Full Scenario List

Hyponatremia  

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A sunny, hot and humid day in August, hiking along the Laurel Highlands Hiking Trail about 3:30 pm, you spot two hikers lying in the shade. As you approach, one asks if you have any medical training. Her companion, Robert, has grown ill over the last hour and she isn’t sure if he should be evacuated or if he can continue to their planned shelter site.

Careful pregnant   

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While at a crowed area a lady goes into labour, the first aiders must be able to help care for the woman to help her feel more comfortable and help find a clean place and other clean things for the baby, assuming the ambulance is more than 11 minutes away the first aiders had to deliver the baby

Crushed Ankle   

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You are dispatched by ambulance control to a collapsed female in a car at a petrol station. On arrival you are met by the petrol station manager who shows you the car with the patient. The patient stepped out the car without putting the hand brake on and the car has jolted forward about 10ft crushing the right foot between the curb and the car. On arrival by the drivers door is a pool of blood. The patient is in the vehicles passenger seat. The patient is pale in colour, alert but sleepy. On looking at the patients right foot there is a clear open fracture site with bone clearly visible from the foot. The patient is able to describe that she was paying at the kiosk when she dropped her money.

Life over limb  

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You attend a patient who is lying face down behind her front. To the front are the stairs to the upper floor that lead up to the next floor. There is only enough room to barely fit two people in. The call was made by a delivery driver who was dropping off a parcel and who is still on scene.

A few steps too far  

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The first aiders are at a running event on a hot and sunny day and are called to a patient who has reportedly collapsed. On arrival they will find a voice responsive patient lying at the side of the road. The people around say that the patient just came to lean on the side barriers and then fell onto the road. There are quite a few runners running down the course around the patient.

Are you choking?  

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A quick and simple scenario to test out the first aider's response to someone who is choking. The first aiders are enjoying a meal out in a restaurant when a person a few tables away starts seeming to be in quite a bit of distress and is clutching at their neck.

Catastrophic Bleed Resus  

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This scenario tests the first aiders in a resuscitation scenario where there is an obvious cause of the arrest (a catastrophic bleed) to show that CPR isn't always the only thing that should be done in a resus - we should be looking for any reversible causes of arrest. On arrival, the first aiders will find the patient in a large pool of blood with no-one else around.

This can't be a hangover can it?  

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This scenario is all about recognising and reacting to an often deadly thunderclap headache. This needs the FAs/ambulance crew to be on their toes to react quickly and not just dismiss this as a headache or early hangover. This tests: the ability to recognise serious illness, taking a very rapid history, unconscious casualty management. Situation: You are on a booze bus duty and it has just hit 4 AM. A man who looks like he is in his 50s bursts in to the room. He is clearly distressed - he is clutching his head and lets out a scream of agony. He smells of alcohol but does not seem that drunk. Upon questioning, he says he has the worst headache he has ever had in his life and that it feels like he has been hit in the back of the head with a baseball bat.

Arm Wrestling Risk  

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The first aiders are called to a patient's home who has hurt her arm whilst arm wrestling her boyfriend. On arrival the patient is alert and sitting on an armchair with her arm hanging down keeping it still. The humerus can be seen to be obviously deformed from the doorway. This scenario tests fracture management skills.

Aggressive Hyper  

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The first aiders are called to a patient who has recently been chucked out of a nightclub for being aggressive but now seems to have reduced conciousness and is slumped unresponsive against a wall near the nightclub. A patient's friend is with her and insists they've only 'had a few vodka and cokes' but is acting fair drunk themselves. The friend is unaware that the patient is a type 1 insulin dependent diabetic and does not drink and so has been having coke instead of vodka and coke. This scenario tests the first aiders ability to not assume that the patient is just drunk.