Appendix
TRAUMA SCENARIO
Scenario:
You are called to an apartment building to assist with a victim involved in a shooting. The
scene has been secured by local police. You arrive to find a sixty-year-old male lying on his
side unresponsive on the floor. Police report that he is shot in the back with a handgun.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Unresponsive Unresponsive
Pulse: 124 and thready 136 148
Respirations: 28, shallow 32, shallow 20, shallow
BP: 112/palped 100/80 92/72
Skin: Cool, pale, diaphoretic Cool, pale, diaphoretic
Breathing: Shallow Becomes more labored
SAMPLE History: Liver cancer recently diagnosed Meal; unknown
Medications: Unknown
Allergies: Medic Alert tag for Morphine
Victim Assessment:
Survey: Entrance wound is below right shoulder blade.
Exit wound is on left hip.
Absence of lung sounds on right; no femoral pulses on left.
Condition: Damaged lung—possible hemothorax
Dissected femoral artery
Internal injuries unknown but massive bleeding
Treatment: High flow oxygen, treat for shock
Control external bleeding and bandage
Occlusive dressing for back; EMS/Advanced Life Support
Comments:
Find an exit wound and Medic Alert tag.
Copyright © 2012 Pearson Education, Inc. 141
,TRAUMA SCENARIO
Scenario:
You are called to a construction site for a worker with shortness of breath. You arrive to find
a thirty-five-year-old worker (male or female) sitting with the supervisor on a brick wall. The
victim is a bricklayer and has been working on the wall since early morning. It’s now about
11:00 a.m. The victim is thin. It’s a warm and sunny day.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Responsive Responsive
Pulse: 128 and thready 138 142
Respirations: 36 and rapid Shallow, labored 36
BP: 118/palped 116/80 112/72
Skin: Sweaty, warm, pink (exertion) Cool, pale, diaphoretic
Breathing: Rapid Shallow–labored
SAMPLE History: Occasional bouts of coughing Smokes four packs/day; started at
age twelve; Last meal: breakfast
Medications: None
Allergies: Codeine
Victim Assessment:
Survey: Victim did not lose consciousness.
Victim experienced sharp pain in upper left chest.
Diminished lung sounds on left.
Condition: Spontaneous pneumothorax—if delayed, may go tension
Treatment: High flow oxygen by non-rebreather
Position of comfort (if you try to lay victim down, the
victim goes unresponsive and into respiratory arrest)
EMS/Advanced Life Support call
Comments:
Victim’s weakened lungs due to extensive smoking combined with the physical exertion of
bricklaying, caused a hole to pop in a lung.
142 INSTRUCTOR MANUAL FOR FIRST AID FOR COLLEGES AND UNIVERSITIES Copyright © 2012 Pearson Education, Inc.
,MEDICAL SCENARIO
Scenario:
You are called to a local office complex for a twenty-seven-year-old female complaining of
abdominal pain. The victim is curled-up on a sofa in the lounge area of a bathroom with other
ladies coming and going. A co-worker called 911. It’s 3:30 p.m. on a weekday.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Responsive Becoming unresponsive
Pulse: Rapid, weak 128 136
Respirations: 24 24 28
BP: 110/palped 104/78 92/undiscernable
Skin: Cool, clammy, diaphoretic Cool, clammy, diaphoretic
Breathing: Rapid, shallow Shallow
SAMPLE History: Not seeing a doctor Has regular periods
Last meal: lunch No period since five weeks ago
Sexually active
Medications: None
Allergies: Penicillin
Victim Assessment:
Survey: Victim is hesitant to discuss sexual activity.
Victim has been slightly nauseated today.
There is tenderness on palpation of right lower quadrant.
Victim wants knees bent.
Femoral pulses are present but hard to find.
Condition: Ectopic pregnancy
Treatment: High flow oxygen via non-rebreather
Treat for shock / Monitor vitals
EMS/Advanced Life Support response
Comments:
Be aware that some sensitivity may be necessary in ascertaining levels of sexual activity.
Copyright © 2012 Pearson Education, Inc. Appendix 143
, MEDICAL SCENARIO
Scenario:
You are called to the local mall where an elderly female is reported to be ill. You find an
approximately seventy-five-year-old female strapped in the passenger seat of a car. She is
unresponsive with her head slumped forward. She has a radial pulse and has shallow breaths.
Her daughter had run in to exchange some shoes at the store—was gone about twenty
minutes and came back to find her mom like this. It’s a sunny but cool day and the windows
in the car were slightly open. Daughter states that the victim is a diabetic, had a good break-
fast, and is taking her insulin).
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Unresponsive Unresponsive
Pulse: 60 58
Respirations: 30 labored 32 labored
BP: 188/palped 196/80
Skin: Cool and diaphoretic Cool and diaphoretic
Breathing: Labored Labored
SAMPLE History: Diabetes Last meal; breakfast
Medications: Insulin (daughter can’t remem- Daughter states that she took her
ber what kind) normal amount of Insulin today
Allergies: Codeine Codeine
Victim Assessment:
Survey: Victim’s pupils are midpoint and reactive but sluggish.
Victim is incontinent.
Condition: CVA
Treatment: EMS/Advanced Life Support
Assist ventilations if needed
Backboard with airway maintenance
144 INSTRUCTOR MANUAL FOR FIRST AID FOR COLLEGES AND UNIVERSITIES Copyright © 2012 Pearson Education, Inc.
TRAUMA SCENARIO
Scenario:
You are called to an apartment building to assist with a victim involved in a shooting. The
scene has been secured by local police. You arrive to find a sixty-year-old male lying on his
side unresponsive on the floor. Police report that he is shot in the back with a handgun.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Unresponsive Unresponsive
Pulse: 124 and thready 136 148
Respirations: 28, shallow 32, shallow 20, shallow
BP: 112/palped 100/80 92/72
Skin: Cool, pale, diaphoretic Cool, pale, diaphoretic
Breathing: Shallow Becomes more labored
SAMPLE History: Liver cancer recently diagnosed Meal; unknown
Medications: Unknown
Allergies: Medic Alert tag for Morphine
Victim Assessment:
Survey: Entrance wound is below right shoulder blade.
Exit wound is on left hip.
Absence of lung sounds on right; no femoral pulses on left.
Condition: Damaged lung—possible hemothorax
Dissected femoral artery
Internal injuries unknown but massive bleeding
Treatment: High flow oxygen, treat for shock
Control external bleeding and bandage
Occlusive dressing for back; EMS/Advanced Life Support
Comments:
Find an exit wound and Medic Alert tag.
Copyright © 2012 Pearson Education, Inc. 141
,TRAUMA SCENARIO
Scenario:
You are called to a construction site for a worker with shortness of breath. You arrive to find
a thirty-five-year-old worker (male or female) sitting with the supervisor on a brick wall. The
victim is a bricklayer and has been working on the wall since early morning. It’s now about
11:00 a.m. The victim is thin. It’s a warm and sunny day.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Responsive Responsive
Pulse: 128 and thready 138 142
Respirations: 36 and rapid Shallow, labored 36
BP: 118/palped 116/80 112/72
Skin: Sweaty, warm, pink (exertion) Cool, pale, diaphoretic
Breathing: Rapid Shallow–labored
SAMPLE History: Occasional bouts of coughing Smokes four packs/day; started at
age twelve; Last meal: breakfast
Medications: None
Allergies: Codeine
Victim Assessment:
Survey: Victim did not lose consciousness.
Victim experienced sharp pain in upper left chest.
Diminished lung sounds on left.
Condition: Spontaneous pneumothorax—if delayed, may go tension
Treatment: High flow oxygen by non-rebreather
Position of comfort (if you try to lay victim down, the
victim goes unresponsive and into respiratory arrest)
EMS/Advanced Life Support call
Comments:
Victim’s weakened lungs due to extensive smoking combined with the physical exertion of
bricklaying, caused a hole to pop in a lung.
142 INSTRUCTOR MANUAL FOR FIRST AID FOR COLLEGES AND UNIVERSITIES Copyright © 2012 Pearson Education, Inc.
,MEDICAL SCENARIO
Scenario:
You are called to a local office complex for a twenty-seven-year-old female complaining of
abdominal pain. The victim is curled-up on a sofa in the lounge area of a bathroom with other
ladies coming and going. A co-worker called 911. It’s 3:30 p.m. on a weekday.
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Responsive Becoming unresponsive
Pulse: Rapid, weak 128 136
Respirations: 24 24 28
BP: 110/palped 104/78 92/undiscernable
Skin: Cool, clammy, diaphoretic Cool, clammy, diaphoretic
Breathing: Rapid, shallow Shallow
SAMPLE History: Not seeing a doctor Has regular periods
Last meal: lunch No period since five weeks ago
Sexually active
Medications: None
Allergies: Penicillin
Victim Assessment:
Survey: Victim is hesitant to discuss sexual activity.
Victim has been slightly nauseated today.
There is tenderness on palpation of right lower quadrant.
Victim wants knees bent.
Femoral pulses are present but hard to find.
Condition: Ectopic pregnancy
Treatment: High flow oxygen via non-rebreather
Treat for shock / Monitor vitals
EMS/Advanced Life Support response
Comments:
Be aware that some sensitivity may be necessary in ascertaining levels of sexual activity.
Copyright © 2012 Pearson Education, Inc. Appendix 143
, MEDICAL SCENARIO
Scenario:
You are called to the local mall where an elderly female is reported to be ill. You find an
approximately seventy-five-year-old female strapped in the passenger seat of a car. She is
unresponsive with her head slumped forward. She has a radial pulse and has shallow breaths.
Her daughter had run in to exchange some shoes at the store—was gone about twenty
minutes and came back to find her mom like this. It’s a sunny but cool day and the windows
in the car were slightly open. Daughter states that the victim is a diabetic, had a good break-
fast, and is taking her insulin).
Victim Information: (only provide when asked)
PRIMARY ASSESSMENT SECONDARY ASSESSMENT
Mental Status: Unresponsive Unresponsive
Pulse: 60 58
Respirations: 30 labored 32 labored
BP: 188/palped 196/80
Skin: Cool and diaphoretic Cool and diaphoretic
Breathing: Labored Labored
SAMPLE History: Diabetes Last meal; breakfast
Medications: Insulin (daughter can’t remem- Daughter states that she took her
ber what kind) normal amount of Insulin today
Allergies: Codeine Codeine
Victim Assessment:
Survey: Victim’s pupils are midpoint and reactive but sluggish.
Victim is incontinent.
Condition: CVA
Treatment: EMS/Advanced Life Support
Assist ventilations if needed
Backboard with airway maintenance
144 INSTRUCTOR MANUAL FOR FIRST AID FOR COLLEGES AND UNIVERSITIES Copyright © 2012 Pearson Education, Inc.
