{"id":445,"date":"2014-12-04T23:56:52","date_gmt":"2014-12-04T23:56:52","guid":{"rendered":"http:\/\/www.ncfems.com\/?page_id=445"},"modified":"2014-12-05T01:15:50","modified_gmt":"2014-12-05T01:15:50","slug":"practice-scenarios","status":"publish","type":"page","link":"https:\/\/www.ncfems.com\/?page_id=445","title":{"rendered":"Practice Scenarios"},"content":{"rendered":"
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The vast majority of people who have successfully completed a CPR course, will tell you that after a very short while, they feel quite unprepared to respond to a critical event such as sudden cardiac arrest.\u00a0 Since one is most likely to end up performing CPR on a loved one, the stakes of keeping one’s skills sharp are that much higher.\u00a0 <\/strong><\/p>\n

Our certifications are good for two years.\u00a0 During that time, students are welcome to sit in, for free, on any of our classes.\u00a0 An easier way to stay sharp, and it’s so easy to do, is to run scenarios.\u00a0 These are simply day dreams that you can imagine while relaxing, or performing most mundane tasks.\u00a0 Simply imagine a realistic scenario where someone is experiencing a medical emergency.\u00a0 While envisioning yourself in the scene, do your best to recall what you would do first, second, third, and so on.\u00a0 If at some point you become unsure, simply check the literature provided during class, and run the scenario again.\u00a0\u00a0 Our experience in the fire service has convinced us that this simple exercise, is an invaluable tool in regards to emergency preparedness.<\/strong><\/p>\n

The following scenarios were developed for those taking our Wilderness First Aid Course, where they might find themselves far from definitive care, while having to assess and respond to a medical emergency in the wilderness.\u00a0 As you look through these scenarios, ask yourself if you would remember to ask the important questions that go along with the acronym “SAMPLE”.\u00a0 This acronym is taught during our Wilderness First Aid Course, which is simple, and utilized by First Responders, Paramedics, and ER Doctors when assessing the same patient.<\/strong><\/p>\n

Scenario #1<\/strong><\/span><\/p>\n

\u00a0Description of Incident<\/strong>: 34 year old male gets stung by a bee while hiking. His face is swollen and he has red marks on his arm, difficulty breathing, tightness in chest, and tripod position.<\/p>\n

Time from definitive care: 2 hours.<\/strong><\/p>\n

Number of people in your party: 2<\/strong>
\nChief complaint<\/strong>: Difficulty breathing, worsening, tightness in chest and throat. Only able to give two word responses.<\/p>\n

General Impression:<\/strong><\/p>\n

ABCD’S<\/strong>: Intact
\nSkin<\/strong>: Red, dry
\nResponse<\/strong>: Altered\/Agitated<\/p>\n

Medical History<\/strong>
\nSigns & Symptoms<\/strong>: Swollen Face, difficulty breathing, tightness in chest and throat.
\nAllergies<\/strong>: Bees
\nMedication<\/strong>: Epi-Pen
\nPast History<\/strong>: Hospitalized for bee sting 5 years ago.
\nLast oral intake<\/strong>: 1 hour ago, ham sandwich & one liter of water
\nEvents prior<\/strong>: felt fine while hiking<\/p>\n

Assessment?\u00a0 Treatment?\u00a0 Evacuate or initiate rescue?<\/p>\n

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\u00a0Scenario #2<\/strong><\/span><\/p>\n

Description of Incident<\/strong>: A 32 year old female is riding her bike downhill. Not witnessed, she loses control of her bike and falls down hard, possibly hitting boulders sustaining lots of soft body tissue injuries with different degrees of bleeding. Injury to right arm, possibly broken.<\/p>\n

Time from definitive care<\/strong>: 3 hrs.<\/p>\n

Number of people in your party<\/strong>: 4
\nChief complaint<\/strong>: bleeding and in pain, right arm hurts<\/p>\n

General Impression:<\/strong>
\nABCD’S<\/strong>: Intact
\nSkin Temp<\/strong>: cool, moist, pale
\nResponse<\/strong>: Altered \u2013 A & O by 2 Knows name and where she is, but no recollection of incident.<\/p>\n

Medical History<\/strong>
\nSigns & Symptoms<\/strong>: Stings and soft tissue injury with bleeding, injury to right arm.
\nAllergies<\/strong>: N\/A
\nMedication<\/strong>: N\/A
\nPast History<\/strong>: N\/A
\nLast oral intake<\/strong>: 20 Minutes \u00a0Two strips of beef jerky & 1 pint of Gatorade
\nEvents prior<\/strong>: felt fine<\/p>\n

Assessment?\u00a0 Treatment?\u00a0 Evacuate or initiate rescue?<\/p>\n

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Scenario #3<\/strong><\/span><\/p>\n

Description of Incident<\/strong>: A 58 year old male is splitting kindling with hatchet and severs index and middle fingers of left hand.<\/p>\n

Chief complaint<\/strong>: Extreme pain to left hand.<\/p>\n

Time from definitive care: \u00bd hour<\/p>\n

General Impression<\/strong>:
\nABCD’S<\/strong>: Intact
\nResponse<\/strong>: A & O by 4<\/p>\n

Time from definitive care: 1 hour.\u00a0 Number in party: 4<\/p>\n

Medical History<\/strong>
\nSigns & Symptoms<\/strong>: Skin: diaphoretic, pale<\/strong>
\nAllergies<\/strong>: N\/A
\nMedication<\/strong>: Simvastatin for high cholesterol
\nPast History<\/strong>: N\/A<\/p>\n

Last oral intake<\/strong>: 30 minutes ago, Ham sandwich and glass of milk
\nEvents prior<\/strong>: felt suddenly faint prior to hitting hand with ax<\/p>\n

Treatment?\u00a0 Evacuate or initiate rescue?<\/p>\n

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Scenario #4<\/span><\/p>\n

Description of Incident<\/strong>: Conscious, but unresponsive 45 year old male found lying under a tree. Daughter states that they sat down to rest, when he became unresponsive.<\/p>\n

Chief complaint<\/strong>: None<\/p>\n

General Impression:<\/strong>
\nABCD’S<\/strong>: Intact
\nSkin: pink & dry (normal)<\/strong>
\nResponse<\/strong>: Responds physically to requests, but not verbally.<\/p>\n

Medical History<\/strong>
\nSigns & Symptoms<\/strong>: Spacey
\nAllergies<\/strong>: N\/A
\nMedication<\/strong>: Lisinopril-hctz
\nPast History<\/strong>: High blood pressure<\/p>\n

Last oral intake<\/strong>: 15 minutes prior, \u00bd liter of water.
\nEvents prior<\/strong>: Patient was active and behaving normally while hiking.<\/p>\n

Assessment?\u00a0 Treatment?\u00a0 Evacuate or initiate rescue?<\/p>\n

Available treatment options:\u00a0 Basic first aid supplies,\u00a0 Liquid Benadryl,\u00a0 Epi-pen, 320 mg. Aspirin<\/p>\n

Other Considerations:\u00a0 No cell service, No PLB.<\/p>\n

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      The vast majority of people who have successfully completed a CPR course, will tell you that after a very short while, they feel quite unprepared to respond to a critical event such as sudden cardiac arrest.\u00a0 Since one is most likely to end up performing CPR on a loved one, the stakes […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":74,"menu_order":1,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-445","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/pages\/445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ncfems.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=445"}],"version-history":[{"count":5,"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/pages\/445\/revisions"}],"predecessor-version":[{"id":462,"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/pages\/445\/revisions\/462"}],"up":[{"embeddable":true,"href":"https:\/\/www.ncfems.com\/index.php?rest_route=\/wp\/v2\/pages\/74"}],"wp:attachment":[{"href":"https:\/\/www.ncfems.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}