Fire in the Operating Room

A 39 yo woman is in hospital for day surgery. She is stable before and after induction of anesthesia. A few minutes after the surgical procedure begins, smoke will quickly fill the room and the team must respond to a fire in the OR.

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Malignant Hyperthermia

A 39-year-old woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. There is then a handover of RNs and anesthesia to a new team. The patient becomes tachycardic wth a rise in CO2 and body temperature which the team must recognize and manage.

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Pulseless Electrical Activity

A middle-aged woman is coming to hospital for day surgery. She has controlled hypertension and NIDDM. After induction of anesthesia she develops pulseless electrical activity. The OR team must resuscitate her.

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Ottawa Crisis Resource Management Global Rating Scale (“Ottawa GRS”)

Ottawa GRS designed to evaluate physician performance in simulated emergencies in the domain of Crisis Resource Management (CRM) skills.

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Pediatric intraoperative bronchospasm

3 year-old under general anesthesia for repair of forearm fracture. Has risk factors for reactive airways. Develops progressively worsening bronchospasm which is reversible if recognized and managed, otherwise becomes severe.

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Society for Academic Emergency Medicine (SAEM) Simulation Case Library

The Society for Academic Emergency Medicine (SAEM) Simulation Collection is compiled by the SAEM Simulation Interest Group, working with the SAEM Simulation Task Force. Dozens of scenarios are freely available. Scenarios are intended for acute care physicians. A wide variety of topics are covered: overdose, coma, mental health, GI bleed, asthma, COPD, burns, acute coronary […]

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Multiple scenarios from THESIMTECH

TheSimTech blog offers a number of free simulation scenarios, mostly targeted towards acute care medicine. Some are interprofessional. Topics include: Dyspnea, hypertension, trauma, burn, fire, MVA, shock, adrenal crisis, tachycardia, pelvic fracture, ectopic pregnancy, toxic shock syndrome, sepsis, angioedema, difficult airway, anaphylaxis, atrial fibrillation, congestive heart failure (CHF), diabetic ketoacidosis (DKA), electrical storm, febrile neutropenia, […]

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Pediatric supraventricular tachycardia (SVT)

An almost 10 year old complains of chest discomfort and is brought into the emergency room by his older sister. The patient refuses treatment because of previous bad experience with intravenous starts and adenosine. The patient remains conscious with a rapid heart rate for the first part of the scenario. As the scenario progresses, the […]

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Prehospital cardiac arrest with return of circulation

Pre-hospital incident of a male patient having chest pain, with shortness of breath, collapsed into a sudden cardiac arrest. Pre-hospital ACLS protocals followed causes a return of spontanious circulation. For arrest care provided and transport to ER.

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Global Rating Scale

This is an evaluation form that can be used to measure students’ simulation performance in many disciplines within healthcare. The Global Rating Scale has been designed to be best utilized with hands-on scenarios in the simulation teaching environment.

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Code Pink scenario – Acute fetal-maternal hemorrhage

This scenario is designed to allow health care professionals to come together and work as a team around a critically ill newborn using advanced-technology simulation either in the simulation centre or in-situ. Once the pre-brief (including orientation if need be) and briefing is complete the scenario starts. The health care team arrives either ‘en-masse’ or […]

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Multidisciplinary Office Cardiac Arrest Emergency Scenario

This is a multidisciplinary office scenario that should be appropriate for any health care professionals that would work in such a setting. A patient presents to the office with left upper back pain that he attributes to gardening. During the assessment the patient reports shortness of breath, chest pain, along with a history of cardiovascular […]

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Blood Transfusion Reactions

This scenario was developed to enhance the learning experience of the RPN student during semester 3 lab related to Blood Administration. The focus is to recognize signs and symptoms of blood transfusion reactions, react approptriately to manage event while using effective communication. The students are first briefed using a worksheet that includes important patient information: […]

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Ebola Simulation for PICU and ED Staff

A 6 year old male patient with fever, nausea and vomiting had recently traveled to an affected country and interacted with a family member that possibly had Ebola. The Health Care Professional needs to manage the routine care of this child in level 3 personal protective equipment.

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