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 <br /> <br />37|Page <br /> <br />SIMULATION CASE SAMPLE <br />Candidate: <br />Date of Eval: <br /> <br />PHASE1 <br />SIMULATIONLABEXAMINATION <br />CARDIACARREST <br /> <br />ExaminationGoals <br />1.Performallcriticalactionscompetentlytopass(denotedby“C*”) <br />and <br />2.Obtainaminimum70%orhigherindividualpointscoretopass <br /> <br />Summary:Sickcall(nausea),afebrile,normotensiveandnonͲorthostatic,whilebeingtransporteddevelopschestpain,12Ͳlead <br />showsMI,cardiacarrest(fib),defibrillation,ROSCwithGCS15.Continuetotransportwithoutcomplicationsorfurtherincidents. <br /> <br />Scene: <br />Summer–Dry–Night(20:00hours) <br />Singlestoryresidence–easyaccesstopatient–notriphazards–sceneiscleanandsafe <br /> <br />DispatchInformation: <br />26ͲAͲ06,SickPerson(nausea).Patientisa63yearoldmale,consciousandbreathing,complainingofnausea.Thewifehascalled911 <br />statingthatshefeelssomethingiswrongwithherhusband. <br /> <br />Presentonscene/GeneralImpression: <br />HusbandandWifecouple–nofamily–nootherpersons–noanimals <br />Patientlocation:Patientreclininginchairreclinerinthelivingroomandhashishandsoverhisupperabdomen. <br /> <br />AVPUͲPatientisALERTandorientedtoperson,place,time,andevent <br />Skinpale,cool,andclammy.Approximateweight:220lbsͲNoapparentdistress <br /> <br />PatientComplaint: <br />Patientcomplainsofslightnauseawithoneepisodeofvomiting. <br /> <br />/1SAMPLEHistoryObtained <br />S:Nausea,clammy <br />A:NoKnownDrugAllergies <br />M:Simvastatin,Omeprazole,Nitroglycerintabs <br />P:Hyperlipidemia,cholecystectomy,heartproblem <br />Familialhistory:Brotherdiedfromaheartattackatage62.Fatherdiedfromaheartattackattheageof60. <br />L:3ͲdayͲoldChickenCasseroleapprox.30minutespriortocalling911 <br />E:Thepatienthadjustfinishedeatinga3Ͳdayoldchickencasserolewhenhebegantofeel“slightlynauseated”.Patient <br />wenttothebathroomandvomitedonce.ThepatientapologizestoEMSforbeingcalledtohishouseandstatesthathe <br />“feelsfine”.Thewifeofthepatientlooksatyouandstates,“Iknowmyhusbandandsomethingisjustnotright.Henever <br />getssick.Maybeitwasthecasserole.Pleasehelphim.” <br /> <br />/1OPQRSTHistoryObtained <br />O:19:30–suddenonset–nosignsorsymptomspriortoacuteonset <br />P:Patientwassittingandrestingatonsetofnausea.Nothingmakesitbetter. <br />Q:Patienthasasenseofbeingfull,evenaftervomitingonce. <br />R:Gastric/Epigastricregion,nausea <br />S:Patientisnotexperiencinganypainorpressure <br />T:Onsetofnauseais19:30.EMSdispatchedat20:00. <br />S <br />A <br />M <br />P <br />L <br />E <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD