| Topic |
Case Title |
Description |
Module |
Module URL |
| Ventricular fibrillation | Case 1 - V Fib arrest | Unwitnessed V Fib arrest. Assess the patient, call for help, CPR, defib, CPR, defib. Resume CPR for 5 cycles even with return of rhythm. | ACLS | Open ACLS Module |
| Bradycardia - heart blocks | Case 10 - Chest pain with slow rate | This case will provide the opportunity to review the bradycardia algorithm. | ACLS | Open ACLS Module |
| Tachycardia - Unstable ventricular tachycardia | Case 11 - Rapid heart rate in recovery room | The patient has monomorphic ventricular tachycardia with a pulse but has chest pain so should be considered unstable. Use electrical cardioversion immediately. | ACLS | Open ACLS Module |
| Tachycardia - Stable ventricular tachycardia | Case 12 - Rapid rate in Cardiac Care Unit | Try loading this stable patient with amiodarone prior to electrical cardioversion. | ACLS | Open ACLS Module |
| Torsades de Pointes | Case 13 - Confusion in the emergency room | Call for an expert. Torsades is associated with long QT interval. Avoid agents that can prolong the QT such as quinidine or procainamide. Try magnesium infusion. | ACLS | Open ACLS Module |
| Tachycardia - Paroxysmal supraventricular tachycardia | Case 14 - Fluttering in her chest | Since this patient is stable you can try medications such as diltizem or esmolol. | ACLS | Open ACLS Module |
| Tachycardia - Atrial Fibrillation | Case 15 - Palpitations in the emergency room | Since this patient is stable and ventricular function is not impaired, you can try to slow the ventricular response with diltiazem or esmolol. | ACLS | Open ACLS Module |
| Tachycardia - Wide complex of unknown origin | Case 16 - Positive exercise stress test | Since this patient is stable, you can try amiodarone before electrical cardioversion. | ACLS | Open ACLS Module |
| Ventricular fibrillation | Case 2 - Witnessed arrest! | In the unusual situation of a witnessed arrest with a defibrillator immediately availble, you should defibrillate without delay for CPR. | ACLS | Open ACLS Module |
| Ventricular fibrillation | Case 3 - Sudden collapse at health club | You should intubate after the first two electrical defibrillation attempts. The administration of vasopressors, epinephrine or vasopressin, may be helpful. Then shock again. | ACLS | Open ACLS Module |
| Ventricular fibrillation | Case 4 - Arrest in the delivery room | The pulseless person is the anxious husband, not the laboring mother. This case reviews the management when IV access is difficult to establish. | ACLS | Open ACLS Module |
| Ventricular fibrillation | Case 5 - Woman found pulseless at home | Amiodarone is the next drug to try after epinephrine or vasopressin. Continue aggressive chest compressions and repeat electrical defibrillation attempts. | ACLS | Open ACLS Module |
| Ventricular tachycardia - Pulseless | Case 6 - Arrest on the medicine ward | In an unwitnessed arrest, immediately perform 5 cycles of 30 breaths : 2 compressions CPR. Then use unsynchronised cardioversion. Repeat CPR and repeat cardioversion. | ACLS | Open ACLS Module |
| Pulseless ventricular tachycardia | Case 7 - Arrest on the post-op surgery ward | As in ventricular fibrillation, after the first two shocks, intubate, administer epinephrine/vasopressin,shock, amiodarone, shock. | ACLS | Open ACLS Module |
| Pulseless electrical activity | Case 8 - Pulseless trauma victim | Perform aggressive CPR, intubate, administer fluids and epinephrine while searching for a treatable cause of PEA. | ACLS | Open ACLS Module |
| Asystole | Case 9 - Code Blue in cardiac rehab | Aggressive CPR, ventilation with bag and mask, epinephrine, while searching for a treatable cause. You will need to consider when to cease resuscitation efforts in this case. | ACLS | Open ACLS Module |
| Routine induction | Case 1 - 47 year old for diagnostic laparoscopy | This is an introductory case. The Help-Instructions will walk you step by step through a routine induction so you learn how to use the program. | Anesthesia | Open Anesthesia Module |
| Difficult intubation in a patient with asthma | Case 10 - 53 year old obese male for colon resection | Intubate awake and risk bronchospasm, or intubate asleep and risk losing the airway? | Anesthesia | Open Anesthesia Module |
| Anesthesia in patient with congestive heart failure | Case 11 - 45 year old female for craniotomy | This patient has a brain tumor and has had treatment with adriamycin. | Anesthesia | Open Anesthesia Module |
| Cor pulmonale | Case 12 - 54 year old with cor pulmonale for emergency laparotomy | The patient has severe chronic COPD with pulmonary hypertension and right ventricular failure. | Anesthesia | Open Anesthesia Module |
| Pheochromocytoma | Case 13 - 40 year old for excision of pheochromocytoma | Extreme hypertension will occur during this case. Best management is alpha-blockade and fluid replacement. | Anesthesia | Open Anesthesia Module |
| Thyrotoxicosis | Case 14 - 34 year old for partial thyroidectomy | The patient will develop thyroid storm during this case with tachycardia, hypertension and hyperthermia. You will have the opportunity to distinguish thyrotoxicosis from malignant hyperthermia and manage the crisis. | Anesthesia | Open Anesthesia Module |
| Venous air embolism | Case 15 - 60 year old for resection of posterior fossa tumor | During the surgery the patient will become suddenly tachycardic, hypotensive, end-tidal CO2 decreases, CVP increases. If you dont quickly perform the appropriate maneuvers, the patient will arrest. | Anesthesia | Open Anesthesia Module |
| Paradoxical air embolism | Case 16 - 44 year old for resection of tumor in cerebellar-pontine angle | Air from an air embolism enters the left-sided circulation. Air in the coronary arteries leads to severe myocardial ischemia and left ventricular dysfunction. | Anesthesia | Open Anesthesia Module |
| Pulmonary embolism | Case 17 - 48 year old female for cholecystectomy | This patient was immobile for two weeks prior to cholecystectomy and has a large PE during the case. Oxygenation, ventilation, fluid administration, inotropic support are needed. Intra-operative heparin administration is needed to prevent a second catastrophic PE. | Anesthesia | Open Anesthesia Module |
| Intubated but hard to ventilate | Case 18 - 51 year old for emergency exploratory laparotomy | After intubation the patient will become hard to ventilate. It is necessary to work through the differential diagnosis of intubated but hard to ventilate. The cause in this case is endobronchial intubation. | Anesthesia | Open Anesthesia Module |
| Intubated but difficult to ventilate | Case 19 - 53 year old for emergency exploratory laparotomy | This trauma patient becomes difficult to ventilate after intubation and positive pressure ventilation. The cause is a pneumothorax which must be decompressed. | Anesthesia | Open Anesthesia Module |
| Rapid sequence induction | Case 2 - 27 year old with fractured humerus | You must perform a rapid sequence induction in this patient with a full stomach. | Anesthesia | Open Anesthesia Module |
| Difficult airway and increased ICP | Case 20 - 21 yr old male with increased ICP for drainage of subdural hematoma | Induce anesthesia and lose the airway or intubate awake and risk worsening the high ICP? | Anesthesia | Open Anesthesia Module |
| Rapid sequence induction with eye injury | Case 21 - 24 yr old male with penetrating eye injury and full stomach | Can succinylcholine be used to facilitate rapid intubation? | Anesthesia | Open Anesthesia Module |
| Diabetic ketoacidosis | Case 22 - 22 year old with septic knee and diabetic ketoacidosis | This patient must have emergent surgery despite being in diabetic ketoacidosis. You must replace intravascular fluids, administer insulin, monitor and treat electrolyte disturbances. | Anesthesia | Open Anesthesia Module |
| Latex allergy | Case 23 - 34 year old male for multiple dental extractions | After the procedure starts, the patient becomes markedly tachycardic and hypotensive. You must treat the severe allergic reaction. | Anesthesia | Open Anesthesia Module |
| Redman syndrome | Case 24 - 54 year old for axillary node biopsy | The vancomycin is inadvertantly administered very quickly. The patient develops Redman Syndrome. Unfortunately the nice red color becomes an ashen gray as the patient loses his blood pressure and perfusion. | Anesthesia | Open Anesthesia Module |
| Fluid resuscitation of the critically-ill premie | Case 25 - 8 day old premature infant for laparotomy | This patient has Necrotizing EnteroColitis. You must replace intravascular fluids prior to administering anesthesia. | Anesthesia | Open Anesthesia Module |
| High ICP | Case 26 - 4 year old with head injury | You must apply the appropriate anesthetic techniques to avoid tight brain syndrome. Use endotracheal intubation, hyperventilation, mannitol, elevation of the head 30 degrees, appropriate isotonic fluids, avoid hypoxia and hyperglycemia. | Anesthesia | Open Anesthesia Module |
| Sleep apnea | Case 27 - 4 year old for tonsillectomy and adenoidectomy | Secure the airway with fiberoptic intubation with maintenance of spontaneous ventilation. | Anesthesia | Open Anesthesia Module |
| Malignant hyperthermia | Case 28 - 4 year old for myringotomy and tubes | You can trigger MH in this case to rehearse diagnosis and treatment, or you can practice administering a non-triggering anesthetic technique. | Anesthesia | Open Anesthesia Module |
| Preeclampsia | Case 29 - 23 year old preeclamptic for induction of labor followed by Cesarean delivery | This G1P0 at 30 weeks estimated gestational age is receiving an oxytocin infusion to induce labor because of worsening preeclampsia and concerns over fetal well-being. The obstetrician decides immediate Cesarean delivery is necessary due to decelerations on the FHR monitor. You must replace intravenous fluids, secure the airway, and avoid major swings in blood pressure. | Anesthesia | Open Anesthesia Module |
| Rapid sequence induction in a hypovolemic patient | Case 3 - 86 year old with fractured hip | In order to avoid severe hypotension, you should replace intravascular volume before the rapid sequence induction. | Anesthesia | Open Anesthesia Module |
| Eclampsia | Case 30 - 19 year old eclamptic for urgent Cesarean section | This patient has eclampsia and HELLP syndrome. | Anesthesia | Open Anesthesia Module |
| Post-partum hemorrhage | Case 31 - 32 year old G8P5 with post-partum hemorrhage | The uterus inverts following delivery with massive blood loss. It is necessary to provide deep inhalation anesthesia to facilitate reinsertion of the uterus. | Anesthesia | Open Anesthesia Module |
| Anesthetic implications for the pregnant patient | Case 32 - 32 yr old at 24 weeks gestation for intracerebral aneurysm clipping | You must deliver an anesthetic to a pregnant patient. Avoid teratogenic drugs, avoid intrauterine hypoxia, avoid premature labor. | Anesthesia | Open Anesthesia Module |
| Esophageal intubation | Case 4 - 44 year old for laparoscopic cholecystectomy | The endotracheal tube accidentally slides into the wrong place when you intubate. | Anesthesia | Open Anesthesia Module |
| Bronchospasm | Case 5 - 16 year old for repair open femur fracture | After intubation, the patient becomes difficult to ventilate. You must rule out causes other than bronchospasm. | Anesthesia | Open Anesthesia Module |
| Anaphylaxis | Case 6 - 22 year old for appendectomy | Make the diagnosis, then secure the airway, administer liters of intravenous fluids, and titrate epinephrine. | Anesthesia | Open Anesthesia Module |
| Myocardial ischemia | Case 7 - 67 year old for femoral-popliteal bypass | This is a straightforward case involving ST segment changes. Raise the blood pressure with phenylephrine, lower the heart rate with esmolol, and titrate nitroglycerin. | Anesthesia | Open Anesthesia Module |
| Malignant hyperthermia | Case 8 - 32 year old for total abdominal hysterectomy | This is a simulation of a case that was reported in the Can Anaes Soc J 1966; 13: 437-442. You can watch the evolution of a case of malignant hyperthermia. Review management of the acute crisis or administer a non-triggering anesthetic. | Anesthesia | Open Anesthesia Module |
| Aortic stenosis | Case 9 - 74 year old with aortic stenosis for retropubic prostatectomy | Maintain adequate preload, keep the heart rate down and the blood pressure up. | Anesthesia | Open Anesthesia Module |
| Traumatic brain injury | Case 1 - 40 year old assault victim | This patient has suffered a traumatic brain injury with declining mental status - It is important to quickly recognize the mechanism of injury and establish a diagnosis while maintaining patency of the airway and executing appropriate treatments for ICH. | Critical Care | Open Critical Care Module |
| Diabetic ketoacidosis | Case 2 - 32 year old diabetic with septic knee | This patient has diabetic ketoacidosis. It is essential to correct the fluid and electrolyte imbalances associated with diabetic ketoacidosis slowly, over a few hours. In this simulation you need to replace intravascular volume, administer insulin, and monitor glucose, acidosis, potassium and phsophate. For this simulation you can replace the fluids in a few minutes even though in clinical practice the fluid and electrolyte imbalance would be corrected over 2 hours. | Critical Care | Open Critical Care Module |
| Anaphylaxis | Case 3 - 22 year old female with urinary tract infection | This patient has a history of hay fever and penicillin allergy so there is a slightly increased risk for an allergic reaction. | Critical Care | Open Critical Care Module |
| Severe episode of angina | Case 4 - 53 year old with chest pain | This patient had a fairly recent myocardial infarction and had continuing angina in a stable pattern. Dipyridamole-thallium scan showed two areas of myocardium still at risk. The patient refuses cardiac cath or surgical intervention so we are limited to medical management of his coronary artery disease. He presents in the Emergency Department today with a more intense episode of chest pain today. Medical management with a beta-blocker, calcium-channel blocker and nitrates needs further adjustment. | Critical Care | Open Critical Care Module |
| Trauma | Case 5 - 46 year old male involved in a motor vehicle accident | This patients history, physical exam, and laboratory studies all indicate hypovolemia. The presence of a scalp laceration suggest head trauma. Since the patient is not moving his lower extremities, injury of the spinal cord should be suspected. | Critical Care | Open Critical Care Module |
| Trauma in pregnant patient | Case 1 - 25 year old pregnant female involved in motor vehicle accident | The patient is a 25 year old female status-post motor vehicle accident (MVA) arrives to ER by EMS call. In route she told the paramedics that she is 8 months pregnant. The OB service received the trauma call. | Obstetrics | Open Obstetrics Module |
| Trauma requiring surgery in pregnant patient | Case 2 - 30 year old pregnant female with femur fracture | 30 year old female status-post motor vehicle accident (MVA) arrives to ER by EMS. Restrained passenger, collision at about 50 mph. At scene told EMS that she was pregnant, and then became hysterical, unable to answer questions. There is an obvious open left femur fracture. | Obstetrics | Open Obstetrics Module |
| Cardiac arrest in pregnant patient | Case 3 - 19 year old pulseless pregnant female | 19 year old female status-post motor vehicle accident (MVA) arrives to ER by EMS. The patient was an unrestrained passenger, collision at about 50 mph. At scene told EMS that she was pregnant, and then became lethargic and unable to answer questions. | Obstetrics | Open Obstetrics Module |
| Placental abruption | Case 4 - 27 year old G2P1 with placental abruption | The patient is a 27 year old G2P1 with placental abruption. She presents at 33 weeks gestation. | Obstetrics | Open Obstetrics Module |
| Postpartum hemorrhage | Case 5 - 29 year old G1P1 with postpartum hemorrhage | The patient is a 29 year old G1P1 who develops excessive uterine bleeding after the vaginal delivery of twins. | Obstetrics | Open Obstetrics Module |
| Postpartum hemorrhage | Case 6 - 30 year old G1P1 with postpartum hemorrhage | The patient is a 30 year old G1P1 who develops excessive uterine bleeding after the vaginal delivery of twins. | Obstetrics | Open Obstetrics Module |
| Ventricular fibrillation | Case 1 - A 2 year old with a flu-like illness | CPR 5 cycles, defib (2 J/kg), CPR 5 cycles, defib (4 J/kg). | PALS | Open PALS Module |
| Tachycardia - Supraventricular tachycardia | Case 10 - A fussy baby | Since the pulse is strong you can try adenosine if you can quickly establish IV or IO access. | PALS | Open PALS Module |
| Tachycardia - Supraventricular tachycardia | Case 11 - A 4 year old reacts to her asthma medication | Since adenosine may worsen bronchospasm, try amiodarone or procainamide for stable SVT in children with reactive airway disease. | PALS | Open PALS Module |
| Tachycardia - Wolff-Parkinson-White syndrome | Case 12 - A 3 year old with a racing heartbeat | Adenosine may cause SVT to degenrate to VFib in a child with WPW. Consult a pediatric cardiologist if possible, and prepare for electrical cardioversion. If stable you can try amiodarone or procainamide infusion. | PALS | Open PALS Module |
| Ventricular fibrillation | Case 2 - A 2 year old becomes unresponsive on the Pediatrics ward | CPR 5 cycles, defib (2 J/kg), CPR 5 cycles, defib (4 J/kg). Add epinephrine and defib again. | PALS | Open PALS Module |
| Ventricular fibrillation | Case 3 - A 4 year old arrests on the Pediatrics ward | After epinephrine, try amiodarone and defib again. | PALS | Open PALS Module |
| Ventricular fibrillation - Imipramine toxicity | Case 4 - A 5 year old takes her brothers medicine | In addition to the usual treatment for ventricular fibrillation, consider sodium bicarbonate in the treatment of imipramine toxicity. | PALS | Open PALS Module |
| Pulseless electrical activity | Case 5 - A 2 year old victim of MVA | CPR, intubate, intravenous fluid boluses, epinephrine. | PALS | Open PALS Module |
| Pulseless electrical activity - Anaphylaxis | Case 6 - A 5 year old with difficulty breathing | You must intubate immediately to provide a clear airway. You must administered several large boluses of intravenous fluids, and you must administer epinephrine. | PALS | Open PALS Module |
| Bradycardia | Case 7 - A 1 month old with respiratory illness | In children, hypoxia often results in severe bradycardia. Correct the hypoxia. Administer epinephrine as needed. Atropine may be helpful if a vagal mechanism is present. | PALS | Open PALS Module |
| Bradycardia | Case 8 - A 3 year old takes grandmas medicine | This patient was lethargic and hypoxic on initial assessment. Start by reversing hypoxia and add epinephrine. You should consider transcutaneous pacing for this case. | PALS | Open PALS Module |
| Tachycardia - Supraventricular Tachycardia | Case 9 - A 3 month old is suddenly unresponsive | Since this patient is unstable, use electrical cardioversion. | PALS | Open PALS Module |
| Septic shock | Case 1 - Lethargic 3 year old with fever | It is important to recognize the need for Early Goal-Directed Therapy. Specifically, the learner should control the airway, rapidly restore circulating volume, and administer inotropes and pressors as needed for patients with sepsis. Starting the appropriate antibiotics is a secondary concern. | Pediatrics | Open Pediatrics Module |
| Status epilepticus | Case 2 - 12 month old female in status epilepticus | Identify and rapidly treat pediatric status epilepticus, understand the importance of minimizing secondary injury, then treat with anti-epileptics, and then determine the exact etiology of the seizure(s). | Pediatrics | Open Pediatrics Module |
| Multiple trauma | Case 3 - 3 year old multiple trauma victim | This patients history, physical exam, and laboratory studies all indicate severe hypovolemia. Fluid replacement prior to administering sedative drugs for intubation is critical. Inadequate fluid replacement may lead to hypotension on induction. | Pediatrics | Open Pediatrics Module |
| Diabetic ketoacidosis | Case 4 - 2 year old with vomiting and weight loss | Rapidly diagnose this child with diabetic ketoacidosis and depressed mental status. Restore circulating volume with isotonic fluids, begin continuous insulin infusion therapy. | Pediatrics | Open Pediatrics Module |
| Near-drowning | Case 5 - 18 month old female with a near-drowning event | Protect the cervical spine while establishing a patent airway with adequate oxygenation and ventilation, restore adequate intravascular volume and perfusion, warm to 32-34 degrees C, manage complications such as seizures, dysrhythmias, hemodynamic instability and ARDS. | Pediatrics | Open Pediatrics Module |
| Meningitis | Case 6 - 4 year old male with meningitis and altered mental status | Establish a patent airway with adequate oxygenation and ventilation, choose a sedative and paralytic that do not increase ICP, consider lidocaine as an adjunct to intubation, elevate and position the head midline, minimize secondary inury by normalizing temperature, vascular volume and blood pressure, and serum glucose. Give mannitol and/or hypertonic saline. Treat seizures aggressively with both short and long-acting antiepileptics. Obtain emergent neuroimaging and neurosurgical consultation. | Pediatrics | Open Pediatrics Module |
| ACLS ECG Rhythm Training | ECG rhythms | Provides practice identifying ECG rhythms as they sweep across the screen. This program covers all the rhythms necessary for ACLS training. | Rhythm Sim | Open Rhythm Sim Module |
| Titration of medications and monitoring | Endoscopy Case 1 - 54 year old male for colonoscopy for polyps | Routine colonoscopy for adenomatous polyps. The patient also has hypertension, mild cirrhosis and non-insulin dependent diabetes mellitus. Sedate this anxious patient with midazolam for the procedure. Fentanyl can also be administered but since the procedure is not painful, only 50-100 mcg should be needed. Monitor respiration and oxygen saturation. | Sedation | Open Sedation Module |
| Respiratory depression | Endoscopy Case 2 - 4 year old girl for upper endoscopy for suspected reflux | The patient has recurrent abdominal pain, chronic vomiting and hematemesis. She is scheduled for upper endoscopy to rule out gastroesophageal reflux. This patient is sensitive to the respiratory depressant effects of the sedative agents and will become apneic. | Sedation | Open Sedation Module |
| Aspiration | Endoscopy Case 3 - 18 year old male for esophagogastroduodenoscopy for ulcer | The patient complains of abdominal pain and has melena. He has been taking ibuprofen for a football injury. Esophagogastroduodenoscopy is scheduled to rule out an ulcer. The best management of aspiration is to avoid it by following the NPO guuidelines. In this simulation the patient is simply choking on secretions. Stop the procedure, suction promptly to clear the airway, administer supplemental oxygen, listen to the breath sounds. Then resume the procedure since all is well. | Sedation | Open Sedation Module |
| Bradycardia | Endoscopy Case 4 - 6 year old boy for colonoscopy to rule out ulcerative colitis | This patient has an anterior mediastinal mass. He could develop airway obstruction with deep sedation. During the case this patient will develoop significant bradycardia. | Sedation | Open Sedation Module |
| Hypertensive crisis | Endoscopy Case 5 - 82 year old for colonoscopy for rectal bleeding | The patient has bright red blood per rectum. She is very anxious about this procedure. During the case the patient will experience a sudden onset of tachycardia and increased blood pressure, most likely due to pain. | Sedation | Open Sedation Module |
| Anaphylaxis | Endoscopy Case 6 - 25 year old anxious male for colonoscopy for cancer screening | The patient has a family history of adenomatous polyposis. Father died of colon cancer at age 35. The patient also has a history of asthma and is quite anxious. During the case the patient will develop sudden onset of tachycardia and hypotension with other signs of sever allergic reaction. | Sedation | Open Sedation Module |
| Myocardial ischemia | Endoscopy Case 7 - 57 year old male for esophagogastroduodenoscopy for dysphagia | The patient has a two month history of solid food dysphagia. He denies abdominal pain except for occasional reflux after spicy foods. The patient has coronary artery disease status-post 4 vessel bypass 2 years ago. Monitor heart rate and blood pressure closely. Avoid tachycardia and hypotension. | Sedation | Open Sedation Module |
| Agitation | Endoscopy Case 8 - 4 year old girl for upper endoscopy for suspected reflux | The patient has recurrent abdominal pain, chronic vomiting and hematemesis. She is scheduled for upper endoscopy to rule out gastroesophageal reflux. | Sedation | Open Sedation Module |
| Titration of medications and monitoring in patient with aortic stenosis | Oral Surgery Case 1 - 48 year old woman with aortic stenosis for tooth extraction | This patient has severe aortic stenosis which predisposes her to hypotension, myocardial ischemia and stroke. If she does become hypotensive she will probably be quite difficult to resuscitate. | Sedation | Open Sedation Module |
| Respiratory depression | Oral Surgery Case 2 - 4 year old girl for composite crowns | The patient has very poor diet and poor oral hygiene. She requires multiple composite crowns. | Sedation | Open Sedation Module |
| Aspiration | Oral Surgery Case 3 - 15 year old female for extraction of premolars for orthodontics | The patient is otherwise in excellent health. She states that she would like to drift off to sleep and wake up when its over. | Sedation | Open Sedation Module |
| Bradycardia | Oral Surgery Case 4 - 22 year old phobic male for fillings of molar teeth | The patient is quite anxious, but is otherwise healthy. | Sedation | Open Sedation Module |
| Hypertensive crisis | Oral Surgery Case 5 - 78 year old female for full mouth extractions | The patient requires extraction of several teeth. She is quite nervous and would like to sleep through the procedure. | Sedation | Open Sedation Module |
| Anaphylaxis | Oral Surgery Case 6 - 16 year old male extraction of third molars | This patient has a history of hay fever and drug allergy so there is a slightly increased risk for an allergic reaction. | Sedation | Open Sedation Module |
| Myocardial ischemia | Oral Surgery Case 7 - 45 year old male with coronary artery disease for root canal | The patient has coronary artery disease. He is very anxious about this procedure and gets chest pain just thinking about it. He also has symptoms of esophageal reflux. | Sedation | Open Sedation Module |
| Agitation | Oral Surgery Case 8 - 6 year old boy for pulp therapy for tooth T | The patient has poor oral hygiene, eats lots of candy, and drinks soda regularly. He also hates dentists. | Sedation | Open Sedation Module |
| Titration of medications and monitoring | Radiology Case 1 - 52 year old male paraplegic for MRI of spinal cord syrinx | This patient has had several scans in the past and prefers to be sedated to avoid feelings of claustrophobia. He has poor neck extension which may make him more difficult to intubate. His past medical history is otherwise unremarkable. | Sedation | Open Sedation Module |
| Respiratory depression | Radiology Case 2 - 4 year old girl with headaches for head CT | This patient has asthma and is allergic to shrimp and lobster. There is increased chance for an allergic reaction with iodinated contrast media. | Sedation | Open Sedation Module |
| Aspiration | Radiology Case 3 - 22 year old female with pelvic fracture for pelvic angiogram | This patient has been hypotensive and may still be hypovolemic, predisposing to hypotension. The patient has a full stomach and is at high risk for aspiration of gastric contents with sedation. The patient should only be given very small amounts of sedative medications or the case should be referred to an anesthesiologist. | Sedation | Open Sedation Module |
| Bradycardia | Radiology Case 4 - 6 year old boy with anterior mediastinal mass for chest CT | This patient has an anterior mediastinal mass. He could develop airway obstruction with deep sedation. | Sedation | Open Sedation Module |
| Hypertensive crisis | Radiology Case 5 - 42 year old woman with hypertension for abdominal CT | This patient has severe hypertension and nausea. | Sedation | Open Sedation Module |
| Anaphylaxis | Radiology Case 6 - 16 year old male with hemiparesis for brain angiogram | This patient has new onset hemiparesis and is scheduled for brain angiogram. The patient has no other previous illnesses. Since he is allergic to shrimp, he is at increased risk of a reaction to iodinated contrast media. | Sedation | Open Sedation Module |
| Myocardial ischemia | Radiology Case 7 - 54 year old male with possible AAA for abdominal CT | This patient is scheduled for abdominal CT scan to rule out aortic aneurysm. He has coronary artery disease and chronic obstructive pulmonary disease. Monitor cardiac status closely in this unstable patient. | Sedation | Open Sedation Module |
| Agitation | Radiology Case 8 - 7 year old girl with mental status changes for head CT | The patient has no other previous illnesses. If the patient has elevated intracranial pressure, sedation could lead to hypoventilation, and greatly increased intracranial pressure. | Sedation | Open Sedation Module |
| Titration of medications and monitoring | Surgery Case 1 - 62 year old female for breast biopsy | This patient otherwise healthy patient is quite anxious about this procedure. | Sedation | Open Sedation Module |
| Respiratory depression | Surgery Case 2 - 4 year old hysterical girl for suturing of laceration | The patient is crying and screaming and is creating quite a scene. The laceration on her leg will require 6-8 sutures. The procedure should take just a few minutes. | Sedation | Open Sedation Module |
| Aspiration | Surgery Case 3 - 19 year old male for excision of inclusion cyst | The patient has an epidermoid inclusion cyst on his upper abdomen. He is hyperventilating at the thought of surgery. | Sedation | Open Sedation Module |
| Bradycardia | Surgery Case 4 - 78 year old male for cataract surgery | The patient would like to be sedated for his procedure. He has coronary artery disease and gets chest pain when he is excited. | Sedation | Open Sedation Module |
| Hypertensive crisis | Surgery Case 5 - 66 year old female for excision of breast lump | The patient has a strong family history of breast cancer and is extremely distressed about this procedure. | Sedation | Open Sedation Module |
| Anaphylaxis | Surgery Case 6 - 15 year old female for excision of lipoma | The patient has a 3 cm lipoma on her thigh. She is quite anxious and states that she would like to drift off to sleep and wake up when its over. | Sedation | Open Sedation Module |
| Myocardial ischemia | Surgery Case 7 - 48 year old male with coronary artery disease for vasectomy | This father of three does not wish to have more children. He is very sure about this but he is quite anxious about the procedure. | Sedation | Open Sedation Module |
| Agitation | Surgery Case 8 - 8 year old boy with paronychia of three fingers | The patient is a chronic nail-biter and has developed multiple subungual abscesses requiring incision and drainage. The patient is in a great deal of pain and is very anxious. | Sedation | Open Sedation Module |
