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SimX Nursing Bundle
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The Virtual Manikin™ Series
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Complexity
Special Complexity
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Language(s)
Room Size
Setting
Patient Ect

Acute Myocardial Infarction

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

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: EMS, Nursing
Specialty: Cardiology
Author: SENA
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect: Adult
Patient Gender: Female
Tags: AMI, cardiology, emergency department, emergency medicine, English, inferior stemi, myocardial infarction, Nursing,

Aggressive Behavior Management for Dementia Patient

Dymstec

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing aggressive behaviors such as screaming and swearing. She is able to communicate easily with an MMSE score of 15/30, but she is angry with her...

Internal Medicine

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing...

Case Information:
Bundles:
Learner Population: Nursing, Students
Specialty: Internal Medicine
Author: Dymstec
Language: English, Korean
Room size: 16x13
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: aggressive behavior, behavior management, dementia, elder care, fall injury, fall risk, high blood pressure, hyperlipidemia, MMSE,

BTT Shunt Occlusion

Children's National

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5. Her intraoperative and postoperative course was relatively unremarkable, and she had been in the hospital for two weeks post-op, working on feeding issues. She has...

Pediatrics

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5....

Case Information:
Bundles:
Learner Population: Nursing, Resident
Specialty: Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Pediatric
Patient Gender: Female
Tags: emesis, hypoplastic, infant, norwood, pediatrics, postoperative, shunt,

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: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Emergency Medicine, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: <18
Patient Gender: Male
Tags: adolescent, cardiology, chest pain, cticu, dyspnea, emergency, malaise, pediatrics,

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...

Emergency 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: Advanced Practice Provider, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
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,

Chest Pain: ACS

Bundle of Rays

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

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, Resident
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: Bundle of Rays
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: acls, acute coronary syndrome, als, cardiac arrest, cardiology, chest pain, cpr, emergency medicine, myocardial infarction, stemi,

Coarctation

Children's National

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...

Cardiology
Pediatrics

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Infant
Patient Gender: Female
Tags: CXR, ED, icu, pediatrics, PGE, respiratory distress,

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 Health
Psychiatry
Prehospital

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: Allied Health Professionals
Specialty: Community Health, Psychiatry, Prehospital
Author: South Carolina State University
Language: English
Room size: 16x13
Setting: Office Building
Patient ect: Adult
Patient Gender: Female
Tags: Community Health Coach, Community Health Worker, Conference Room, counseling, interprofessional team, outreach, outreach skills,

Desaturation & Bradycardia

Children's National

In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is POD#0 from stitch closure of ASD and patch repair of the VSD. The post-op TEE shows a small residual ASD, no residual VSD, and good...

Cardiology
Pediatrics

In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Physician, Resident
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: asd, cariology, conoventricular septal defect, infant, patch repair, pediatrics, postoperative, tee, vsd,

Diabetes

Indiana University East SoN

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...

Internal Medicine

In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: blood sugar, diabetes, diabetes counseling, diabetes education, hyperglycemia, hypoglycemia, insulin, insulin injecting, new onset diabetes, poct glucose, subcutaneous insulin, type 2 diabetes,

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...

EMS

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
Specialty: EMS
Author: SimX
Language: English
Room size: 16x13
Setting: Home, Ambulance
Patient ect: Adult
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,

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...

Emergency Medicine

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: Physician, Resident
Specialty: Emergency Medicine
Author: Ohio State University
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Adult
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,

Hypotension post TAA

University of Pennsylvania SoN

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR...

Cardiology
Surgery

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Physician, Resident
Specialty: Cardiology, Surgery
Author: University of Pennsylvania SoN
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Adult
Patient Gender: Male
Tags: aneurysm repair, arterial line, hemorrhagic shock, hypotension, lumbar drain, post surgical hypotension, spinal shock,

Low Cardiac Output Syndrome

Children's National

A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops junctional ectopic tachycardia with a narrow pulse pressure and hypotension. Learners must recognize and diagnose the arrhythmia and provide therapies to improve the cardiac output...

Cardiology
Pediatrics

A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Infant
Patient Gender: Male
Tags: arrhythmia, cardiology, hypotension, infant, junctional ectopic tachycardia, neonatal, pediatrics, post op, postoperative,

Medical/Surgical UTI/DKA

Southeastern Illinois Univeristy

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...

Internal Medicine

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: Internal Medicine
Author: Southeastern Illinois Univeristy
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: allergic reaction, diabetes, interdisciplinary team, medication reaction, nursing measures,

Myocardial Infarction in the ED

Southeastern Illinois Univeristy

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
Critical Care
Emergency Medicine
Internal Medicine

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: Advanced Practice Provider, Nursing
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: Southeastern Illinois Univeristy
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect: Adult
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,

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.  

Internal Medicine
Family Medicine

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: Internal Medicine, Family Medicine
Author: University of Nebraska Medical Center
Language: English
Room size: 16x13
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Male
Tags: acute coronary syndrome, chest pain, ecg, sbar, stemi,

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....

Emergency 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...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician
Specialty: Emergency Medicine
Author: NYU Grossman School of Medicine
Language: English
Room size: 16x13
Setting: ICU
Patient ect: Geriatric: 65+
Patient Gender: Male
Tags: Airway, Airway Management, Arterial Bleed, Fistula, hemorrhage, hemorrhagic shock, intubation, Trach, tracheostomy, Utley Maneuver,

Virtual Manikin™ – Adult Chest Pain

SimX

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other words,...

Emergency Medicine

Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, EMS, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect: Adult
Patient Gender: Male and Female
Tags: acls, Anterior stemi, Aortic dissection, cardiac arrest, chest pain, chest tube, congestive heart failure, Diuresis, Esophageal rupture, Fluid overload, Heart Block, Heart strain, inferior stemi, intubation, Manikin, Mobitz block, needle decompression, NSTEMI, Pneumomediastinum, pneumonia, pneumothorax, Posterior stemi, pulmonary embolism, sepsis, Shingles, Spontaneous pneumothorax, stemi, Tamponade, trauma, Wolf parkinson white, Zoster,

Virtual Manikin™ – Pediatric Respiratory

SimX

Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other...

Emergency Medicine
Pediatrics

Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, EMS, Nursing, Physician
Specialty: Emergency Medicine, Pediatrics
Author: SimX
Language: English
Room size: 16x13
Setting: Ambulance, Emergency Department
Patient ect: Pediatric
Patient Gender: Male and Female
Tags: anaphylaxis, anemia, asthma, bronchiolitis, cardiac arrest, Croup, DKA, Epiglottitis, foreign body, Manikin, Opiate overdose, pediatric, pneumonia, pneumothorax, respiratory,