This advanced simulation course is designed for experienced emergency room physicians, advanced practice providers, and nursing professionals, aiming to enhance critical procedural skills, decision-making, and teamwork in high-pressure clinical environments. Participants will engage in realistic, hands-on scenarios that mimic the complexities of an emergency room, allowing them to refine their technical abilities while working collaboratively to improve patient outcomes. By combining state-of-the-art simulation technology with structured debriefing sessions, the course fosters the development of essential clinical judgment, leadership, and effective communication required for optimal team performance under stress.