shortness of breath

SimX Nursing Bundle
Social Determinants of Health
CBRN Bundle
EMS Bundle
PCC Bundle
SLS for RN Bundle
SUC Bundle
The Virtual Manikin™ Series

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SimX Nursing Bundle
Social Determinants of Health
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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: Adult
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,

Geriatric Pneumonia—Inpatient

University of Nebraska Medical Center

A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that the patient is in respiratory distress and begin interventions to treat him, including administering oxygen via nasal cannula or non-rebreather. The learner is expected to...

Geriatric/Palliative Care
Medical/Surgical

Geriatric Pneumonia—Inpatient

SimX Nursing Bundle

A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Geriatric/Palliative Care, Medical/Surgical
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: altered mental status, arterial blood gas, copd, delirium, infection, pneumonia, respiratory distress, shortness of breath, wheezing,

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: Geriatric: 65+
Patient Gender: Male
Tags: communication, geriatrics, goals of care, palliative care, respiratory distress, shortness of breath,

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: <18
Patient Gender: Male
Tags: airway emergencies, bronchiolitis, pals, pediatrics, respiratory distress, shortness of breath,

Pediatric Asthma Exacerbation

Southeastern Illinois College

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports having played a football game earlier this week in cold, damp weather. He has a two-day history of a non-productive cough, shortness of breath, and...

Pediatrics

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Pediatrics
Author: Southeastern Illinois College
Language: English
Room size: 16x16
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: asthma, asthma exacerbation, cough, pediatric asthma, respiratory distress, sbar, shortness of breath, therapeutic communication,

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: Adult
Patient Gender: Male
Tags: asthma, ED, hypotension, intubation, pediatrics, refractory asthma, severe asthma, shortness of breath,

Primary Care COVID-19

University of Nebraska Medical Center

A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...

Community/Public Health

A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Male
Tags: continuity of care, covid, nasal swab, personal protective equipment, shortness of breath, telehealth,

Prioritization of Multiple Patients

University of Nebraska Medical Center

In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....

Leadership
Medical/Surgical

Prioritization of Multiple Patients

SimX Nursing Bundle

In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Leadership, Medical/Surgical
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Adult
Patient Gender: Female, Male
Tags: bed alarm, bladder scan, delegation, diabetes, fall, multiplayer, multiple patients, multiroom, shortness of breath, straight cath, urinary retention,

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: Adult
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: Adult
Patient Gender: Female
Tags: cough, covid, covid-19, differential diagnosis, dyspnea, fever, shortness of breath,