Sample Case

Download this sample case to follow along in the facilitator training videos.

Download All Cases

In order to maintain quality and provide case updates as well as new cases as they become available, we require an active email address and institutional affiliation to download the remaining SUGAR cases.

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Available cases include:

Pediatric Cases

  • Diabetic Ketoacidosis (Frustration)
  • Rheumatic Fever (Floundering)
  • Neonatal Resuscitation/Neonatal Death (Futility)
  • Shock & Malnutrition (Failure)
  • Pneumonia (Frustration)
  • Lymphocytic Interstitial Pneumonitis (Floundering)
  • Spinal Cord Injury (Futility)
  • Nephrotic Syndrome vs Kwashiorkor (Failure)
  • Status Asthmaticus (Frustration)
  • Non-Accidental Burn (Futility)
  • Rape (Floundering)*
  • Neglect (Floundering)*
  • Amish Buggy Accident (Frustration)*
  • Diarrheal Disease and Public Health (Floundering)*

* denotes community based setting

Obstetrics & Gynecology Cases

  • Hypertension in Pregnancy (Frustration)
  • Female Genital Mutilation (Floundering)
  • Septic Abortion (Failure)
  • Preterm Labor (Floundering)

Surgical Cases

  • Orthopedic Injury (Frustration)
  • Abdominal Mass (Floundering)
  • Rabies (Futility)
  • Ascariasis (Floundering)
  • Hypovolemic Shock (Frustration)
  • Acute Appendicitis (Failure)
  • Tetanus (Failure)

EM Cases

  • Tamponade
  • AML
  • Sepsis

SUGAR CANE (Cases about Non-Medical Events) - focuses on non-medical/systems challenges which may arise when traveling to work in a resource-limited setting

  • Rabies (Floundering)


  • Malaria (Frustration)

Copyright Information

The SUGAR Project grants permission for public or non-profit hospitals and health care providers, government agencies, academic institutions, and noncommercial organizations to use, reprint, or reproduce materials created by the SUGAR Project subject to the following requirements:

SUGAR Project materials must only be used for noncommercial or educational purposes

Any use of SUGAR Project materials properly cites the SUGAR Project as the creator by using the following attribution statement: “Used with permission of the SUGAR Project - © Board of Regents for the University of Wisconsin System”

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Requests to use SUGAR Project materials that are submitted by entities or individuals or for a purpose not listed above must be approved by the SUGAR Project. Direct all requests to The request must identify:

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Contact information including email address and telephone number*

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Materials may not be used unless and until the requester has received written permission from the SUGAR Project.

*Your contact information will be used for internal SUGAR Project purposes only. All contact information is strictly and completely confidential. The SUGAR Project does not sell or otherwise distribute subscriber information.