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Virtual Reality Simulated Patient Encounters

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CBRN Dirty Bomb Urban Attack

VALOR Program

Set in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower extremity amputations and will require one tourniquet placement on each leg. The patient will also require decontamination and treatment for exposure.

Emergency Medicine
Disaster Medicine
Toxicology
Trauma

CBRN Dirty Bomb Urban Attack

CBRN Bundle

Set in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower...

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: 20x13
Setting: Outdoor, Tent
Patient ect:
Patient Gender: Female
Tags: blast injury, decon, decontamination, dirty bomb, HAZMAT, leg amputations, lower extremity amputations, radiation exposure, tourniquet placement, urban disaster response,

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, Military, 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, Military, 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, Military, 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, Military, 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, Military, 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, Military, 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, Military, 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, Military, 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, Military, 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,

Hepatic Encephalopathy with AMS

Southeastern Illinois College

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had a change in mood the last day or so and now appears confused. The patient's family reports he had just been treated for a UTI...

Emergency
Interprofessional
Medical/Surgical

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Interprofessional, Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 15x13
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: altered mental status, babinksi sign, Hepatic Encephalopathy, hyperreflexia, jaundice,

Interprofessional Gender-Affirming Care in an Adult

George Mason University

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t eaten much in the last three days because she’s been sleeping in a friend’s car after being “kicked out” of the house. The RN notices...

Internal Medicine
Cardiac/Telemetry
Community/Public Health
Family Medicine
Interprofessional
Psychiatry/Mental Health
SDOH

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Internal Medicine, Cardiac/Telemetry, Community/Public Health, Family Medicine, Interprofessional, Psychiatry/Mental Health, SDOH
Author: George Mason University
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Transgender
Tags: anxiety, BPSS, depression, Dietetics, GAD-7, Gender-Affirming Care, Nutrition, PHQ-9, Social Work, Transgender,

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,

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,

Community Health Worker Program

South Carolina State University

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review the doctor’s care plan, and will then give a presentation and answer questions on basic health maintenance topics – mental health, high blood pressure, and...

Community/Public Health
SDOH
View

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Community/Public Health, SDOH
Author: South Carolina State University
Language: English
Room size: 16x13
Setting: Office Building
Patient ect:
Patient Gender: Female
Tags: Community Health Coach, Community Health Worker, Conference Room, counseling, interprofessional team, outreach, outreach skills,

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,

Primary Care MI

University of Nebraska Medical Center

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup and becomes diaphoretic, complaining of chest and arm pain.  

Cardiac/Telemetry
Community/Public Health

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Cardiac/Telemetry, Community/Public Health
Author: University of Nebraska Medical Center
Language: English
Room size: 16x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: acute coronary syndrome, chest pain, ecg, sbar, stemi,

Medical/Surgical UTI/DKA

Southeastern Illinois College

Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report from the nursing staff in the ED and the ED paperwork/EHR. The participant should administer ordered IV antibiotics (initially Bactrim ordered but participant needs to...

Medical/Surgical

Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: allergic reaction, diabetes, interdisciplinary team, medication reaction, nursing measures,

Ankylosing Spondylitis

Parker University

35 year old male presents with complaints of 6 months of pain in low back and buttocks and general fatigue. Pain is over SI/gluteal region, worse in the morning. The patient also exhibits anterior uveitis. Manipulation will not help the patient. Imaging can be performed which shows pathognomonic bamboo spine....

35 year old male presents with complaints of 6 months of pain in low back and buttocks and general fatigue. Pain is over SI/gluteal region,...

Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 12x12
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: Ankylosing Spondylitis, Anterior Uveitis, Bamboo Spine Imaging, Chiropractic Training, Contraindication, Gluteal Region Pain, HLA-B27 Positive, Morning Stiffness. Chronic Back Pain, Multidisciplinary Referral, Patient Education in Spinal Disease, Radiology in Spinal Disorders, Sacroiliac Joint Pain, Spinal Manipulation,

Postpartum Hemorrhage—Hospital

Southeastern Illinois College

30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at 39 weeks gestation, P3G2A1. Patient had a retained placenta requiring manual extraction. Patient has had 3 pads saturated in 1 hour and currently feels a...

Interprofessional
Maternal and Child Health (MCH)

30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Interprofessional, Maternal and Child Health (MCH)
Author: Southeastern Illinois College
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: bleeding after childbirth, emergency obstetric care, maternal health, maternal hemorrhage, obstetric hemorrhage, obstetrics training, postnatal care simulation, postpartum emergency, postpartum hemorrhage, PPH management, resuscitation training, uterine atony,