Frontline First Aid EMR Scenario Examples

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1 Course Type: Start Date: Instructors initial scenarios as they are completed CPR-AED Scenarios CPR with Hypothermia Load and Go CPR with Obstructed Airway Continue CPR after airway clears with NO obvious signs of life Witnessed CPR AED immediately Unwitnessed CPR AED immediately 3 consecutive No-Shocks consider CPR on the move Diabetic Scenarios Unresponsive Hypoglycemic transport equipment delayed administer first glucogel on-scene Unresponsive Hypoglycemic Load and go then administer first glucogel enroute Conscious Hypoglycemic acting drunk Unresponsive Hyperglycemic friend thinks they need Insulin Page 1 of 5

2 Chest Pain Scenarios Chest Pains with Prescribed Nitro transport equipment delayed administer first spray on-scene Chest Pains with Prescribed Nitro Load and Go then administer first spray enroute Chest Pains with Prescribed Nitro and Hx of Viagra Nitro Contraindicated Chest Pains without Hx or Nitro Prescription friend has Nitro and offers it; consider Entonox Chest Pains with Prescribed Nitro 3 rd Nitro dose does not reduce pain; consider Entonox Chest Pains with Prescribed Nitro pain goes away after 3rd spray comes back 15 minutes later Chest Pains with Prescribed Nitro Systolic BP 85 mmhg Chest Pains with Allergy to ASA ASA contraindicated Entonox Administration Scenarios Pneumothorax Entonox considered but contraindicated Flail Chest Entonox considered but contraindicated Burns consider Entonox for pain Smoke Inhalation with Burns NRB 15 lpm; Entonox considered but contraindicated Abdominal Evisceration consider Entonox but contraindicated due to extreme Shock Page 2 of 5

3 Airway and Respiration Scenarios Asthma Attack patient has their own medication but needs assistance Anaphylaxis patient has their own epi-pen but needs assistance Conscious Respiratory Distress inadequate respirations requiring Assisted Ventilations with BVM Spinal patient with Respiratory Arrest pulse present Rescue Breathing with BVM using modified jaw thrust Patient is Alert in Primary Survey Becomes Unresponsive in Secondary Survey attempt OPA Patient rejects OPA attempt NPA Patient with Hx of CHF and SOB that worsens at night position with legs dangling Patient with Hx of CHF and SOB that worsens at night Systolic BP 75 mmhg position Supine Unresponsive Spinal begins vomiting after secured to spineboard Responsive Spinal becomes unresponsive after being secured to spineboard attempt OPA / NPA without removing collar Stroke Scenarios Suspected Stroke inappropriate answers to questions Suspected Stroke One sided paralysis Page 3 of 5

4 Traction Splint Scenarios Mid-Third Femur Fracture with stable vitals and minimal shock complete Secondary on scene; and apply Entonox and Traction Splint before transport Mid-Third Femur Fracture with significant Shock Load and go with simple stabilization Traction Splint enroute Bilateral Femur Fractures Load and Go with simple stabilization Traction Splint enroute if Bi-lateral Splint available Limb Threatening Mid-third Tib-Fib fracture Pulseless with Gross Deformity attempt realignment as critical intervention; pulse returns making this a stay and play Lower-third Femur Fracture Traction Splint with 5 lbs Compound Tib-Fib Fracture Traction Splint with 5 lbs Mid-third femur amputation direct pressure insufficient bleeding controlled with Tourniquet Extended entrapment under heavy object wait for advanced care before lifting object off legs Unresponsive patient with used needle in pocket avoid puncture wound during RBS / Head to Toe Agitated patient brandishes weapon mid-primary survey back away and await RCMP Knife wound from assault set weapon aside and avoid cutting clothes through knife hole Pelvic Fracture presume presence of internal bleeding and transport with minimal movement (Clamshell?) Page 4 of 5

5 BC EMALB Licensing Scenarios Patient found in shed doorway signs of smoke inside move patient as part of Scene Survey Cardiac Arrest Patient with Hx of blast injury and fall 2 nd Degree burns over 70% of body signs of life after 2 nd AED shock transport with Spinal Precautions High speed MVA patient still conscious in driver seat severe chest pains with Hx of Heart Attack rapid transport with limited spinal immobilization Page 5 of 5

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