EMT Medical and Trauma Scenarios

Basic Medical and Trauma Assessments

• Basic Medical Assessment: Patient revived after fainting, alert but anxious, history of cardiovascular disease, vital signs stable, denies pain.
• Basic Trauma Assessment: Unconscious patient responds to pain, unequal pupils, no breath odors, should be lying on side, vital signs indicate low blood pressure and elevated respiration.

Abdominal Pain and Bleeding Control

• Medical Patient with Abdominal Pain: Patient looks shocky, significant pain starting an hour ago, no medications, denies blood in vomit/stools, vital signs show hypotension and tachycardia.
• Bleeding Control: Assault victim with significant forearm bleeding from a knife cut, being controlled with direct pressure, stable vital signs.

Cardiac Emergencies and Respiratory Distress

• Adult Cardiac Arrest: Patient in cardiac arrest for 10 minutes, CPR initiated, signs of vomiting during resuscitation.
• Sick Child with Respiratory Difficulty: Young child with cyanosis, drooling and tripod positioning, history of upper respiratory infection, unable to intake fluids.

Trauma Scenarios

• Gunshot Wound to Thigh: Patient alert but with significant bleeding, stable vascular status distal to the wound, approximately 1 liter of external blood loss.
• Chest Injuries Following Fall: Visible bruising over ribs, irregular heartbeat, slight denial of pain, point tenderness remains during assessment.

Other Trauma Situations

• Fractured Clavicle: Bruising over the clavicle, stable vital signs, alert patient denies other injuries.
• Conscious Patient with Head Injuries: Assault victim, alert but under the influence of alcohol, no loss of consciousness, denies pain.

Unresponsive Patients and Critical Injuries

• Unresponsive Head Injury Patient: Bleeding from ears/nose after assault, unequal pupils, significantly altered vital signs.
• Pediatric Poisoning: Child with a possible vitamin overdose, stable condition, advised to give activated charcoal.

Cardiac Pain and Respiratory Assist

• Cardiac Chest Pain with No Nitroglycerin: Patient reports severe chest pain after several hours, pale and diaphoretic, no previous history of similar pain.
• Adult Respiratory Distress: Patient with flu symptoms, coughing and difficulty breathing, presenting with diminished lung sounds.

Advanced Trauma Assessment

• Fractured Femur and Multiple Trauma: Motorcycle crash with a fractured femur, unstable vital signs indicating severe shock.
• Gunshot Wound to Chest: Critically injured patient with shock-like symptoms, no breath sounds on one side, urgent intervention required.

Emergency Care Practices

• Impaled Object: Shocked patient with an object impaled in the chest, necessary to stabilize for transport.
• Burns of Upper Extremity: Severe burns from campfire, over both arms and hands, assessing the extent of burn surface area.

C-Spine Stabilization

• C-Spine Immobilization, Neurological Deficit: Response to potential neck injury in a high school gym, providing necessary spinal stabilization and documentation.### Card 30: Motorcycle/ATV Crash
• Patient was involved in a high-speed motorcycle/ATV crash while wearing a helmet.
• Vital signs indicate elevated blood pressure at 160/80, pulse of 70, and noisy respiration at 12.
• Patient is unconscious and lying supine with a compromised airway, exhibiting snoring.
• Scene is confirmed safe for responders.

Card 31: Patient with Respiratory Difficulty

• Scenario involves a patient experiencing respiratory difficulties with a 'Do Not Resuscitate' order.
• Patient is ashen gray in appearance, indicating distress.
• Vital signs show low blood pressure at 90/50, elevated pulse at 140, and rapid respiration at 33 with noisy airflow.
• A family member will inform the medical team of the valid DNR on-site.
• Patient has a documented terminal illness (cancer).

Card 32: SCUBA Diving Emergency

• Incident involves a SCUBA diving accident; patient is being assessed after dive-related issues.
• Vital signs reveal stable blood pressure at 110/70, pulse of 80, and respiratory rate of 24.
• Patient was on a second dive of the day, having just completed a previous dive an hour prior.
• Both dives reached a depth of 80 feet, with a rapid ascent occurring after 30 minutes.
• Patient is experiencing numbness and tingling in limbs and lost consciousness ten minutes before emergency medical technicians arrived.

Card 33: Multiple Casualty Incident

• Response to an explosion with five patients already evacuated, scene is considered safe.
• Initial incident command procedures are being implemented.
• First patient has suffered cardiac arrest.
• Second patient is unconscious with a compromised airway, presenting vital signs of BP: 90/50, P: 90, R: 0.
• Third patient has severe upper extremity bleeding but is controllable; vital signs are BP: 100/60, P: 100, R: 24.
• Fourth patient has fractures in the femur and forearm; vital signs consist of BP: 120/90, P: 90, R: 20.
• Fifth patient is exhibiting signs of a head injury with increased intracranial pressure, presenting vital signs of BP: 190/100, P: 50, R: 12.