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Virtual Reality Simulated Patient Encounters

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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,

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,

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,

EMS Prehospital Pediatric Trauma

Servicio Nacional de Aprendizaje (SENA)

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is confused with recent amnesia, but responds to orders. Two EMS must secure the area, give him first attention, and take him in their ambulance to...

Emergency Medicine
Pediatrics
Advanced EMT
EMT
Paramedic
Trauma

In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Pediatrics, Advanced EMT, EMT, Paramedic, Trauma
Author: Servicio Nacional de Aprendizaje (SENA)
Language: English, Spanish
Room size: 12x12
Setting: Hospital, Outdoor, Ambulance
Patient ect:
Patient Gender: Male
Tags: ambulance transport, car accident simulation, emergency care protocols, EMS training, first response, fracture management, head injury, medical VR scenario, pediatric emergency, pediatric trauma,

Tracheostomy Complications—Displacement (Fresh Total Laryngectomy)

NYU Grossman School of Medicine

The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for 24 hours. He had a total laryngectomy performed one day prior for laryngeal carcinoma. He required mechanical ventilatory support immediately postoperatively via a #8 cuffed...

Critical Care
Emergency Medicine
Internal Medicine
Anesthesiology

The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for...

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: 17x15
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: hypoxia, icu, laryngeal carcinoma, laryngectomy, laryngectomy stoma, postoperative, respiratory distress, SICU, tracheostomy,

Tracheostomy Complications—Displacement (Fresh Tracheostomy)

NYU Grossman School of Medicine

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed two days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...

Critical Care
Emergency Medicine
Internal Medicine
Anesthesiology

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

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: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, chest tube, hypoxemia, intubation, needle decompression, tension pneumothorax, Trach, tracheostomy,

Social Determinants of Health Bundle

SimX

This bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters, learners experience various scenarios that highlight the complex social, environmental, and psychological factors affecting patient health. Each scenario is meticulously crafted to challenge the learner...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Neurology
OB/GYN
Pediatrics
Cardiac/Telemetry
Community/Public Health
Psychiatry/Mental Health
SDOH
Surgery
Trauma

Social Determinants of Health Bundle

Social Determinants of Health

This bundle focuses on the holistic approach to patient care, concentrating on the social determinants of health and health equity. Through these virtual patient encounters,...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Nursing, Chiropractor, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Neurology, OB/GYN, Pediatrics, Cardiac/Telemetry, Community/Public Health, Psychiatry/Mental Health, SDOH, Surgery, Trauma
Author: SimX
Language:
Room size:
Setting:
Patient ect:
Patient Gender:
Tags:

Pediatric Asthma Requiring Airway in a Rural ED

Air Methods

A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires transfer to a pediatric capable facility. Learners must recognize severe asthma and initiate usual asthma treatment, but the child does not respond to these basic...

Critical Care
Emergency Medicine
Pediatrics
Emergency
Interprofessional
Paramedic

A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Emergency, Interprofessional, Paramedic
Author: Air Methods
Language: English
Room size: 17x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: asthma, ED, hypotension, intubation, pediatrics, refractory asthma, severe asthma, shortness of breath,

Shoulder Dystocia in a Rural ED

Air Methods

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care...

Emergency Medicine
OB/GYN
Emergency
Interprofessional
Maternal and Child Health (MCH)

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Emergency, Interprofessional, Maternal and Child Health (MCH)
Author: Air Methods
Language: English, French, Korean, Spanish
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: active delivery, high-risk, imminent delivery, labor & delivery, newborn, ob/gyn, postpartum hemorrhage, shoulder dystocia,

Precipitous Labor & Neonatal Resuscitation

SimX

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart...

Emergency Medicine
OB/GYN
Pediatrics
Emergency
Interprofessional
Maternal and Child Health (MCH)
Resuscitation

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN, Pediatrics, Emergency, Interprofessional, Maternal and Child Health (MCH), Resuscitation
Author: SimX
Language: English, Spanish
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Female, Male
Tags: emergency department, imminent birth, labor and delivery, neonatal, NRP, ob/gyn, ppv,

Tetralogy of Fallot with Hypercyanotic Spell

Children's National

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...

Cardiology
Emergency Medicine
Pediatrics
Cardiac/Telemetry
Interprofessional

The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Pediatrics, Cardiac/Telemetry, Interprofessional
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: baby, CICU, cyanotic, emergency, hypercyanotic spell, infant, nasal cannula, neonatal, pediatrics, tetralogy of fallout, triage,

Preeclampsia

SimX

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...

Emergency Medicine
Neurology
OB/GYN
Emergency
Maternal and Child Health (MCH)

You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, OB/GYN, Emergency, Maternal and Child Health (MCH)
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: abdominal pain, eclamptic seizure, ED, emergency department, OBGYN, preeclampsia, pregnant, seizure,

Sepsis

SimX

The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was previously told his gallbladder was bad and needs to be removed. Upon initial assessment, the patient is febrile, tachycardic, and hypotensive. If treated aggressively with...

Critical Care
Emergency Medicine
Internal Medicine
Geriatric/Palliative Care
Interprofessional
Surgery

The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Geriatric/Palliative Care, Interprofessional, Surgery
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: abdominal pain, ED, emergency department, gallbladder, geriatric, hypotensive, PEA arrest, sepsis, septic shock, tachycardia,

Car Accident—Prehospital

XR Support Center Europe

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...

Emergency Medicine
Advanced EMT
EMT
Paramedic
Trauma

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 16x16
Setting: Outdoor
Patient ect:
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Triage Mass Casualty

XR Support Center Europe

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded street. The scene is divided into hot and warm zones. QRT teams from EMS/Fire/Police/Defense will enter the scene to perform triage. As a mass casualty...

Emergency Medicine
Advanced EMT
Disaster Medicine
EMT
Paramedic
Trauma

In this scenario, learners will treat multiple patients from a mass casualty event: an explosion at a cafe followed by shooters firing into a crowded...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, Disaster Medicine, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 18x18
Setting: Outdoor
Patient ect:
Patient Gender: Female, Male
Tags: cpr, gun shot wound, hot zone, mass casualty, needle decompress, ppe, scene safety, shooters, tag, terrorist attack, tourniquette, triage, warm zone,

Postpartum Hemorrhage in ED

Vituity

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and subsequent placenta delivery, the patient becomes hemodynamically unstable from postpartum hemorrhage and requires aggressive resuscitation. If this is performed properly, the patient will improve, if...

Emergency Medicine
OB/GYN

A 28-year-old female with no prenatal care is imminently delivering in the emergency room. The scenario begins with an EMS handover. Following the handover and...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Emergency Medicine, OB/GYN
Author: Vituity
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: delivery kit, foley catheter, hemorrhage, hemorrhagic shock, hypotension, massive transfusion protocol, methergine, misoprostol, neonatal crash cart, oxytocin, placental delivery, postpartum hemorrhage, resuscitation, shock, txa, uterine massage,

Bleeding Control—Office Shooting

Sun City Simulation

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient has a gunshot wound in the abdomen and is suffering hemorrhagic shock, the next has arterial hemorrhage from a gunshot wound in the left arm...

Emergency Medicine
Advanced EMT
Disaster Medicine
EMT
Paramedic
Trauma

This scenario is a mass casualty event following a shooting. There are 5 adult patients collected in an empty room for treatment. The first patient...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, Disaster Medicine, EMT, Paramedic, Trauma
Author: Sun City Simulation
Language: English
Room size: 18x13
Setting: Office Building
Patient ect:
Patient Gender: Female, Male
Tags: arterial bleeding, arterial hemorrhage, gunshot wound, hemorrhage control, hemorrhagic shock, mass casualty, pressure dressing, tourniquette, venous bleeding, wound packing,

Severe Trauma

Sun City Simulation

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the left arm, having placed them in an extrication C-collar, and initiated a simple mask for oxygen delivery. The patient is moved from a resuscitation room...

Emergency Medicine
Trauma

In this scenario, EMS arrives with a patient involved in a motor vehicle crash. EMS delivers the patient with a 20 gauge IV in the...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Trauma
Author: Sun City Simulation
Language: English
Room size: 20x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: allergic reaction, allergy, ampicillin, anaphylaxis, deescalation, drug reaction, dyspnea, epinephrine, hives, medication reaction, penicillin, rash, respiratory distress, shortness of breath, urticaria, wheezing,

Shortness of Breath

SimX

In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of breath. The learner must perform a full work up on the patient, develop a differential diagnosis, and treat the patient according to that diagnosis. There...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

In this scenario, a middle-aged woman with multiple medical problems presents to the ED with one week of fever and cough with worsening shortness of...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: SimX
Language: English, Spanish
Room size: 14x14
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, shortness of breath,

EMS TCA Overdose

SimX

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the patient may have overdosed on medications as she has been depressed since breaking up with her girlfriend last week. The learner can observe several medication...

Critical Care
Emergency Medicine
Paramedic
Toxicology

EMS TCA Overdose

EMS Bundle

This scenario begins in a patient’s home where paramedics were called because the patient is not acting right and is unresponsive. Their family believes the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Paramedic, Toxicology
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: abc’s, abnormal ekg, abnormal vital signs, aspiration, ems, intubation, overdose, qrs, respiratory failure, sodium bicarbonate, suicide attempt, tca overdose, toxicology, unresponsive, ventricular tachycardia, wide qrs,