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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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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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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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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Community Acquired Pneumonia (CAP) requiring oxygen therapy and suctioning

Mrs. Parmar is a 88 y.o female who presented to hospital 4/7 ago with a persistent cough and general malaise x 1/52. She was admitted to the General Internal Medicine ward with the dx of CAP. Her O2 sats have begun to decline, so the physiotherapy and nursing students must recognize the issue, perform a […]

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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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Acute stroke assessment

This scenario is intended for students learning assessment of acute stroke and is based on recommendations of the Canadian Stroke Strategy (2014), RNAO Stroke Assessment (2011) and Ontarion Ministry of Helath Quality-Based procedures. This scenario focuses on the use of the Canadian Neurological Scale tool.

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COPD exacerbation assessment and intervention

This scenario is intended for learners to assess and intervene for a patient experiencing an exacerbation of COPD. This scenario is based on evidence practice guidelines from the Ontario Ministry of Health and RNAO.

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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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An Introduction to the Management of Labour and Delivery – A Simulation-Based Obstetrics Workshop for Medical Students

This resource was created to deliver a 2.5 hour small group interactive workshop geared for medical students on their obstetrical rotation. It enables students to understand the care activities in the obstetrics unit and how students may most effectively learn and provide care to patients in this clinical setting.

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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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Simulation Session Booking and Planning Form

The Simulation Session Booking and Planning Form is useful for simulation centre co-coordinators to find out about the learning objectives of the simulation session that an instructor would like to create, and to acquire basic logistics information such as type of participants, number of participants, length of simulation, etc. It can be e-mailed to the […]

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Initial assessment following hospitalization (introductory scenario)

George Smith, an 80 year old male, has just returned to the nursing home by ambulance after being hospitalized with pneumonia secondary to chronic obstructive pulmonary disease. As his student nurse you are to do his admission assessment. As part of that admission you are expected to take his vital signs, communicate appropriately, initiate a […]

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Adult Type 1 Diabetes

Patient has been admitted to an inpatient unit with nausea and vomiting x48 hours, as a result he is experiencing complications with his diabetes. Patient is received with decreased LOC and is lethargic. Learners are to perform a focused assessment, apply nursing knowledge to prioritize care, and demonstrate safe medication administration best practice.

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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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Atrial Fibrillation

Paramedic dispatched to a nursing home, patient is unusually lethargic and weak. The patient is to go to emergency department to be evaluated.

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A Domestic Violence: An IPE Activity

The scenario depicts a victim from a domestic violence. It starts from an apartment setting with a 911 call, wanting to press charges for assault. However, when police foundation students arrive, the victim is found unresponsive. Paramedic students are called to the scene. the victim is then transported to the ER setting. Interactions between nursing, […]

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