SUGGESTED SCENARIOS FOR FINAL PRACTICAL
Scenario 1
You are called to assist with victims at the scene of a gunfight that broke out in a crowded marketplace. (17 victims)
Name: Alpha Zaire
45 yr old male
Clutching his left shoulder with blood oozing down left arm.
Good pulse at right wrist
Entry bullet wound noted anterior left shoulder. No exit wound found for bullet
No sensation in left arm, slight movement in fingers, weak pulse at left wrist
P 120, good volume; RR 22
Name: Braxton Hicks
25 yr old female
Moaning in pain blood oozing from abdominal wound.
Good pulse at wrist
Entry bullet wound at umbilicus with exit left flank. Abdomen stiff. Wants to pee. Abdomen swollen, tense and stiff. Swollen left flank.
P 110, full; RR 32; MM pale; Skin clammy
Name: Arlene Sterling
20 yr old female
Sobbing inconsolably and vomiting. No evidence of trauma. Can’t find her husband.
RR 18 ; P 105, good volume
Name: Travis Wallis
29 yr old male
Abrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Right thigh swollen and very painful to movement.
RR 22; P 68, good volume; skin dry
Name: Frank Belgrave
25 yr old male
Multiple superficial cuts to the right forearm, all superficial.
R 28; P 88, good volume.
Name: Roger Martin
35 yr old male
Wound to left leg, bleeding profusely.
R 20; P 120, good volume. Weak distal pulses left foot.
Name: Cedric Clancy
45 yr old male
Large bleeding wound to right side scalp
Alcohol on breath +++
RR 22; P 98, good volume;
Name: Barney Carry
55 yr old male
No obvious injuries, wandering around aimlessly.
P 90, good volume; RR 22. Lost his wallet. No injuries evident.
Name: Ann Marie Foster
40 yr old female
Gaping cut to her left upper arm, bone exposed.
RR 22; P 90. Good distal pulse. No other injuries.
Name: Basil Bradley
52 yr old male
Gunshot wound to right side of abdomen.
Complains of worsening pain.
RR 22, P 140, thready. Skin cold and clammy.
Name: Darrel Arindel
22 yr old male
Pain right knee.
Complains of pain when walking.
RR 22; P 70, good volume. Good distal pulses.
Name: Cory Alexander
32 yr old male
Bullet wound to right thigh Bleeding +++.
Weak distal pulses at right ankle
Entry bullet wound noted through thigh. Bone marrow oozing from wound site, good sensation in foot..
RR 22; P 90, good volume; Skin warm and dry
Name: Alex Arnold
22 yr old male
Stab wound to right chest, shallow breathing
4cm long stab wound just below nipple. No respiratory movements right chest wall
RR 38; P 98, full; Skin dry
Name: Tim Reilly
19 yr old female
Screaming for upper back pain
Stab wound to left scapula area, upper back. Breathing comfortably. No bleeding from wound. No other obvious injuries. Continues to moan and scream for pain. Inconsolable.
RR 22; P 88, full
Name: Joseph Belmont
25 yr old male
No obvious injuries. Denies trauma. Complaining of numbness and tingling down right arm and leg. Normal breathing. Is looking for a police.
R 18; P 88, good volume pulse
Right arm and leg still numb. Denies drugs or alcohol.
Name: Jonathon Muller
15 yr old male
Cuts to cheek and left eyebrow. Two upper teeth missing.
Good pulse.
Partial skin thickness cuts to cheek and left eyebrow. Painful Right shoulder, on movement only. No further complaints.
P 80, full; RR 22; skin warm and moist
Name: Mory Miller
19 yr old male
Stab wound to left thigh.
No active bleeding evident. Good distal pulses.
R 22; P 84, good volume.
Scenario Two
You are at scene of a nightclub where a fire broke out while patrons were inside. Some were injured trying to escape while others are wounded from the incident. (17 victims)
Name: Hilary Clarke
25 yr old female
Painful deformed right wrist. Complains of “a lot of pain” in the hand.
Good pulse at right wrist
P 90, RR 22
No other complaints
Name: Joseph Muller
42 yr old male
Limping
Painful left ankle and Knee. Swollen left ankle. Deep abrasions on left knee. Unable to weight-bear.
RR 22; P 90; skin dry
Name: Alexis Landers
62 yr old female
Sobbing +++
Pain right shoulder. Would not allow shoulder to be touched or moved.
Shoulder is out of joint
Good distal pulse on right, has tingling down arm.
RR 22, P 90
Name: Amanda Stone
20 yr old female
Sobbing inconsolably and vomiting. No evidence of trauma. Says she always vomits when she’s nervous. No recall of trauma
RR 18 ; P 98
Name: Trevor Williams
29 yr old male
Abrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Mild headache. Right arm swollen and very painful to movement. Left 3rd and 4th fingers deformed.
RR 22, P 88
Name: Frazier Belmont
25 yr old male
Multiple superficial cuts in the palm of right hand. Good finger movements. His left thigh is deformed and swollen.
R 18; P 88. Good volume pulse. Normal breathing. Normal movement all fingers.
Name: Ruth Mc Carthy
25 yr old female
Having difficulty breathing.
Frequent coughing audibly wheezing.
Known asthmatic.
R 30; P 110, good volume
Name: Celbert Carey
45 yr old male
Shortness of breath, burning eyes.
Wheezing ++
RR 32; P 110, good volume
Left ankle swollen, deformed. Unable to bear his weight
Name: Barney Calbot
55 yr old male
Unsteady gait, slurred words. Mild wheezing
Unsteady gait, slurred speech, Alcohol on breath. Swearing and belligerent.
P 90, good volume; RR 22. Vomited during assessment.
Name: Amy Fischer
42 yr old female
Burning eyes, coughing +++
Difficulty breathing. Gaping cut to the left side of her forehead.
RR 22; P 90
Name: Barry Browder
62 yr old male
Pain right side head.
Walking around. Complains of worsening abdominal pain.
RR 22, P 140, thready. Left pupil not reactive to light
Name: Anita Carter
20 yr old female
Sobbing inconsolably. Burns to her right hand and right side of chest and back. No evidence of trauma
RR 18 ; P 105, good volume. No facial burns.
Name: Troy Carter
29 yr old male
Right thigh swollen and very painful to movement. No other trauma evident. Very anxious about his wife, Anita, and refuses to stay still.
RR 22; P 88; skin cool and dry.
Name: Fran Belmar
25 yr old female
Multiple superficial cuts to the back of scalp. Laceration to the right foot.
R 28; P 98, good volume.
Name: Roy Martin
35 yr old male
Crush injury to left 4th and 5th toes. Burns to face with singeing of beard.
R 20; P 90, good volume. Good distal pulses left foot.
Name: Clarence Clancy
45 yr old male
Large bleeding wound to right side scalp
Not responding to voice, or pain
RR 6, gasping; P ?; Pupils dilated.
Name: Barry Talbot
55 yr old male
Complains of chest pain, radiating down his left arm.
P 90, good volume; RR 22. Skin cool and dry. No injuries evident.
Scenario Three
You are at the scene of a hotel where an explosion from the kitchen caused partial collapse of a section of the building. (20 victims)
Name: Amy Tossful
50 yr old female
Sobbing
Says she’s scared
No evidence of trauma
RR 18, P 98 . Complaining that something just got in her right eye. ? dust
Name: Mary Jones
29 yr old male
Broken fingernail with scanty bleeding.
Very aggressive
RR 22; P 100. Pupils equal.
Bloody left mid-finger. Insists on walking around. Has large swelling to the left side of her head, but skin is intact.
Name: Ann Marie Foster
40 yr old female
Gaping cut to her left leg, bone exposed.
RR 22; P 90. Good distal pulse. No other injuries.
Name: Basil Bradley
52 yr old male
Swollen deformed left wrist
RR 22, P 80, good volume. Skin cool and dry. Abrasions to his right shin.
Name: Dawn Arlington
22 yr old female
Laceration right knee. Superficial abrasion to left hand. Complaining of neck pain.
RR 22; P 70, good volume. Good distal pulses.
Name: Maxwell Faries
45 yr old male. Clutching an infant. Bleeding abrasion on his left elbow.
Good pulse distally. Normal ROM joint. No numbness.
RR 22 P 60
Infant asleep in his arms
Name: Megan Faries (with Maxwell)
9 month old female twin sleeping comfortably in Dad’s arms
Good air entry bilaterally. Abdomen soft. Pink and cooing with father
R 38; P 140, good volume
Name: Melody Faries
30 yr old female
Clutching an infant. Bleeding from nose. She often gets nose bleeds. Deep bruises to her left leg. Good pulse distally.
P60,good volume; RR 22;
Infant asleep in her arms.
Name: Mark Faries (in Melody’s arms)
9 mth old male twin
Infant lying quietly in Mom’s arms
RR 32; P 140, normal volume. Good colour.
Alert to surroundings. No evidence of trauma. Abdomen soft.
Name: Amanda LaKeyes
62 yr old female
Lying on her side. Sobbing +++
Painful neck and right shoulder.
Good distal pulse on right, has tingling down arm.
RR 22, P 90
Name: Arlene Stowe
20 yr old female
Sobbing inconsolably and vomiting. No evidence of trauma. Says she always vomits when she’s nervous. No recall of any trauma
RR 18; P 105, good volume
Name: Troy Wallis
29 yr old male
Abrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Right thigh swollen and very painful to movement. Left 4th finger avulsed.
RR 22, P 68
Name: Francis Belgrave
25 yr old male
Multiple superficial cuts to the right cheek. Laceration to the right side of his neck.
R 28; P 128, thready.
Name: Roger Martin
35 yr old male
Crush injury to left leg.
R 20; P 100, good volume. Weak distal pulses left foot.
Name: Cedric Clancy
45 yr old male
Large bleeding wound to right side scalp
Not responding to voice, pulls away from pain
RR 22; P 48, good volume;
Name: Barney Calbot
55 yr old male
Unsteady gait, says he cannot see clearly.
P 90, good volume; RR 22. Lost his glasses. No other injuries evident.
Name: Ann Marie Foster
40 yr old female
Gaping cut to her left upper arm, bone exposed.
RR 22; P 90. Good distal pulse. No other injuries.
Name: Basil Bradley
52 yr old male
Wood fragment impaled in right side of chest.
Complains of worsening chest pain.
RR 22, P 140, thready. Skin cold and clammy.
Name: Darrel Arindel
22 yr old male
Pain right knee.
Complains of pain when walking.
RR 22; P 70, good volume. Good distal pulses.
Name: Kenneth Moore
36 yr old male
Complains of object in his eye causing discomfort. Left arm and forearm badly burnt. Has no pain in burnt areas.
P 100; R 24