FRIST AID

SCENARIO
LIBRARY

Malaysian Red Crescent Society Johor Bahru Chapter

Youth Unit 48
Frist Aid & Volunteer Development Department

SCENARIO 1: A FEW STEPS TOO FAR

Scenario Overview:

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.

How the Scenario should

progress:
The patient will be very hot and
dehydrated. With active cooling,
they will begin to recover and
become more alert. If the patient is
not cooled, you should get them to
deteriorate.

PATIENT 1 :
A FEW STEPS TOO FAR
Name: Taylor Lynch Age: 36 Sex: Male
Medication: Salbutamol Inhaler
Allergies: None known
Past medical/family/social history: Usually fit and well. Hadn't done that much prep

for this race but thought they'd give it a go.

Findings on examination: The patient is very warm to touch and is covered in sweat.

They are a bit confused and don't seem 100% sure of where they are. They have an
elevated pulse and are breathing fairly quickly and shallowly. The patient appears a bit
sunburnt on his arms and face. The first aiders don't find any injuries from falling onto
the road.

Possible treatment from first aiders: Try to actively cool the patient with whatever

is available to them. Take a good history and assessment of the patient and monitor. If
they cool the patient and they consequently improve, make decision on whether they
need hospital or not.

 Time after start:

Response:
Airway:

Voice
Yes

Respirations:
Pulse:

0 mins

130

5 mins (assuming cooling)

Alert

Yes

10 mins

Alert
Yes

28 shallow23 more
110

normal18 normal
101

Oxygen Sats:

94% on air

Temperature:

38.5

95% on air

37.8

37.2

Tips for patient actor :

Act much more confused at the beginning but get more with
it later on if the first aiders cool you down. If they do not try
and cool you down, you will deteriorate.

95% on air

SCENARIO: ARE YOU

CHOKING?
Scenario Overview:

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.

How the Scenario should progress:

If the first aider carries out

appropriate treatment, the blockage
will be freed and the patient will be
able to breathe again. If the first aider
does not carry out the treatment or is
slow, the patient will become
unresponsive and not breathing. Get
the first aider to go through both back
blows and abdominal thrusts before
the airway is cleared.

PATIENT 1:
ARE YOU CHOCKING?
Name: Willis Caldwell Age: 42 Sex: Male
Medication: The patient's friend tells you the patient just has a blue inhaler for their

asthma.

Allergies: None known

Past medical/family/social history: Asthma, none other known.
Findings on examination: The patient will become more cyanosed looking over time whilst

the blockage is still there. If asked if they can cough or speak, patient just shakes their head.
The patient is becoming more panicked, their eyes are wide and pulse has increased.

Possible treatment from first aiders: After quickly establishing that the patient is

choking, they should give rounds of back blows and abdominal thrusts until the blockage is
cleared. (Although don't actually do the abdominal thrusts if you are using a real person as
your actor!). They should recognise that the patient still needs hospital assessment if
abdominal thrusts have been used.

 Time after start:

Response:
Airway:

Alert

After airway cleared

Alert

No, blocked with food

Respirations:
Pulse:

0 mins

Yes

20

118

Tips for the patient actor:

If they ask if you can cough or speak, just shake you head.
Try to act distressed and panicked. Don't let them actually
do an abdominal thrust on you!

DRSABC
Compres
s

Danger

Breathin
g

Response

Airway

Shout for
HELP