Programming Laerdal scenarios can be time consuming, tedious and require a significant amount of training. At the Parry Center for Clinical skills and Simulation of the University of South Dakota, we have developed a technique (the HUB) to easily and quickly create scenarios that are effective, flexible and easy to operate. It does not require modification of the original simulator and can be used with other simulators from CAE Healthcare and Gaumard Scientific Company after appropriate adjustments.