Paramedic entrance exam study guide scenarios applying the following concepts anatomy and physiology medical terminology patient assessment components. Results of all labs, including vitamin b 12 and thyroid function tests are wnl. Patient 76 year old male code cva, quick transport to er. During the admission, the patient receives dialysis on five occasions. Upon arrival you observe a midsize sedan that has crashed headon into an oak. Provides assessment findings, in sections, that relate directly to the scene and patient assessment. While there have been resources developed, such as the working group best practice. An anesthesiologist evaluates the patient and determines that she is asaiv. You are dispatched at 5 am to a singlecar crash with possible injuries. More ems scenarios for the real world life under the lights. A awake, alert, and oriented v alert to voice, but not oriented p alert to painful stimuli only u unresponsive to voice or painful stimuli cups used as an additional tool to prioritize the patient for transport. This bls and alslevel text includes 150 ems practice scenarios 75 trauma and 75 medical that focus on the assessment process as dictated by the national.
To qualify and get your ems national certification, you must pass both the cognitive exam and the psychomotor exam. Jul 28, 2014 previously on the blog, we brought you a post with four scenarios for your ambulance operations class. This is an interactive medical assessment skill sheet used to assist nremt students in learning the proper physical maneuvers and interview techniques used during a medical emergency. Paramedic training scenarios australian paramedical college. You are dispatched to 76 year old male altered loc. Unfortunately, im afraid this site has more or less achieved archive status now. The proctors used for the scenarios should be experienced medical personnel who are capable of. Case development initial assessment the patient is conscious and alert. The initial assessment scenarios are designed to be completed by one person. The term standardized patients refers to the use of actual people to realistically portray patients in training scenarios. Patient assessment practice scenarios emt study, paramedic. Download pdf patient assessment medical download pdf supraglottic airway device download pdf. An mri of the brain shows ventriculomegaly, but no lesions, edema, or mass. Patient assessment practice scenarios permits school college students to unbelievabletune their understanding of the affected individual analysis course of.
Patient assessment practice scenarios wolters kluwer ovid. Patient is alert, speech is appropriate, but she is unable to recall three objects or complete serial calculations on the minimental status exam. Additional information you attach a cardiac monitordefibrillator. Dispatched to the local baseball fields for a male complaining of shortness of breath. Ems scenario guidebook kansas department of health. Nremt patient assessment management medical skill sheet. Assessment skills in an unconsciousaloc pt competencies are based on the full scenario. If you have any scenarios you would be willing to share with the simulation community, please forward them. Learn paramedic patient assessment with free interactive flashcards. The patient appears disheveled, unconscious, and mildly cyanotic about the lips.
Medical assessment it is during the medical assessment that the emt gathers pertinent information from the patient. A 50yearold male presents to er via ems complaining of crushing substernal cp accompanied by sob, nausea and diaphoresis. You arrive to find a 67yearold woman sitting upright in a chair. Should be doing focused medical assessment no other injuries o last night p doesnt help when i sit down or rest q aching r chest. It is during the medical assessment that the emt gathers pertinent information from the patient.
Emergency medical technician scenarios 120 questions 1. Emts have performed the bls assessment and are attempting to ventilate the patient with a bagmask device. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The patient has very shallow, rapid respirations with minimal chest wall motion and slight wheezing in the upper lung fields. To qualify and get your ems national certification, you must pass both the. Patient assessment practice scenarios public safety group. You are called to a local house for a woman with trouble breathing.
Medical simulation scenarios are text documents outlining the various details of a simulation everything from patient simulator settings to debriefing notes. Paramedic sim simulation cases for paramedic educators and. Patient assessment trauma, dynamic cardiology, static cardiology, oral station case a, oral station case b, and the integrated outofhospital scenario. At 1512 hours, you are dispatched to a residence for a nonemergent transport of a. Alabama ems patient care protocols, sixth edition, june 2011. This bls and alslevel text includes 150 ems practice scenarios 75 trauma and 75 medical that focus on the assessment process as.
There is a strong pulse but no spontaneous respirations. Choose from 500 different sets of paramedic patient assessment flashcards on quizlet. During paramedic assessment the patient is speaking incoherently and suggests that he was assaulted. I see you have taken a bit of a hiatus, but i would love to see you make some new scenarios. Provides a static view of the patient specific ecg, spo 2, capnography value and wave form, and vital signs. Patient denies drug allergies, does not take any medicines. What type of scene are you going into safe or unsafe, access.
Emergency medical techniciani scenarios for training. Determines the number of patients requests additional ems assistance if necessary considers stabilization of the spine assessescontrols major bleeding 1 point identifies patient priority and makes treatmenttransport decision cardiovascular blood pressure 1 point. Bp 100p, hr 120, deformity and laceration to r mid forearm noted bandaged and splinted. Background information ems system description including. Brought uptodate with the latest guidance, research and policy, this second edition of ambulance care practice is an essential guide for paramedic students, trainee associate ambulance practitioners, those studying towards a certificate in first response. This information is usually based on the initial vital signs provided in the scenario most.
Likewise, the position of the patient should be changed between scenarios so that students get experience in taking care of patients in a variety of positions. Creating realistic, effective training scenarios on a limited. You are called to the home of a patient who has recovered consciousness after. Bleeding control shock management download pdf paramedic. Focused history and physical examination rapid trauma assessment. I think the copywrite was like 1994, off the top of my head. Five skills from the traditional nrp psychomotor examination patient assessment trauma, dynamic cardiology, static cardiology, oral station case a, oral station case b will be tested, with the addition of an integrated outofhospital scenario. It is then determined that the access catheter need s to be changed. While we gave you some some gnarly details about creating elaborate moulage, we didnt offer you the specific data bp, pulse, medications, etc. You are thirty 30 minutes away from the attending physicians office and fifteen 15 minutes from the community hospital. You find the patient sitting up with his head back on the couch. Assessment in action challenge your problem solving abilities with these detailed scenarios, complete with questions and feedback. First, kudos to his preceptors for challenging him with scenarios based on their experience.
The weeklong sessions are handson, bringing online theoretical learning and facetoface assessment to life. Provides additional assessment findings reflecting the initial patient status and status secondary to treatment. Scenariobased education is a great learning tool for ems people. The pain started 8 hours ago, it is getting worse, 710 pain. Given this situation, what would you expect the arterial carbon dioxide levels to be. At the completion of this unit, the paramedic student will be able to effectively document the essential elements of patient assessment, care and transport. Practicing and perfecting patient assessment is the most important task for any paramedic student.
After the assessment is complete, the proctor should assume the role of an incoming rescuer and be given a report by the student. Paramedic sim simulation cases for paramedic educators. You are a paramedic treating a 62yearold man who had a syncopal episode. This resource will walk your providers through a scenario containing vital signs, pertinent patient and call information, graphics, considerations and links for additional educational opportunities surrounding that call type. Below is a collection of donated scenarios for you to use or modify. This text includes 200 ems practice scenarios 100 trauma and 100 medical that focus on the assessment process. In the new test model, paramedic candidates will be tested on a total of six skills. This scenario provides the student with an opportunity to assess a conscious medical patient in an organized and comprehensive manner. You are working with a paramedic partner in a suburban ems system. Emergency medical technician emergency medical services ems week firefighter paramedic paramedic humor paramedic tattoo. Case 1 airway management skills testing checklist scenario.
Most of the cardiac stuff, therefore, a bad reference. Upon arrival you find a 65yearold male lying on the bed. I like the scenarios, but the answers are way out of date. Enroute, the patient begins to have a partial complex seizure in his r arm followed by a tonicclonic seizure lasting 3 minutes in length. The weeklong sessions are handson, bringing online theoretical learning and. Using a standardized patient is especially effective when teaching. Started in upper left, moved to middle now hurts everywhere. Previously on the blog, we brought you a post with four scenarios for your ambulance operations class. There was a direct correlation between the increased paramedic confidence in their patient assessment skills and the more critical the patients condition. Ambulance calls these real case scenarios provide an opportunity to explore the concerns associated with patient management. How emt and paramedic students can practice patient assessment. Jun 11, 2015 scenariobased education is a great learning tool for ems people. Paramedics were the least familiar or confident with the assessment principles and skills linked with the lower acuity of patient illness.
Dear ems service director andor ems medical director. Cherry, ms emtp a strong, evidencebased foundation in the principles and practices of modern ems, paramedic care. Your unit has responded to a general sickness call. Pdf ambulance care practice download full pdf book. Dec 20, 2015 during paramedic assessment the patient is speaking incoherently and suggests that he was assaulted. National registry of emergency medical technicians. Law enforcement and the fire department are also en route. Rapid trauma, primary assessment, and secondary assessment. I believe that scenarios are one of the best ways for emts and paramedics to get their heads in the game and think deeply about potential problems they might face in the field before the tones go off and the pressure comes on.
In this video, we meet australian paramedical college students who share their positive experiences during clinical workshop 1. Patient analysis would be the most troublesome matter for ems school college students to know, and there not at all seems to be enough time inside the classroom for apply. Paramedic practical skills manual great lakes ems academy. Clinical workshop 1 insights preparing students for reallife emergency situations. Download patient assessment practice scenarios pdf ebook.
Creating realistic, effective training scenarios on a. This scenario provides the student with an opportunity to assess an unconscious patient in an organized and comprehensive manner. The patient tries to leave but eventually is loaded into the ambulance. Alabama paramedic protocol scenarios alabama ems patient care protocols, sixth edition, june 2011 3 3. Emt basic scenario chest injuries blunt chest trauma. Jan 01, 2017 in the new test model, paramedic candidates will be tested on a total of six skills. Daughter states my mother just passed out a couple of. The emt curriculum contains a whole set of standardized terminology and protocols to assist the emergency worker with accurately assessing and documenting the patients condition. Emergency medical technician emergency medical services ems week firefighter paramedic paramedic humor paramedic tattoo female firefighter nurse humor ems humor.
In this series, well bring you valid als scenarios that include. Patient assessment trauma download pdf dynamic cardiology download pdf static cardiology download pdf oral station download pdf oral stations template download pdf oral station sample scenario download pdf integrated outofhospital scenario download pdf. Blood pressure cuff, stethoscope, watch, penlight, run sheet. While there have been resources developed, such as the working group bestpractice. You are a paramedic on a transporting paramedic unit.