Virtual patient scenarios
| Component | Scenario | |
|---|---|---|
| Easy (MSCS = 3) | Difficult (MSCS = 18) | |
| Airway | A0: Patient comes in talking. | A4: Surgical airway has to be done, intubation impossible. Facial fractures, swelled tongue, blood in oropharynx, edema |
| Breathing | B1: RR 30 breaths/min, accessory muscle used for breathing. No evident hypoxia. O2 saturation 94% | B3: tension pneumothorax/hemothorax, no respiratory effort, chest expands left > right when bagged, O2 saturation 88%. |
| Circulation | C0: HR 85 beats/min, BP 110/60 mm Hg. No hemorrhage. | C3: HR 130 beats/min, BP 80/40 mm Hg. Unstable pelvic ring. Should have transient response to fluid and blood products. |
| Deficits | D1: Confused, keeps asking the same question. Swelling to forehead and nose, moderate epistaxis, GCS 14. | D4: Right pupil dilated. GCS 3. |
| Extremities or exposure | E1: Closed leg or arm fracture, no vascular compromise. | E4: Degloving injury in right leg, heavily bleeding on arrival, no pulse in right leg, open fracture of tibia and fibula. |
BP = blood pressure; GCS = Glasgow Coma Scale; HR = heart rate; MSCS = McGill Simulation Complexity Score; RR = respiratory rate.