Mark Johnson, a 67-year-old male patient diagnosed with lung cancer, is presented with hypotension and shortness of breath. Clinical assessment reveals a large malignant pericardial effusion resulting in cardiac tamponade.

Steve Carell, 56-year-old male, with ischemic cardiomyopathy and CAD, presents with dyspnea and mild hypoxemia. Shortly after admission, he develops lethargy and tachycardia, with exam and lab findings concerning for cardiogenic shock.

70-year-old Richard Warner is visiting his healthcare provider for a routine suprapubic tube exchange procedure. This VR simulation is designed to help practitioners practice the procedure in a virtual environment with a virtual patient.

Fifty-two-year-old Jane Dopple is prepped for a thyroidectomy involving the use of an electrocautery. When small fire ignites on the surgical drape near the incision site, the team must respond to ensure the safety of the patient and the staff.

Sixty-five-year-old Susan Gardner is presented to ED for chest pain and shortness of breath. She was discharged from the ED when symptoms improved but 10 minutes later she complained of increased chest pressure.

This unconscious patient has recently been intubated and is on ventilator. You suddenly notice his blood pressure and oxygen level plummeting. You need to act fast as the patient is crashing on the ventilator.

Shawn, a 50-year-old male, has impulsively taken the entire bottle of metoprolol. The estimated ingestion is of 100 x 50 mg tablets (5000 mg) approximately 45 minutes prior to presentation.

Akito Tanaka, a 63-year-old male, is brought into the emergency department with symptoms consistent with COPD exacerbation. He has a former smoking history, COPD on home O2, and is on anticoagulation for atrial fibrillation.

Antonio Garcia, 49 years old, and has chest pain and abdominal pain. Symptoms started 2 hours ago with abdominal pain that was sudden in onset, diffuse, crampy, 10 on 10. This then travelled up into his chest.

James Anderson, 40 years old, was the driver in a single vehicle collision at highway speed. He has an obvious open fracture of his left forearm and decreased air entry to the right of his chest.

Kevin Shaw, 65-year-old, has developed a rash and nausea shortly after starting an IV dose of tazocin. Kevin was admitted for treatment of a diabetic foot infection that has been progressing despite oral antibiotics.

Joseph Taylor, 50 years old, while lifting weights at the gym, complained of a sudden headache and soon fell to the ground. He’s suffered an aneurysmal subarachnoid hemorrhage (SAH).

Doug Smith, 62-year-old male, was awaiting discharge but was noted to be hypokalemic on labs. Due to clerical error he has been administered 10 times the recommended dose of KCl 10mEq in 100cc NS bolus.

You have been entrusted with the task to prepare a patient room for a patient at risk for self-harm. Review the room environment and ensure that all objects of potential risk are removed or placed in inaccessible locations.

John Wright, 67-year-old male, has suffered a generalized seizure. Initially, he appears somnolent and cannot respond to questions. His respirations are sonorous and although his airway seems patent, there is blood in his mouth.

Stephanie, a 59 year old female, has a worsening left flank pain, nausea, and decreased PO intake. She has a 7-day history of dysuria, urinary frequency, and fever preceded by an intermittent left flank pain.

Jim Smith, 64 years old male, was admitted 3 days ago. He has difficulty breathing and an increasing productive cough. Jim has been diagnosed with a community acquired pneumonia and started on Moxifloxacin 400mg IV daily.

A middle-aged patient is feeling dizzy and weak the team must perform an assessment using SAMPLE and OPQRST. Recognizing a heart block, they should ensure IV access, prepare, and perform pacing before calling for cardiology.

A 54-year old male with ventricular tachycardia needs to be assessed using SAMPLE and OPQRST. The learner must recognize the rhythm and institute appropriate work-up and management including electrical cardioversion.

When a 54-year-old man is found to be unresponsive, the respondent will have to call for help and perform initial assessment. The team members will prepare the patient for CPR and administer appropriate medication.

A 54-year old male is suffering a chest pain. An EKG must be performed as this could be a case of ST elevation myocardial infarction. Subsequently proper medication must be given and interventional cardiology team activated.