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Virtual Reality Simulated Patient Encounters

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EMS Anaphylaxis

SimX

In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with a known allergy. The learner must give Epi and the patient will improve. However, the patient will require a second dose of epi. If neither...

Critical Care
Emergency Medicine
Advanced EMT
EMT
Paramedic

EMS Anaphylaxis

EMS Bundle

In this scenario, the patient presents with difficulty breathing. Learners will need to ascertain from the patient’s history that they were exposed to peanuts with...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: allergic reaction, allergy, anaphylactic shock, anaphylaxis, cardiac arrest, difficulty breathing, dyspnea, epinephrine, food allergy, peanut allergy,

EMS Motor Vehicle Accident

SimX

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the ambulance while the patient is on a stretcher with a C collar in place. The patient has blood on his clothes and is screaming in...

Emergency Medicine
Advanced EMT
EMT
Trauma

EMS Motor Vehicle Accident

EMS Bundle

In this scenario, learners are faced with a 40-year-old male who presents after MVA. They must begin assessment and treatment in the back of the...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Trauma
Author: SimX
Language: English, Spanish
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

EMS MCA Stroke

SimX

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should...

Emergency Medicine
Neurology
Advanced EMT
EMT
Paramedic

EMS MCA Stroke

EMS Bundle

Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment,...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Neurology, Advanced EMT, EMT, Paramedic
Author: SimX
Language: English, Spanish
Room size: 15x15
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: 911, door to tpa, ems, ems report, ems stroke, facial droop, fast, mca, prehospital stroke, stroke, stroke protocol, stroke symptoms, stroke team, time is brain, tpa,

Pediatric Dysrhythmia (Resuscitation)

SimX

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...

Cardiology
Emergency Medicine
Internal Medicine
Pediatrics
Emergency
Paramedic
Resuscitation

In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Internal Medicine, Pediatrics, Emergency, Paramedic, Resuscitation
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: broselow tape, cpr, defibrillation, pals, pediatric defibrillation, pediatric syncope, pediatrics, syncope, ventricular tachycardia,

EMS Inferior STEMI

SimX

A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Advanced EMT
Paramedic

EMS Inferior STEMI

EMS Bundle

A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Advanced EMT, Paramedic
Author: SimX
Language: English
Room size: 12x6
Setting: Ambulance
Patient ect:
Patient Gender: Female
Tags: cardiac arrest, cardiogenic shock, cath lab activation, chest pain, fluid resuscitation, heparin, inferior stemi, nitroglycerin side effects, rv infarct, stemi,

Chest Pain in the ED (Resuscitation)

SimX

A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging. The learner must assess the patient's ABCs and provide initial resuscitation. They must then correctly diagnose PE. This case is successfully completed by treating the...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging....

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: SimX
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: cardiac arrest, chest pain, chest pain in the ed, dyspnea, exertional chest pain, pulmonary embolism, right heart strain, shortness of breath, thrombolytics,

COVID-19 Triage

SimX

In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient comes in with complaints of fever and chills as well as 1 day of coughing. The learner must put on the correct form of PPE,...

Emergency Medicine
Community/Public Health
Fundamentals

In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Community/Public Health, Fundamentals
Author: SimX
Language: English
Room size: 14x14
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Female
Tags: chills, cough, covid, covid-19, discharge instructions, fever, history, isolation, ppe, triage, vital signs,

GI Bleed

Ohio State University

The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...

Critical Care
Emergency Medicine
Internal Medicine
Emergency
Interprofessional

The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Emergency, Interprofessional
Author: Ohio State University
Language: English, Spanish
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: blood transfusion, causes of dizziness, causes of weakness, drowsy, gi bleed, hematemesis, hemorrhagic shock, hypotension, lightheaded, ng tube, pea, resuscitation, tachycardia, weak,

STEMI V-Fib Arrest

Ohio State University

A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The case starts off with an EMS handoff. Their symptoms are progressively worsening since first appearing one hour before; upon arrival at the ED, they are...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine

A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: Ohio State University
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: acls, arrhythmia, cardiac arrest, chest heaviness, chest pain, chest pain complications, code blue, defibrillation, stemi, v-fib arrest, ventricular fibrillation, ventricular tachycardia,

Sepsis Care

University of Nebraska Medical Center

The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...

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

Sepsis Care

SimX Nursing Bundle

The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Geriatric/Palliative Care, Leadership, Surgery
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: abdominal infection, antibiotics, infection, sepsis, septic shock,

Goals of Care Discussion

Maimonides Medical Center

In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer, appears frail and very ill, and is in the emergency department requiring BIPAP for respiratory support. The learner must take the role of the emergency...

Critical Care
Emergency Medicine
Internal Medicine
Family Medicine

In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer,...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider, Social Worker
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Family Medicine
Author: Maimonides Medical Center
Language: English
Room size: 17x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: communication, geriatrics, goals of care, palliative care, respiratory distress, shortness of breath,

Brief Psychotic Disorders

Indiana University School of Nursing

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the past couple of weeks; in particular, he noticed poor hygiene, bizarre behaviors, and interrupted sleep patterns. He also believes she has auditory and visual hallucinations....

Emergency Medicine
Interprofessional
Psychiatry/Mental Health

Brief Psychotic Disorders

Social Determinants of Health

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Interprofessional, Psychiatry/Mental Health
Author: Indiana University School of Nursing
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: ativan, mental health, nursing students, psych rotation, psychiatric, psychiatric medications, psychosis,

Epileptic Seizure

Inselspital - Universitätsspital Bern

A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial assessment during which the patient will show worsening confusion and, eventually, will have a generalized tonic-clonic seizure. The learner must treat the seizure with benzodiazepines,...

Critical Care
Emergency Medicine
Internal Medicine
Neurology
Emergency
Interprofessional

A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Neurology, Emergency, Interprofessional
Author: Inselspital - Universitätsspital Bern
Language: English
Room size: 18x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: epilepsy, headache, seizure, subarachnoid hemorrhage,

Chest Pain—ACS

Queensland Health Service

A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and has a cardiac arrest with ventricular tachycardia, which can be seen on the monitor. The learner is expected to evaluate the patient, order and interpret...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Cardiac/Telemetry
Interprofessional
Resuscitation

A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Cardiac/Telemetry, Interprofessional, Resuscitation
Author: Queensland Health Service
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: acls, acute coronary syndrome, als, cardiac arrest, cardiology, chest pain, cpr, emergency medicine, myocardial infarction, stemi,

Infant with Bronchiolitis

Queensland Health Service

A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize respiratory distress, and escalate oxygen. The patient will decompensate, which requires the learner(s) to call a code blue, support the patient’s airway, suction the airway,...

Critical Care
Emergency Medicine
Pediatrics
Interprofessional
Resuscitation

A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Interprofessional, Resuscitation
Author: Queensland Health Service
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: airway emergencies, bronchiolitis, pals, pediatrics, respiratory distress, shortness of breath,

Adult Seizure in EMU

Baylor College of Medicine

Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed several AEDs and is admitted to the EMU for seizure classification as part of a presurgical workup for epilepsy surgery. The learner must perform an...

Emergency Medicine
Internal Medicine
Neurology
Interprofessional
Medical/Surgical

Adult Seizure in EMU

SimX Nursing Bundle

Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Neurology, Interprofessional, Medical/Surgical
Author: Baylor College of Medicine
Language: English
Room size: 17x14
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: aura, epilepsy, generalized tonic clonic seizure, seizure,

EMS Climbing Accident and Rescue

Air Methods

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived prior to any other first responders. The patient has sustained multiple traumatic injuries and is hemodynamically unstable when the flight crew arrives. The learner must...

Emergency Medicine
Paramedic
Trauma

In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Paramedic, Trauma
Author: Air Methods
Language: English
Room size: 12x12
Setting: Outdoor
Patient ect:
Patient Gender: Male
Tags: atls, bleeding wound, c collar, cardiac arrest, ems, ems atls, ems mva, ems pain control, ems trauma, hemorrhage control, needle decompression, primary survey, secondary survey, tension pneumothorax, tourniquet, trauma team,

ACLS Knowledge Update

Air Methods

In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will progress to unstable Vtach, Vfib arrest, and then PEA arrest throughout the case. Learners will work to provide compressions, medications, electrical therapy, and airway interventions...

Cardiology
Critical Care
Emergency Medicine
Internal Medicine
Advanced EMT
Cardiac/Telemetry
Family Medicine
Interprofessional
Paramedic
Resuscitation

In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, Advanced EMT, Cardiac/Telemetry, Family Medicine, Interprofessional, Paramedic, Resuscitation
Author: Air Methods
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: acls, bls, bradycardia, cardiac arrest, cardioversion, defib, defibrillation, ems, ems cardiac arrest, sinus bradycardia, synchronized cardioversion., ventricular fibrillation, ventricular tachycardia, vfib, vtach,

Teenager with Chest Pain

Children's National

In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a 15-year-old previously healthy male who developed fever, nasal congestion, rhinorrhea, cough, and malaise 1 week ago. He was seen by his PMD and started on...

Cardiology
Emergency Medicine
Pediatrics

In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Cardiology, Emergency Medicine, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: adolescent, cardiology, chest pain, cticu, dyspnea, emergency, malaise, pediatrics,

Intubation of Pediatric Patient with Suspected COVID

Children's National

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to respiratory failure and the patient requires immediate intubation. Learners will start outside the room and receive pre-arrival information of impending respiratory failure. The learner must...

Critical Care
Emergency Medicine
Pediatrics
Anesthesiology
Cardiac/Telemetry
Interprofessional

In this scenario, a patient with a history of repaired congenital heart disease arrives at the CICU in respiratory distress. This case is progressing to...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatrics, Anesthesiology, Cardiac/Telemetry, Interprofessional
Author: Children's National
Language: English
Room size: 18x14
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: congenital heart disease, covid, intubation, pediatric covid, pediatric intubation, pediatric respiratory distress, ppe, respiratory distress, respiratory failure,