EMT Scenario - M002 - Anaphylaxis - Dispatch, Assessment, Treatment, Competencies

Sep 23, 2026

Uploaded by Cipher

EMT training scenario M002 focuses on an anaphylaxis case dispatched to a local baseball field for a 38-year-old male with shortness of breath after a suspected bee sting. It details scene size-up, standard precautions, primary assessment findings (airway patent, wheezing, rapid thready pulse, pale cool clammy skin), and a structured SAMPLE/OPQRST and DCAP-BTLS history. The treatment sequence covers positioning, oxygen, epinephrine auto-injector use, stinger removal, and rapid transport, followed by reassessment criteria and competency checklist.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages5

Reading Time13 min

AccessFree to download

EMT Scenario: M002

Dispatch and Scene Size-Up

Primary Assessment

History Taking and Secondary Assessment

Treatment

Reassessment and Critical Criteria

Competencies

Discussion Questions

EMT Scenario: M002 Anaphylaxis DISPATCH Call type: Dispatched to the local baseball fields for a male complaining of shortness of breath Time and weather: 1045, clear and sunny SCENE SIZE-UP Scene safety: Safe Required BSI: Standard Precautions NOI: Difficulty Breathing Number of patients: 1 PRIMARY ASSESSMENT | Gen. Impression: Middle aged male sitting on a lawn mower holding his chest in obvious distress.
C/C: Shortness of breath, rapid heart rate Age and sex: 38, male
Life-threats: Airway swelling | LOC: A&Ox3
Airway: Currently patent
Breathing: Irregular due to anxiety, able to talk in full sentences, wheezing audible | | --- | --- | | Circulation:
Pulses: Present, rapid, thready
Skin: Pale, cool, clammy
Bleeds: None | Patient Priority: Critical
ALS: Appropriate, not required | HISTORY TAKING AND SECONDARY ASSESSMENT NOI/MOI: Patient was mowing the grass in the outfield when he believes a bee stung him. SAMPLE/OPQRST | S Itching, difficulty breathing | O Minutes after being stung | | --- | --- | | A Bees | P Progressively getting worse | | M Epi-pen in the glove box of vehicle | Q Itching chest and neck | | P Asthma with inhaler, anaphylaxis | R Towards throat | | L Breakfast this morning | S 4, getting worse | | E Mowing grass when he felt a sting | T Feels similar to last reaction | DCAP-BTLS: (positive findings) Hives on chest and throat, welt on left shoulder with stinger Baseline V/S | LOC A&Ox3 | B/P 110/70 | | --- | --- | | RR 22 | H/R 114, rapid | | PUPILS PEARL | Monitor:92%, Accucheck:100mg/dl | TREATMENT 1. Place patient in position of comfort 2. Administer oxygen 3. Administer epi-pen 4. Rapid transportation to ED 5. Remove lodged stinger REASSESSMENT | With Treatment | Without Treatment | | --- | --- | | LOC- A&Ox3 | LOC-A&Ox3 | | RR- 24 | RR- 28, stridor | | B/P- 132/94 | B/P- 90/62 | | HR- 130 strong | HR- 142 | | Pupils-PEARL | Pupils-PEARL, sluggish | Critical Criteria Failure criteria: (example) 1) Failure to use standard precautions when administering medication 2) Failure to ultimately provide high-flow oxygen 3) Failure to administer epi-pen 4) Failure to recognize need for rapid transportation | ID | Competency | | --- | --- | | P.1 | Must demonstrate the ability to select, don, remove and discard PPE | | P.4 | Must demonstrate the ability to assess a patient for breathing difficulty | | P.5 | Must demonstrate the ability to acquire a pulse providing rate, rhythm, strength | | P.6 | Must demonstrate the ability to assess the skin color, temp, condition | | P.8 | Must demonstrate the ability to assess the pupils for reactivity, equality, size | | P.9 | Must demonstrate the ability to obtain a blood pressure | | P.10 | Must demonstrate ability to obtain a SAMPLE history | | A.11 | Correctly operate O2 tanks and regulator | | A.12 | Demonstrate use of non-rebreather and adjust flow rates as appropriate | | PA.1 | While reviewing scenes identify potential hazards | | PA.2 | Demonstrate the techniques for assessing mental status | | PA.3 | Demonstrate techniques for assessing the airway | | PA.4 | Demonstrate techniques for assessing if a patient is breathing | | PA.5 | Demonstrate techniques for assessing if a patient has a pulse | | PA.7 | Demonstrate techniques for assessing pt skin, color, temp and condition | | PA.8 | Demonstrate the ability to prioritize patient | | M.1 | Demonstrates general steps for assisting pt. with self administration of meds | | M.2 | Read labels and inspect each type of med | | M.17 | Demonstrate care for patient with allergic reaction | | M.18 | Demonstrate use of Epi-pen | | M.19 | Assessment/documentation of pt. in response to epi-pen | | M.20 | Demonstrate proper disposal of equipment | | M.21 | Demonstrate completion of PPCR for pt. in allergic reaction | **Competencies are based on the full scenario. **Apply only those competencies performed by the student. Discussion Quest

FAQs

What are the key primary assessment findings in this anaphylaxis scenario?

The patient is an alert middle-aged male (A&Ox3) with airway patent but wheezing audible and irregular breathing due to anxiety. Circulation shows rapid, thready pulses with pale, cool, clammy skin, and no bleeding. Life threat is listed as airway swelling with the patient prioritized as critical.

What is the recommended treatment sequence for this EMT case?

Place the patient in a position of comfort, administer oxygen, give an epi-pen, rapidly transport to the ED, and remove the lodged stinger.

How does the scenario define critical criteria and competencies?

Critical criteria include failure to use standard precautions, failure to provide high-flow oxygen, failure to administer epinephrine, and failure to recognize the need for rapid transportation. Competencies specify demonstration of PPE handling, breathing and pulse assessment, skin and pupil checks, blood pressure and SAMPLE acquisition, oxygen equipment operation, non-rebreather use, and management/documentation for allergic reactions.

Sep 23, 2026

Uploaded by Cipher