
CBRN Dirty Bomb Urban Attack
VALOR ProgramSet 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.
CBRN Dirty Bomb Urban Attack
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...

EMS Diabetic Emergency
VALOR ProgramLearner 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...
EMS Diabetic Emergency
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...

EMS Trauma—Stabbing
VALOR ProgramLearner 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...
EMS Trauma—Stabbing
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...

EMS Anaphylaxis with Difficult Airway
VALOR ProgramLearner 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...
EMS Anaphylaxis with Difficult Airway
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...

EMS Pool Accident
VALOR ProgramLearner 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...
EMS Pool Accident
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...

EMS Pediatric Hypovolemic Shock
VALOR ProgramLearner 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...
EMS Pediatric Hypovolemic Shock
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...

EMS Obstetrics Emergency
VALOR ProgramLearner 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...
EMS Obstetrics Emergency
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...

EMS Trauma—Electrocution
VALOR ProgramLearner 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...
EMS Trauma—Electrocution
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...

EMS Congestive Heart Failure
VALOR ProgramLearner 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...
EMS Congestive Heart Failure
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...

EMS Pediatric Overdose
VALOR ProgramLearner 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...
EMS Pediatric Overdose
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...

Hepatic Encephalopathy with AMS
Southeastern Illinois CollegeA 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...
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...

Unstable SVT in the ED
Children's NationalA 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.
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....

Tracheostomy Complications—Chronic Tracheostomy with Tracheoinnominate Fistula
NYU Grossman School of MedicinePatient 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....
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...

Myocardial Infarction in the ED
Southeastern Illinois CollegeA 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...
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...

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...
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...

Medical/Surgical UTI/DKA
Southeastern Illinois CollegePatient 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...
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...

Ankylosing Spondylitis
Parker University35 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,...

Postpartum Hemorrhage—Hospital
Southeastern Illinois College30-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...
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...