

- Before you start, check to see if a case has already been created for the VRR (check out the Ready to Run Cases)
- If not: see if a case is already published on: https://emsimcases.com/.
- If you need to start from scratch: you can use resources like First10EM, Life in the Fast Lane, Don’t Forget the Bubbles, or EMCases to help you write your case.
- I like to use this simple template to keep the case easy to read and use for our facilitators. You could also try using the EM Sim Cases template.

- We recommend creating 2 Google Slides documents: one for your rough work, and another to be your final room for sim day.
- Go to Google Slides
- Click + sign to create blank document
- Change your share settings to “anyone with link can edit”

- See if there are similar cases in the “Ready to Run” cases section that you can use as an example or to borrow slides from.
- Use these Building Blocks Slides to see an inventory of slides that have already been created for the VRR (meds, airway slides, procedures, physical exam, POCUS, etc).
- Choose the slide you would like to use
- Copy this slide (right click over the slide in thumbnails, then select copy)
- Paste this slide into your Google slide document

This is the fun and creative part! Here are some tips:
- Create “slide background”: The background layer is the non-modifiable image that includes everything you don’t want learners to be able to interact with (ex: click, drag, resize). To create a slide background:
- Create the background you would like in another slide.
- Take screenshot (Mac: command-shift-4-select area). This will save as image.
- Insert this image as slide background in your room.
- Cover this background with all the “moveable” parts (textboxes, images of monitors, rhythm strips, etc).
- Consider adding gifs so video plays continuously/on a loop.
- Can easily convert a video to a gif using a website like this.
- Add gifs and images by clicking and dragging onto the slide, or using insert – image – choose.
- Adding videos and audio: Import into Google Drive. Change share settings to “anyone with link can edit”. Then insert into Google Slides on appropriate page (insert – video – choose from drive).
- References: make sure to save the links of where you find investigations, physical exam findings, etc. I only use images/videos that I have found in open-access sources. I try to avoid use of brand-names and cover manufacture labels whenever possible. I like to store my references on the last slide of the room.

- Final check: Cross reference your case to ensure you have all the appropriate physical exam findings, investigations, rhythm strips, etc.
- Hide any spoilers: Add grey boxes to cover up anything you don’t want learners to see right away (ex: exam findings, test results, etc). This box can be found in building blocks slide.
- Name your Google Slide document: Name it something generic (like date of sim). Make sure it doesn’t include diagnosis in the title!
- Save unused case: When room is finalized, save it. Google Slides – File – Version History – Name Version – Name it “Unused Case”.
- Share Settings: Click Yellow Share button (top right hand corner). Change to “anyone with link to edit”. This will allow your learners to interact with document.

If you prepare a room for a new case and would like to share – please get in touch so we can post it here!