Sarah, a 40-year-old patient, has been undergoing chemotherapy and targeted therapies for advanced breast cancer.

👥 Emergency team involved:

Dr. Chen - Oncologist

Dr. Atwood - Palliative Care Specialist

Nurse Jordan - Oncology Nurse
You - Communication Coach

🎯 Objectives:

• Clear, Compassionate Disclosure of Bad News. 

• Team Coordination and Support. Brief the team on the “SPIKES” protocol or a similar framework for delivering bad news

• Documentation and Next Steps

🕒 Time: 5 minutes

Man disoriented from an accident, heavy breathing

👥 Emergency team involved:

Francesco - emergency nurse
Dr Ghandi - Consultant
Alia M. - Registrar
You - Triage nurse

🎯 Objectives:

• Assess using Manchester Triage System form and escalate if necessary

• Time management

🕒 Time: 5 minutes

Car accident, head injury and hurt leg, allergic to certain medicine

👥 Emergency team involved:

Dr Robski - Neurosurgeon
Dr Ghandi - Consultant
Alex D. - Registrar
You - Orthopedic Surgeon
Nela - AI risk app (co-pilot)

🎯 Objectives:

• Assess using ESI and escalate if necessary and comprehend GCS by nurse

• resource management

🕒 Time: 5 minutes

A 6-year-old with worsening shortness of breath and a panicked caregiver arrives in the ED. The child is wheezing, retracting, and appears cyanotic.

👥 Emergency team involved:

Francesco - Pediatric nurse
Dr Ghandi - pediatric Registrar
Dr Bernard - respiratory therapist
Alia - resident
You - as the pediatric emergency specialist

🎯 Objectives:

• Communicate clearly and calmly with the caregiver while managing a distressed child.

• Rapid assessment of airway, breathing, and circulation.

• assess asthma Severity Score (if applicable) and escalate 

🕒 Time: 5 minutes

Jordan, arrives at the ED accompanied by a friend. Jordan has been experiencing severe depression, expressing a desire to end their life. 

👥 Emergency team involved:

Rachel: ED Triage Nurse

Dr. Nguyen: Psychiatrist on-call

Samuel: Social Worker

Security Officer: For safety if needed
You: Mental Health Triage Specialist

🎯 Objectives:

• Validated suicide risk assessment form (e.g., Columbia-Suicide Severity Rating Scale (C-SSRS)

• Use empathetic communication and active listening techniques to calm the patient.
  
  
  

🕒 Time: 5 minutes

Busy night in ED, woman hand bleeding, losing blood
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👥 Emergency team involved:

Francesco - emergency nurse
Dr Ghandi - Consultant
Alia M. - Registrar
You - trauma specialist

🎯 Objectives:

• Assess using Manchester Triage System form and escalate if necessary

• Team coordination

🕒 Time: 5 minutes

Code Orange - A major train accident has occurred at Crewe Station. Emergency services are already on-site and the first wave of patients is en route to your hospital. Approximately 50-70 patients are expected, with injuries ranging from minor cuts and fractures to severe trauma such as head injuries, spinal injuries, and crush injuries.

👥 Emergency team involved:

Francesco - Pediatric nurse
Dr Ghandi - pediatric Registrar
Dr Bernard - respiratory therapist
Alia - resident
You - trauma specialist

🎯 Objectives:

• Activate Mass Casualty Protocol and allocate resources efficiently.

• Coordinate with surgical, orthopaedic, and neurological teams for critical cases.

• Communicate effectively with external agencies (ambulance, fire services, etc.).

🕒 Time: 7 minutes

Code Blue - The patient in the Oncology Unit of the Cancer Centre is a 63-year-old male undergoing chemotherapy for advanced lung cancer. The patient’s heart has stopped, and a full resuscitation effort is underway.

👥 Emergency team involved:

You - Team Lead (Internal Medicine Resident)

Francesco - Emergency Nurse 

Alia - Internal Medicine Resident

Dr Ghandi - Respiratory Specialist 

Alex - ICU Nurse 

🎯 Objectives:

• Close the Loop: Assign tasks clearly, confirm execution.

• Gather Information: Assess patient history, vitals, and reversible causes.

• Manage the Situation and time: Coordinate roles, prioritise actions, and maintain situational awareness.

🕒 Time: 3 minutes