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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, 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,

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 Family Medicine Internal 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...

Cardiac/Telemetry Community/Public Health Family Medicine Internal 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 Family Medicine Internal Medicine Interprofessional Leadership OB/GYN 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,

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

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...

Cardiac/Telemetry Cardiology Emergency Emergency Medicine Internal Medicine 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...

Cardiac/Telemetry Cardiology Emergency Emergency Medicine Internal Medicine

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,

Effects of Opioid Abuse on Children and Families

George Mason University

Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian man who struggles with an opioid addiction. Jerome has a younger half-sister, Namazzi (age 12). Namazzi told Jerome that her stepfather has been sleeping a...

Community/Public Health SDOH

Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, SDOH
Author: George Mason University
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: Child Welfare, Crisis Intervention, Family Impact, Opioid Abuse, social services,

Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)

NYU Grossman School of Medicine

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 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...

Critical Care Internal Medicine Surgery

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...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Surgery
Author: NYU Grossman School of Medicine
Language: English
Room size: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, hypoventilation, hypoxia, inner cannula, occlusion, percutaneous, tension pneumothorax, Trach, tracheostomy,

Primary Care UTI/BPH

University of Nebraska Medical Center

In this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with symptoms of UTI. Learners must successfully assess the patient, recognize any abnormal findings, and respond with appropriate care. Throughout the scenario, learners must also communicate...

Community/Public Health Internal Medicine Medical/Surgical

In this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Internal Medicine, Community/Public Health, Medical/Surgical
Author: University of Nebraska Medical Center
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: BPH, HTN, hyperlipidemia, patient education, sbar, urine collection, uti,

MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit

Elsevier

This 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....

Medical/Surgical Perioperative
Abdominal Surgery VR simulation moderator client
Abdominal Surgery VR simulation moderator client
Abdominal Surgery VR simulation moderator client
Abdominal Surgery VR simulation moderator client

MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario MED 24 - Lou Thao - Abdominal Surgery - Postoperative Fluid Volume Deficit Lou Thao is a 43-year-old...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Medical/Surgical, Perioperative
Author: Elsevier
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: abnormal findings intervention, fluid volume deficit, laparoscopic sigmoid colon resection, medical documentation, medical-surgical unit, patient assessment, Postoperative Abdominal Surgery, postoperative care, simulated patient encounter, VR medical training,

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...

Anesthesiology Critical Care Emergency Medicine Internal 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...

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,

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 Emergency Medicine Interprofessional Paramedic Pediatrics

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

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

Anesthesia Post-op

University of Pennsylvania School of Nursing

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 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...

Perioperative

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 20x20
Setting: Hospital, Operating Room
Patient ect:
Patient Gender: Female
Tags: Anesthesia, anesthesia complication, extubation, extubation protocol, paralytic, pseudocholinesterase deficiency, train of four, ventilator management, ventilator settings,

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

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,

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...

Advanced EMT Emergency Medicine 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,

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,