A two-part scenario, designed for an interprofessional group of clinical externs, this was made to meet two of the learning goals they had requested: high flow and palliation. Patient is sick and while initially responding to treatment, a time warp in the scenario allowed us to also fit in palliation in the same education session.

Patient presenting with chest pain and ST elevation. Following our hospital’s protocol to sent the patient to a catheterization lab at a different facility.

A 74 year old female is admitted under the hospitalist at a community hospital with a UTI. She is on day 3 of antibiotic therapy. While in hospital, she develops acute onset of right arm weakness, facial droop and unintelligible speech. Participants should recognize an acute CVA within the window, perform a stroke assessment, treat […]

The team is called to manage an unresponsive man with respiratory depression. The initial assessment involves rapidly evaluating potential causes for altered mental status, including hypoglycemia, hypoxia, and intoxication. Initial management of hypoglycemia and airway support does not improve the patient’s mental status. The team must recognize opioid toxidrome and administer naloxone. The patient will […]

A 10-day-old term male neonate is brought to the emergency department by his parents. Their concerns are that, over the course of the day, he has become pale, his feet look “bluer”, and he is more lethargic. Moreover, he has only made 1 diaper today and is feeding very poorly. On examination, this is a […]

A 47 year old male presents with acute respiratory failure via EMS. He rapidly decompensates upon arrival. His travel history is missed on initial screening by EMS due his severity so he is transferred to the trauma bay without appropriate precautions. Part-way through the case his travel history is revealed (if not already asked for) […]

Scenario: Case designed during the January 2020 COVID-19 outbreak in order to assess and improve team preparedness for safely and effectively caring for a critically ill coronavirus patient from triage through to intubation and disposition in a community hospital. The scenario focusses on system processes more than individual skills. This case was adapted from one […]

This template is a generic and comprehensive guide for the development and documentation of simulation scenarios. It is intended to be applicable to any profession (including interprofessional scenarios), any healthcare field, and for most simulation modalities. Members of the Simulation Canada community produced it following a review of the literature on best practices in scenario […]

The PEARLS for Systems Integration Debreifng Tool is now available as a free colour download.

Pt has 1 week history of cough/fever, seen in ED yesterday and intubated this morning for worsening SOB and hypoxia. Remains difficult to oxygenate. Hypotensive and on pressure support. Pt taken to CT scan then directly to ICU. More difficult to bag en-route to ICU. Pt O2 sat decreasing to 82%- 75%. Pt develops decreased […]

Mike is a 35 year old male. He was on a first date at Nami sushi on Lonsdale. His date offered him gomae, he took one bite and felt lip tingling immediately, he told his date about his severe peanut allergy and they came to the ED. No Epi Pen. Triage nurse to present case […]

7 year old child, febrile for 2 days, parents notice seizure like activity and bring to emergency. During initial assement, patient seizes. Patient stops seizing when given appropriate mediations.

This is an instrument to measure situation awareness in nurses participating in a patient deterioration simulation scenario. It measures nurses’ perception of quantifiable signs of deterioration (e.g., vital signs, level of consciousness) and less quantifiable signs of deterioration (e.g., breath sounds, agitation, new pain). It also measures nurses’ comprehension of the meaning of these signs […]

Elderly man in ICU 12 hours post cardiac arrest. ETT blocks leading to cardiac deterioration.

Patient with stage four mesothelioma lung cancer that is being cared for in the home environment. Designed to challenge the year 4 student with doing an assessment and critically thinking next steps when caring for a patient who becomes hemodynamically unstable. Communication is paramount, with physician, EMS, and family. The patient is sent to the […]

This is a two-part unfolding scenario. A 55 year old male client is imminently dying of lung cancer with a Palliative Performance Scale (PPS) of 10%. DNR assigned. Client chose to die at home. He is married and spouse is at the bedside. Client has 2 adult children and 3 grand-children who live out of […]

This is a multiple patient scenario involving 3 patients in the Observation Unit following a MVC. (1) R/O fetal distress/injury; (2) R/O Head Injury; (3) Splenic Laceration. Patient A is a 35 y.o. mother, 19 weeks pregnant that was driving herself and her pre-school son to a clinic appointment when she was in a collision. […]

A 42 yo woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. Early into the procedure, she develops hypoxemia, hypotension and rising airway pressure. The team must recognize and manage a tension pneumothorax.

A 72 yr old man underwent an inguinal hernia repair 2 hours ago. Stable intraoperative course. He is now in PACU with bradycardia and vital signs unstable. The team must recognize this critical situation, call a code, and arrange transfer to an appropriate care location.

A 35-year-old woman comes to hospital for day surgery. The induction of anesthesia goes smoothly. Early in the procedure the patient becomes hypotensive and hypoxemic. The participants must recognize and respond to an air/CO2 embolus.

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.

A generally healthy 35-year-old woman comes to the hospital for day surgery. She received a dose of cefalexin pre-operatively. Soon after, she begins to complain of itchiness and a rash. This proceeds to a full anaphylactic reaction that the team must manage.

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.

A 55 yo woman with increased risk for perioperative cardiac event comes to the hospital for day surgery. She is stable during unduction of anesthesia. Shortly into the operation her vital signs become unstable. The team must recognize and respond to unstable atrial fibrillation.