
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...

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...

Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient us 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 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit
ElsevierThis Simulated Patient Encounter maps to Scenario MED 24 - Lou Thao - Abdominal Surgery - Postoperative Fluid Volume Deficit Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection....
MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit
This Simulated Patient Encounter maps to Scenario MED 24 - Lou Thao - Abdominal Surgery - Postoperative Fluid Volume Deficit Lou Thao is a 43-year-old...

Tracheostomy Complications—Displacement (Fresh Tracheostomy)
NYU Grossman School of MedicineThe 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...
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...

Pediatric Asthma Requiring Airway in a Rural ED
Air MethodsA 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...
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...

Shoulder Dystocia in a Rural ED
Air MethodsThis 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...
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...

Precipitous Labor & Neonatal Resuscitation
SimXThis 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...
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...

Anesthesia Post-op
University of Pennsylvania School of NursingIn the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic...
In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is...

Preeclampsia
SimXYou 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...
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...

Car Accident—Prehospital
XR Support Center EuropeThis 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...
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...

Postpartum Hemorrhage in ED
VituityA 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...
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...