Original Publication
Open Access

SHOCK! Three Simulated Case Series for Medical Students

Published: February 13, 2014 | 10.15766/mep_2374-8265.9711

Included in this publication:

  • Instructor's Guide.pdf
  • EM Clerkship Shock Case 1.pdf
  • EM Clerkship Shock Case 2.pdf
  • EM Clerkship Shock Case 3.pdf
  • Simulation Case Lab Imaging Results.ppt
  • Instruction Guide for Special Clearance Publications.pdf
  • Simulation Assessment Form (Blank).pdf
  • Shock Summary of Cases.pptx
  • Simulation Evaluation Form (Blank).pdf
  • Simulation Evaluation Feedback Summary.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This resource contains a set of three high-fidelity simulation cases designed to be given in a 3-hour block to third- and fourth-year medical clerkship students during their rotation in the emergency department. The cases are independent but build on each other to give the learner a comprehensive understanding of shock and the management of shock in an emergency department setting. Ideally, the three cases are to be given back-to-back in a set block of time for maximal effect and learning. This simulated case has been used with more than 360 students during the emergency medicine clerkship. We believe these three cases highlight key and important types of shock that students will typically see and need to know how to manage. This simulation series has been extremely well-received by students and the cases have been refined to its current form through 3 years of implementation.

Educational Objectives

By the end of this resource, learners will be able to:

  1. Obtain an appropriate and focused history and physical exam on a patient in shock.
  2. Identify and recognize shock in the cases based on patient clinical presentation and vital signs.
  3. Treat the unstable patient appropriately based on clinical presentation and type of shock.
  4. Obtain and give oral presentation on a patient.

Author Information

  • Paul Ko, MD, FACEP: State University of New York Upstate Medical University
  • Matthew Sarsfield: State University of New York Upstate Medical University
  • Jennifer Campoli: State University of New York Upstate Medical University
  • Rodney Freeman: State University of New York Upstate Medical University
  • Kara Welch: State University of New York Upstate Medical University

None to report.

None to report.


Ko P, Sarsfield M, Campoli J, Freeman R, Welch K. SHOCK! Three simulated case series for medical students. MedEdPORTAL. 2014;10:9711. https://doi.org/10.15766/mep_2374-8265.9711