ChartFlow Team
Knowing what to pull out of your med bag can be overwhelming on your first few runs. That’s why we created a set of patient scenarios that are free for First Responders, Emergency Medical Technicians, and other BLS providers to use while studying for exams or prepping for the real world. Read the scene below and then chart your interventions and expected outcomes in ChartFlow.io for free. Afterwards, check your answers against the scenario feedback at the bottom of this page.
Scenario 5
Scene:
You arrive onsite with the fire department to a suspected carbon monoxide leak. The resident of the home called to complain that her carbon monoxide detector won’t stop beeping. For safety, the fire department enters the house with proper protection while you wait in the truck.
A few minutes later a firefighter guides a 75 year old caucasian female to the truck. She is walking, but leaning her weight against his arm. You notice that her skin is unusually red. The firefighter helps her into the back of the truck where she immediately lays on the stretcher.
The woman says, “I feel pretty dizzy, I hope you don’t mind if I lie down”. When you ask about any other symptoms she has and when they started she explains, “That detector started going off about an hour ago in my kitchen, so I sat in the dining room instead. There’s no detector in there so I could still keep an eye on my casserole from the other room, but it wasn’t so loud. Then I started to get this awful headache, probably from the detector blaring. I think maybe I’m getting some sort of stomach bug because I’m just kind of queasy, like I might vomit. Anyways, I called you guys to help me turn it off about 15 minutes ago and here we are.”
Patient Findings:
BP: 139/88
Pulse: 123 bpm
Respiratory Rate: 19 breaths per minute, equal and clear breath sounds on auscultation
Oxygen stats: 99%
LOC: Responds in conversation. Tells you her name, day of the week, address, and explains what happened leading up to your arrival.
Head-to-toe: Pupils equally responsive to light. No injuries, blood, or wounds present. Skin is a bright red color, especially around her lips, mouth and nose. Patient reports tingling in fingers and toes, but sensation and movement is normal in fingers and toes.
Known allergies: None
Known medical history: Hypertension, type II diabetes, high cholesterol
Here’s how to access this scenario (Scenario #5) and other free patient scenarios in ChartFlow:
1. Go to ChartFlow.io2. Click to create a “New Student Account”
3. Enter Access Code: 77c3c26294
Make sure to enter the Access Code on the first page when you create an Account. If you miss this step, you’ll need to contact CharFlow’s support. Once you’ve created your account, you should see the following screen with activities available.
For more medication review at the basic life support level, check out our medication guide, BLS Provider Medication Guide on Amazon.
Additional free patient scenarios can be found on these blogs:
- Free Practice Scenario for Basic Life Support (BLS) and EMT students
- Free Practice Scenario #2 for First Responder and EMT Students
- Free Practice Scenario for all First Responder, BLS, First Aid, and EMT Students (Scenario #3)
- Free Basic Life Support Practice for Students (Scenario #4)
Simulation solution below. Do not read until the activity is complete.
Scenario Solution
This patient has carbon monoxide poisoning. Her oxygen reading is at 99% because oxygen levels may be falsely elevated in CO poisoning. Her red skin and her CO detector are giveaways for what is happening.
Treat with high flow O2 at 10-15 L/min through a non-rebreather mask and transport to the hospital.
-The ChartFlow Team
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