EMT Sample Scenarios

	A	C	D	E	F
1				Response
2	Scene Size-Up
3	Takes or verbalizes appropriate body substance isolation precautions			great	Respiratory Scenarios
4	Determines the scene/situation is safe			it is safe
5	Determines the mechanism of injury/nature of illness			student should state respiratory
6	Determines the number of patients			just one
7	Requests additional Resources (ALS, FD, PD)			ALS is on the way
8	General Impression
9	Patient Description (Age, sex assigned at birth, Medical, Trauma)			18 year old female
10	Apparent life-threats/Determines chief complaint/Observed Chief Complaint			CC is SOB
11	Determines responsiveness (AVPU)/level of orientation (A&O)/Was there a loss in conciousness?			PT is A/Ox4
12	Considers stabilization of the spine (Prompts pt to self-restrict if possible)			not needed
13	Does patient look sick or not sick?-Crying? Gaze? Moaning?			student should state sick
14	Primary Assessment
15	Exsanguination
16	Assesses/controls major bleeding			no bleeding at this time
17	Airway
18	Identifies if there is an obstruction (is the patient snoring, gurgling, stridor?)			no obstruction
19	Opens/Clears airway correctly if there is an obstruction			not needed
20	Breathing
21	Assesses for adequate tidal volume (Adequate chest/rise and fall, Not Shallow)			adequate
22	Assesses for relative rate of breathing (too fast, too slow)			relatively fast
23	Assesses respiratory pattern (irregular respiratory pattern)			regular pattern
24	Assesses for accessory muscle use, retractions, and tracheal tugging			not present
25	Assesses SPO2			89%
26	Assesses Lung Sounds			wheezes bilaterally
27	Determines patient's overall work of breathing and identifies if patient is in respiratory distress, respiratory failure, or respiratory arrest			currently in respiratory distress
28	Initiates appropriate oxygen therapy or ventilatory management			albuterol/atrovent via nebulizer @ 6lpm O2
29	Circulation
30	Assesses skin (skin color, temperature and moisture)			flush, warm, and diaphoretic
31	Assesses pulse strength (weak, strong, bounding)			strong
32	Assesses relative pulse rate (too fast, too slow)			relatively fast
33	Assesses pulse regularity (irregular or regular pulse)			regular
34	Assesses pulse for equality			equal
35	Assesses cap refill			< 2 secs
36	Identify if patient is in Shock			Not necessarily in shock
37	If so, initiate Shock treatment			N/A
38	Environmental
39	Determines if patient is experiencing probable hypothermia or hyperthermia			Not noted here
40	Identifies patient priority and makes treatment/transport decision(stable/unstable)			High sense of urgency
41	History Taking
42	History of present illness
43	Onset			suddenly
44	Provocation/Palliation/Position			rest and O2 are helping
45	Quality			difficulty speaking complete sentences
46	Region/Radiation			generally all over
47	Severity			6/10
48	Time			25 minutes ago
49	Associated Symptoms-Relevant symptoms to consider for the given complaint
50	Past medical history
51	Allergies			NKA
52	Medications			albuterol via inhaler
53	Past pertinent medical history			asthma
54	Last oral intake			lunch couple hours ago
55	Events leading up to present history			dodgeball in gym class
56	Questions specific to complaint
57	Asks questions that are relevant to the given scenario
58	Focused Assessment
59	Performs proper focused assessment
60	See proper section for specific assessment details and points
61	Vital Signs
62	Assesses Blood Pressure			110/84 mmHg
63	Pulse Rate and Quality			90 bpm
64	Ventilatory Rate and Quality			18 bpm
65	Pupils			PEARL
66	Diagnostics
67	Blood Glucose			88 mg/dl
68	Secondary SPo2			95%
69	States field impression of patient			asthma exacerbation from exertion
70	Treatment
71	Administers proper treatment
72	See proper section for specific assessment details and points
73	Reassessment
74	Demonstrates when to reassess the patient to determine changes in condition
75	Repeat Primary Assessment
76	Repeat Relevant Vital Signs (BP, Pulse, Respiratory Rate, and SPO2)
77	Check Interventions
78	Reassess complaint and overall condition
79	Provides accurate verbal report to group receiving care
80		Total Points		54
81
82			Respiratory
83				Possible Points
84	Associated Signs and Symptoms
85	Do you have any-Chest Pain, Weakness, Fever, swollen hands or feet, or Cough?			-CP, +weakness, -fever, -peripheral edema
86	Questions Associated with complaint
87	Do you know to have a [or any symptoms of] a respiratory infection?			not present
88	Do you have a cough? Is it productive? If so what are you coughing up?			no cough
89	Is it more comfortable to sit upright? Do you have increased exacberation at night?			no positional SOB
90	Focused Assessment
91	Look-Accessory Muscles (1), Tracheal Tugging (1), JVD (1), Abnormal Positioning-Tripod or Sniffing (1), Peripheral Edema (1), Pursed Lip Breathing (1), Drooling (1), Secondary Skin Conditions (1)			(+tripod position) Skin is normal color, warm, and dry
92	Listen-Breath sounds (grunting, wheezing, rales, ronchi, diminished, absent, stridor)			Clear lung sounds
93	Feel-Tracheal Deviation			No tracheal deviation
94	Treatment
95	Places the PT on the proper oxygen therapy			Able to apply NRB after Neb kit is finished
96	2.5 mg of Albuterol and 0.5 mg of Atrovent via nebulizer in the presence of wheezing			student should have!
97	Assesses response to treatment
98		Total Points
99
100