Department Board

Two simultaneous critical patients, one with sudden tearing chest and back pain and one found unresponsive from a suspected opioid overdose. Manage both as the shift clock runs.

As trauma team leader at a Level II center with the surgeon scrubbed in elsewhere and only a resident, one nurse, and one tech, triage and manage three simultaneous arrivals while anticipating delayed deteriorations and competing family demands.

Sole attending in a community ED when three ambulances arrive at once with critically ill patients. Evaluate, prioritize, and manage all three concurrently while navigating a one-bed ICU shortage.

Sole attending at 02:00 in a 30-bed ED at capacity with 15 boarders. Stabilize a new high-speed motorcycle trauma while two deteriorating boarders decompensate, all under severe resource constraints.

Triage attending in a busy urban ED when five new patients arrive at once. Evaluate each, order the initial workup, assign to the correct care area, hand off the critically ill, and reassess as results return.

Attending in the pediatric ED during peak respiratory season when three children arrive at once in moderate respiratory distress. Triage, manage parental expectations, and monitor for deterioration with only two monitored beds.

Triage attending on a chaotic evening with a full waiting room at 120 percent capacity. Evaluate five new patients, order diagnostics, assign each to the right care area, and reassess those who remain in the waiting room.