR ProgramSet in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg tourniquets, identify all wounds, recognize tension pneumothorax, perform a needle decompression, and give a dose of antibiotics.
Set in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg...
TCCC Blunt Trauma
VALOR ProgramSet in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for hemorrhagic shock. If performed, an ultrasound will demonstrate free abdominal fluid indicating intra abdominal hemorrhage. They should attend to a patient's pain, give antibiotics, provide...
Set in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for...
TCCC Dual Patient
VALOR ProgramSet in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic injuries. One casualty has a significant blunt head injury. The other casualty had blunt abdominal, chest, and lower extremity injuries. Participants will have to work...
Set in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic...
TCCC Entrapment
VALOR ProgramSet in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound that requires a tourniquet, but they can be pulled to safety. The driver has a pinned/crushed leg and is unable to be moved, requiring a...
Set in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound...
TCCC Mass Casualty
VALOR ProgramSet in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants should perform immediate life-saving interventions as indicated. The scene then moves to the casualty collection point, where participants can complete a MARCH survey and prepare...
Set in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants...
TCCC Penetrating Trauma
VALOR ProgramSet in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey, decompress tension pneumothorax, place leg tourniquet, and apply a foley to a junctional axillary wound.
Set in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey,...
TCCC Severe Head Injury
VALOR ProgramSet in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to provide much history. The participant should perform a MARCH assessment, recognize severe head injury and initiate appropriate life saving interventions such as airway protection, hypertonic...
Set in a field environment, the soldier was in a blunt mechanism injury and suffered serious head injury. Initially he is conscious, but unable to...
Virtual Manikin™ — Tactical Combat Casualty Care (TCCC)
VALOR ProgramThis scenario allows full moderator control of patient vital signs, clinical features, and learning objectives. Potential environments include a jungle scene, desert road, HH-60 helicopter, and forward surgical tent. There are also multiple male and female patient options to select.
This scenario allows full moderator control of patient vital signs, clinical features, and learning objectives. Potential environments include a jungle scene, desert road, HH-60 helicopter,...
PCC Severe Traumatic Brain Injury
VALOR ProgramStarting 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...
PCC Severe Traumatic Brain Injury
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...
PCC Burn Management
VALOR ProgramStarting 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....
PCC Burn Management
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...
PCC Crush Syndrome
VALOR ProgramStarting 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...
PCC Crush Syndrome
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...
PCC Sepsis Management
VALOR ProgramStarting 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...
PCC Sepsis Management
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...
Virtual Manikin™ — Prolonged Casualty Care (PCC)
VALOR ProgramLearner 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...
Virtual Manikin™ — Prolonged Casualty Care (PCC)
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....
SDOH Food Insecurity, Women’s Health
St. John Fisher University, Wegmans School of NursingPatient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that “mom never eats.” After obtaining a thorough history using open-ended questions and reviewing the patient’s available lab and imaging results, the patient is identified as...
Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that...
Virtual Manikin™ — Outpatient Soft Skills
SimXThe 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.
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...
SDOH Housing Instability
St. John Fisher University, Wegmans School of NursingMaria 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...
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...
Critical Care Post-MVA
Southeastern Illinois CollegeA 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...
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...
Establishing Vascular Access in a Difficult Intravenous Access Patient
CLINSPEC Solutions CVC Health Care PICC ProsA 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...
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,...
Establishing Vascular Access for Long-Term Antibiotic Therapy
CLINSPEC Solutions CVC Health Care PICC ProsA 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.
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...