Scenario Libraries

Duke Template to Design a Simulation Scenario

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Anesthesia

AAA Aortic Clamping
AAA Aortic Unclamping
AAA Induction-Rigid Chest
Anaphylaxis
Anaphylaxis with swollen tongue
Bradycardia and Hypotension
Bradycardia and Normotension
Cannot Intubate, CAN Ventilate
Cannot Intubate, Cannot Ventilate
Cardiac Tamponade
Emergence-Apnea
Emergence-Hypertension
Emergence-Laryngospasm
Emergence-NP Pulmonary Edema
Emergence-Routine
Epidural-High Spinal
Epidural-IV Injection
Epidural-Sympathectomy
HML ARDS-PEEP Titration
HML Congestive Heart Failure
HML Hypovolemia
HML Septic Shock
Hypotension-Hemorrhage
Hypoxemia-Atelectosis
Hypoxemia-Bronchospasm
Hypoxemia-Endobronchial Intubation
Malignant Hyperthermia
Tachycardia and Hypertension
Tachycardia and Hypotension
Tension Pneumothorax

Anesthesia Machines and Equipment Failure

Defective self-inflating manual resuscitator
Leaky endotracheal tube cuff
Bellows leak
Expiratory valve stuck
Inspiratory valve stuck
Exhausted CO2 absorbent
CO2 absorbent wrapper left on
Low pressure system leak (x3)
Gas sampling line leak
Breathing circuit leak (x2)
O2 pipeline failure
Empty oxygen cylinder
Hypoxic O2 pipeline supply
Incompetent scavenging system positive pressure relief valve
Incompetent scavenging system – missing components (x2)
Improperly adjusted scavenging system
Improperly configured anesthesia machine

Allied Health

Asthma Attack (EMT)
Bronchospasm on Ventilator
Cardiac Catheterization
CHF with Acute Pulmonary Edema (EMT)
CHF with Acute Pulmonary Edema (RN)
Control of ICP with Hyperventilation
COPD with CO2 Retention
Diabetic Coma (DKA)
Dysfunctional Chest Tube
End-stage Renal Disease
Extubation and Stridor
Extubation Criteria
Gastrointestinal Bleeding
Hypoxic Drive Elimination
Incompetent Exhalation Valve
Insulin Shock
Remove Chest Tube
Spontaneous Pneumothorax
Suctioning and Hypoxemia
Treating ARDS-PEEP Titration

Obstetric

Amniotic Fluid Embolism
Epidural
Induction
Preeclampsia Epidural
Preeclampsia Induction
Pulmonary Aspiration
Supine Hypotension Syndrome
Venous Air Embolism

CCS

Acute Allergic Reaction
Acute Asthma Exacerbation
Burns Airway Compromise
Heroin Overdose
Inferior Posterior MI
Ludwig's Angina
Stab Wound to Upper Neck
Tricyclic Overdose

Pediatric Anesthesia

Bradycardia and Hypotension
Bradycardia and Normotension
Cannot Intubate, Cannot Ventilate
Cannot Intubate, CAN Ventilate
Epidural-High Spinal
Epidural-IV Injection
Epidural-Sympathectomy
Hypotension-Hemorrhage
Induction-Routine
Near Drowning
Spontaneous Pneumothorax
Tachycardia and Hypertension
Tachycardia and Hypotension

PALS

Acute Respiratory Failure
Asthma
Asystole
Bradycardia
Hypovolemic Shock
Multiple Trauma
PEA
SVT VTach
Toxidromes
Ventricular Fibrillation

ACLS

Asystole
Bradycardias Refractory
Bradycardias Responsive
EMD
Pulseless V-Tach
Tachycardias Refractory
Tachycardias Responsive
Unstable Atrial Fibrillation
V-Tach or V-fib
Acute Coronary Syndrome
Acute Ischemic CVA
Atrial Fibrillation & Junctional Tachycardia
Bradycardia Heart Block
PEA
Respiratory Arrest
SVT and V-Tach
Ventricular Fibrillation AED
V-Fib and Tachycardia
Opiate Overdose
VFib plus 3 shocks
VFib to Asystole
PEA-Tamponade
PEA-PTX