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Scenario #2 addresses a 35-year-old stabbed in the right chest with suspected pneumothorax, requiring ALS evaluation and consideration for needle thoracostomy.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/bls-2023-trauma-scenario-1-practical-scenarios/361424/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/bls-2023-trauma-scenario-1-practical-scenarios/361424.png","ImageObject",300,407,{"name":42,"@type":43},"supergirl","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How should responders determine SICK vs NOT SICK in these trauma scenarios?","Question",{"text":63,"@type":64},"Use the provided assessment cues and teaching points to categorize the patient as SICK or NOT SICK, then match the response level to the patient’s likely injuries and clinical needs.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"When do these scenarios indicate the need for ALS?",{"text":68,"@type":64},"ALS is recommended when the patient’s condition requires advanced interventions, such as evaluation for needle thoracostomy in the suspected pneumothorax scenario.",{"name":70,"@type":61,"acceptedAnswer":71},"What core BLS actions are emphasized across the scenarios?",{"text":72,"@type":64},"Emphasize proper BSI and scene safety, perform airway assessment, provide BLS care, obtain appropriate history from bystanders when requested, reassess vitals, and complete thorough clinical 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illness (enroute): |  | Teaching points: |  |\n| --- | --- | --- | --- |\n| ••\u003Cbr>••\u003Cbr>••\u003Cbr>• | Head injury\u003Cbr>Hip Leg Back Neck Ribs Internal | 1.\u003Cbr>2.\u003Cbr>3.\u003Cbr>4.\u003Cbr>5.\u003Cbr>6.\u003Cbr>7.\u003Cbr>8. | Proper BSI, scene safety, PD if needed. Determine SICK/NOT SICK\u003Cbr>Request ALS/additional resources if needed. ALS Indicators\u003Cbr>Airway issues?\u003Cbr>BLS care\u003Cbr>Obtain appropriate history.\u003Cbr>Complete and thorough clinical documentation. |\n\nSubjective: 22 y/o female, conscious with leg and back pain.  \nInformation to be given by bystanders, if EMT specifically asks for it:  \n\n| Objective: |  |\n| --- | --- |\n| Onset: sudden | Signs and symptoms: leg and back pain |\n| Provocation: car vs bike | Allergies: peanuts |\n| Quality: | Medications: none |\n| Radiation: | Previous medical history: none |\n| Severity: 9/10 | Last food intake: 7 hours ago |\n| Time since onset: 10 minutes | Events leading up to the illness: riding bike, hit from behind |\n\n\n| Vitals: | 1st set | 2nd set |\n| --- | --- | --- |\n| LOC | GCS 10 | GCS 10 |\n| Skin | Warm, Pink, and Moist | Warm, Pink, and Moist |\n| Blood Pressure | 100/60 | 120/66 |\n| Heart Rate | 100 | 88 |\n| Respiratory Rate | 18 | 18 |\n| Pulse Oximetry | 98% | 98% |\n| Lung Sounds | Clear | Clear |\n| Pupils | Mid-equal and reactive | Mid-equal and reactive |\n| Blood Sugar Level | 110 |  |\n| Physical Exam | Patient is conscious, responsive, and complaining of leg and back pain |  |\n\nSick or Not Sick: NOT SICK  \nAssessment: Possible tib fib fractures and back injury  \nDoes this call require ALS (yes or no)? No Why? Possible lower extremity fractures and back injury  \nPlan:  \n• Keep patient comfortable, monitor vitals, splint legs, back board, ALS eval.  \n• Transport (yes or no): Yes  \n• Mode of transport: BLS – Emergency  \n\n| Evaluator’s notes: |\n| --- |\n| Patient requires SMR, splinting, and transport. |\n\nBLS-2023-Trauma– Scenario \\#2  \nDispatch: 35 y/o male at local bar complaining of being stabbed in right chest.  \n\n| Potential injury or illness (enroute): | Teaching points: |\n| --- | --- |\n|  | 1. Proper BSI, scene safety, PD if needed. |\n| • Possible Pneumothorax | 2. Determine SICK/NOT SICK |\n| • Bleeding\u003Cbr>• Other injuries | 3. Request ALS/additional resources if needed.\u003Cbr>4. ALS Indicators |\n| • ETOH | 5. Airway issues?\u003Cbr>6. BLS care\u003Cbr>7. Obtain appropriate history.\u003Cbr>8. Complete and thorough clinical documentation. |\n\nSubjective: 35 y/o male, patient found sitting at the bar holding his right chest.  \nInformation to be given by bystanders, if EMT specifically asks for it: The spouse states the patient was talking to the lady next to him when a man came up from behind and stabbed him.  \n\n| Objective: |  |\n| --- | --- |\n| Onset: 15 minutes ago | Signs and symptoms: shortness of breath, some bleeding |\n| Provocation: shortness of breath | Allergies: shellfish |\n| Quality: unknown | Medications: EPI |\n| Radiation: unknown | Previous medical history: none |\n| Severity: unknown | Last food intake: 15 |\n| Time since onset: 15 minutes | Events leading up to the illness: sitting at the bar |\n\n\n| Vitals: | 1st set | 2nd set |\n| --- | --- | --- |\n| LOC | GCS 10 | GCS 10 |\n| Skin | Pale, warm, and wet | Pale, warm, and wet |\n| Blood Pressure | 100/p | 108/64 |\n| Heart Rate | 100 | 100 |\n| Respiratory Rate | 30 |  |\n| Pulse Oximetry | 90% | 90% |\n| Lung Sounds | Diminished right, upper lobe. |  |\n| Pupils | Mid-equal and reactive | Mid-equal and reactive |\n| Blood Sugar Level | 116 | 116 |\n| Temperature |  | N/A |\n| Physical Exam | Patient is conscious responsive found sitting at the bar. |  |\n\nSick or Not Sick: sick.  \nAssessment: Possible Pneumothorax  \nDoes this call require ALS (yes or no)? Yes  \nWhy? Patient needs evaluation for needle thoracostomy.  \nPlan:  \n• Patient exam, high flow O2, recheck vitals, and reassess patient.  \n• Transport (yes or no): YES  \n• Transport mode: ALS – nearest ap","cbCaim9Ct3IoW5w5","https://ap.wps.com/l/cbCaim9Ct3IoW5w5","pdf",259376,12,"English","# Scenario #1: Bike vs Car Injury\n# Scenario #2: Stab Wound to Right Chest\n# Scenario #3: Car Accident","[{\"question\":\"How should responders determine SICK vs NOT SICK in these trauma scenarios?\",\"answer\":\"Use the provided assessment cues and teaching points to categorize the patient as SICK or NOT SICK, then match the response level to the patient’s likely injuries and clinical needs.\"},{\"question\":\"When do these scenarios indicate the need for ALS?\",\"answer\":\"ALS is recommended when the patient’s condition requires advanced interventions, such as evaluation for needle thoracostomy in the suspected pneumothorax scenario.\"},{\"question\":\"What core BLS actions are emphasized across the scenarios?\",\"answer\":\"Emphasize proper BSI and scene safety, perform airway assessment, provide BLS care, obtain appropriate history from bystanders when requested, reassess vitals, and complete thorough clinical documentation.\"}]","BLS-2023-Trauma - Scenario 1 - Practical Scenarios | PDF",1790144258]