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Respiratory Software
Individual Self-Evaluation Clinical Simulations

Each Individual Self-Evaluation Clinical Simulation features the following:
  • Format closely follows the computerized credentialing clinical simulations.
  • A detailed score report that includes the IG score, DM score, total score, proficiency score, efficiency score, errors of omission score, errors of commission score, and overall competence score.
  • After the user has seen his/her score report, he/she will have the opportunity to print the score report and (if you have set the program to teach mode) to review each section of the simulation to view the correct responses and compare them to his or her responses.
  • While viewing responses, the user is provided an explanation that identifies the rationale behind the correct response(s).
  • Use the Respiratory Administrator to set teach / test mode, passwords, and view users and scores.

Note: these programs are for institution purchase only.

View Screen Shots


ICS-01: Drug Overdose - This clinical simulation evolves around the management of a drug overdose patient who develops aspiration pneumonia. Decisions relative to clinical and laboratory assessment, chest x-ray interpretation, endotracheal intubation, initiation of mechanical ventilation, adjustment of ventilatory parameters, initiation of pressure support ventilation, extubation, and oxygen therapy are required.

ICS-02: COPD / Postoperative Management - This clinical simulation evolves around the management of a postoperative 72-year-old male COPD patient who develops a pulmonary infection. Decisions relative to interpreting an admission chest x-ray, assessing and evaluating clinical and laboratory data, administering and modifying aerosol therapy, and recommending procedures and medicines that will help resolve the patient's pulmonary infection are required. When the patient recovers from his acute infection, decisions relative to recommending and interpreting pulmonary function studies are required. Based on the results of the studies, decisions relative to an appropriate home care regimen are required.

ICS-03: Burn Patient - This clinical simulation evolves around the management of a burn patient. Decisions relative to clinical and laboratory assessment, endotracheal intubation, oxygen therapy, pharmacology, bronchoscopy, initiation of mechanical ventilation, and infection control are required.

ICS-04: Postoperative Cardiac Surgery - This clinical simulation evolves around the ventilator management of a coronary artery bypass patient. You are required to initiate mechanical ventilation and set initial ventilator parameters immediately following the patient's bypass. You make adjustments to the ventilator parameters based on arterial blood gas analysis, modify therapy based on patient's response to suctioning, perform ventilator-troubleshooting and initiate weaning and extubation. In addition, you are asked to identify an arrhythmia and recommend therapeutic intervention.

ICS-05: Pediatric / Toxic Ingestion - This clinical simulation evolves around the management of a pediatric patient who ingested a toxic cleaning product. Decisions relative to clinical and laboratory assessment, oxygen therapy, initiation and adjustment of CPAP, selection of an appropriately sized endotracheal tube, endotracheal intubation, and initiation of mechanical ventilation are required.

ICS-06: Flail Chest - This clinical simulation evolves around the management of an adult patient with flail chest. Decisions relative to clinical and laboratory assessment, selection of emergency equipment, oxygen therapy, endotracheal intubation, manual ventilation, pharmacology, initiation of mechanical ventilation, adjustment of ventilatory parameters, initiation of PEEP, ventilator troubleshooting, and pathophysiology are required.

ICS-07: COPD / Critical Care - This clinical simulation evolves around the management of a 67-year-old critically ill male patient who has a long-standing history of COPD who requires mechanical ventilation. Decisions relative to clinical and laboratory assessment, ventilator adjustments, arrhythmia recognition, and thoracentesis are required.

ICS-08: Neonatal / Delivery Room Management - This clinical simulation evolves around a neonatal patient requiring delivery room management with cardiopulmonary resuscitation.

ICS-09: Guillain-Barre Syndrome - This clinical simulation evolves around the management of an adult female patient with Guillain-Barre syndrome. Decisions relative to cardiopulmonary assessment, neuromuscular assessment, monitoring and assessing spontaneous ventilatory parameters, intubation, initiation and adjustment of mechanical ventilation, pharmacology, endotracheal suctioning, aerosol bronchodilator therapy, FIO2 titration, isolation precautions, and recommendation of a tracheostomy are required.

ICS-10: Sleep Apnea - This clinical simulation evolves around the management of a morbidly obese patient with obstructive sleep apnea. Decisions relative to clinical and laboratory assessment, initiation and adjustment of oxygen therapy, initiation and adjustment of aerosol therapy, performing a sleep apnea study, interpreting results of sleep apnea study, monitoring and assessing during a nasal CPAP titration trial, patient instructions toward reducing the severity of his condition, and pathophysiology are required.

ICS-11: COPD / Mechanical Ventilation - This clinical simulation evolves around the management of a 70-year-old female patient who has moderately severe COPD. Decisions regarding intubation, mechanical ventilation, chest x-ray interpretation of a left pneumothorax, ventilator adjustments, intravascular fluid replacement, and the detection and correction of Auto-PEEP are required.

ICS-12: Head Injury - This clinical simulation evolves around the management of a male patient who sustains a closed head injury during a motor vehicle accident. Decisions relative to clinical and laboratory assessment, intubation, correct placement of endotracheal tube, adjustment of manual ventilation, initiation of mechanical ventilation, adjustment of ventilatory parameters, pharmacology, patient-ventilator troubleshooting, patency of endotracheal tube, and pathophysiology are required.

ICS-13: Acute Congestive Heart Failure - This clinical simulation evolves around the management of a 29-year-old male patient with acute congestive heart failure (CHF). Decisions relative to clinical and laboratory assessment, administration of oxygen therapy, administration of high-flow mask CPAP therapy, CPAP setting adjustments, chest x-ray interpretation, administration of drugs pertaining to CHF, and titration of FIO2 are required.

ICS-14: Pediatric / Near Drowning - This clinical simulation evolves around the management of a 13-month-old near drowning victim. Decisions relative to clinical and laboratory assessment, intubation, initiation of mechanical ventilation, adjustment of ventilatory parameters and PEEP, pharmacology, initiation of aerosol therapy, ventilator weaning, and extubation are required.

ICS-15: Neonatal / Respiratory Distress Syndrome - This clinical simulation evolves around the management of a premature infant with respiratory distress syndrome. Decisions relative to clinical and laboratory assessment, oxygen therapy, mechanical ventilation, adjustment of PEEP, chest x-ray interpretation and endotracheal tube positioning are required.

ICS-16: Hypothermia with Cardiac Arrest - This clinical simulation evolves around the management of an 80-year-old male patient with cardiac arrest secondary to severe hypothermia. Decisions relative to clinical and laboratory assessment, internal and external core rewarming techniques, intubation, manual ventilation, and advanced cardiac life support are required.

ICS-17: COPD / Home Care & Pulmonary Rehabilitation - This clinical simulation evolves around the implementation of a pulmonary rehabilitation program and respiratory home therapy for a 68-year-old female with COPD.

ICS-18: AIDS / PCP / Bronchoscopy - This clinical simulation evolves around the management of a 38-year-old AIDS patient who presents with Pneumocystis carinii pneumonia (PCP). Decisions relative to clinical and laboratory assessment, oxygen therapy, bronchoscopy, infection control, and pharmacology are required.

ICS-19: Pediatric / Foreign Body Aspiration - This clinical simulation evolves around the management of a 2-year-old pediatric patient with foreign body aspiration. Decisions relative to clinical and laboratory assessment, oxygen therapy, aerosol therapy, pathophysiology, bronchoscopy, endotracheal suctioning, pharmacology, and extubation are required.

ICS-20: Nosocomial Pneumonia / Sepsis / ARDS - This clinical simulation evolves around the management of a 64-year-old female patient who develops adult respiratory distress syndrome secondary to sepsis and nosocomial pneumonia. Decisions relative to clinical and laboratory assessment, oxygen therapy, administration and adjustment of mask CPAP, intubation and initiation of mechanical ventilation, PEEP adjustment, and pathophysiology are required.

ICS-21: Smoke Inhalation / Carbon Monoxide Poisoning - This clinical simulation evolves around the management of an adult male patient with smoke inhalation and carbon monoxide poisoning. Decisions relative to clinical and laboratory assessment, oxygen therapy, endotracheal intubation, initiation of mechanical ventilation, adjustment of ventilatory parameters, measures of therapeutic support, ventilator troubleshooting, endotracheal suctioning, and pharmacology are required.

ICS-22: Coronary Artery Disease - This clinical simulation evolves around the ventilator management of a male patient with coronary artery disease and bacteremia. Decisions relative to clinical and laboratory assessment, ventilatory parameter adjustment, ventilator troubleshooting, chest x-ray interpretation, and therapy essential to correct a tension pneumothorax are required.

ICS-23: COPD / Infection Control - This clinical simulation evolves around the management of a 69-year-old COPD female patient who has been admitted to the hospital for exacerbation of COPD secondary to pneumonia. Decisions relative to clinical and laboratory assessment, bi-level positive airway pressure (BiPAP) management, BiPAP troubleshooting, initiation of aerosol therapy, initiation of chest physiotherapy, cleaning and disinfection of equipment, and infection control measures are required.

ICS-24: Spinal Cord Injury - This clinical simulation evolves around the management of a an adult male with spinal cord injury. Decisions relative to clinical and laboratory assessment, tracheal suctioning, ventilator parameter adjustment, weaning from mechanical ventilation, initiation of pressure support ventilation, tracheostomy tube adjustment, and quad coughing are required.

ICS-25: Cardiac Tamponade - This clinical simulation evolves around the management of a an adult male patient who has sustained a stab wound to the heart. Decisions relative to clinical and laboratory assessment, intubation, cardiopulmonary resuscitation and resuscitation pharmacology, ECG rhythm interpretation, initiation of mechanical ventilation, extubation, and oxygen therapy are required.

ICS-26: Neonatal / Meconium Aspiration Syndrome - This clinical simulation evolves around the management of a neonate with meconium aspiration syndrome. Decisions relative to clinical and laboratory assessment, Apgar scoring, oxygen therapy, airway care, chest x-ray interpretation, endotracheal tube size selection, intubation, initiation and adjustment of mechanical ventilation, therapeutic support, and pharmacology are required.

ICS-27: Myasthenia Gravis - This clinical simulation evolves around the management of an adult female patient with a history of myasthenia gravis who develops a pulmonary infection. Decisions relative to clinical and laboratory assessment, spontaneous ventilatory parameter assessment, initiation and adjustment of oxygen therapy, and initiation and adjustment of bronchial hygiene measures are required.

ICS-28: Pediatric / Epiglottitis - This clinical simulation evolves around the management of a pediatric patient with acute epiglottitis. Decisions relative to clinical and laboratory assessment, lateral neck x-ray interpretation, pathophysiology, endotracheal tube selection, intubation, oxygen therapy, and extubation are required.

ICS-29: COPD / Exercise Testing - This clinical simulation evolves around the management of a 63-year-old male with COPD. Decisions relative to clinical and laboratory assessment, chest x-ray interpretation, pulmonary function measurements, pathophysiology, cardiopulmonary exercise testing, and pulmonary rehabilitation are required.

ICS-30: Postoperative Thoracic Surgery - This clinical simulation evolves around the management of a postoperative thoracotomy patient. Decisions relative to clinical and laboratory assessment, administration of incentive spirometry, endotracheal intubation and initiation of mechanical ventilation, ventilator parameter adjustment, patient-ventilator troubleshooting, and administration of intravascular fluids are required.

ICS-31: Bronchogenic Carcinoma - This clinical simulation evolves around the management of a 58-year-old male patient that presents with a left lung mass. Decisions relative to clinical and laboratory assessment, chest x-ray interpretation, post-surgery ventilator management and adjustment, ECG rhythm interpretation, and ventilator troubleshooting are required.

ICS-32: Tetanus - This clinical simulation evolves around the management of a patient with tetanus. Decisions relative to clinical and laboratory assessment, post-admission therapy, medications appropriate for rapid sequence intubation, intubation, mechanical ventilation initiation and adjustment, inadvertent extubation, reintubation, recommendation of a tracheostomy, and tracheostomy tube insertion are required.

ICS-33: Organ Donor / Mechanical Ventilation - This clinical simulation evolves around the management of an organ donor who is a post MVA with head injury and chest trauma. Decisions relative to clinical and laboratory assessment, nasotracheal intubation, initiation of mechanical ventilation, adjustment of ventilatory parameters, ventilator waveform recognition, endotracheal suctioning and cuff inflation, and switching from volume control to pressure control ventilation are required.

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