Medical Roleplay Ideas

BASIC VITAL SIGNS

Heart rate: 60-100 beats per minute

Respiratory Rate: 12-20 breaths per minute

Spo2: 95-100%

Blood Pressure: 100/70-120/80

Vital signs provided for each scenario are the most commonly seen. Vital signs during each medical emergency can depend on the person.

Medical Roleplay Ideas

Basic Life Support (BLS)

BLS is skills provided by an EMR or EMT. Typically an EMT is capable at rendering immediate care to critical injuries to stabilize  a patient to get them transported to the hospital. In CZLC, EMTs are granted a significantly greater scope of practice compared to real life standards simply due to the nature of the calls we receive. With this in mind, despite the fact that some calls might by handled by a Paramedic in the real world, our EMTs are prepared for a large array of calls!

Advanced Life Support (ALS)

ALS is only performed by Paramedics and is specific to RCFD. Though there are law enforcement units who are trained paramedics, they are only allowed to operate if they work for LCEMS under RCFD. Paramedics are able to handle a huge array of calls. They are masters of stabilizing critical patients. ALS providers are capable of handling both medical and trauma patients. They have the most in-depth knowledge of medications and skills to be able to offer excellent care to the citizens of CZLC.


Anaphylaxis (Severe Allergic Reaction)

Many people have allergies. Anaphylaxis is a life threatening emergency that requires swift action by medical professionals to cure. Anaphylaxis will cause the following:

Vital Signs:

Heart rate: Tachycardia - greater than 100 bpm

Respiratory Rate: tachypneic - Greater than 20 breaths per minute

Oxygen Saturation: hypoxic - lower than 95%

Blood Pressure: hypotensive - lower than 90/60

Treatment for Anaphylaxis is the use of epinephrine, typically in the form of an auto-injector via an EpiPen.

Additional Resources:
https://www.mayoclinic.org/diseases-conditions/anaphylaxis/symptoms-causes/syc-20351468 

Diabetic Emergency - Hypoglycemia (Low Blood Sugar)

Diabetes is increasingly common, especially within the US. Diabetics have issues controlling their blood sugar levels. Typically, diabetics will need to take insulin, a product in the body that breaks down sugars, in order to stay within normal limits. This medication can be extremely dangerous if it's taken in excess or is not followed by food after eating. This can cause the blood sugar levels in the body to drop significantly, going from minor disorientation all the way up to unresponsive and not breathing. Common signs of mild-moderate hypoglycemia is:

Vital Signs:

Heart rate: Tachycardia (fast heart rate, above 100)

Respiratory rate: Normal or mildly bradypneic (slow respirations, less than 12)

Oxygen Saturation: Normal (above 95%)

Blood Pressure: Normal or mildly hypotensive (low blood pressure below 100/70)


For more sever hypoglycemia, some common signs and symptoms are:

Vital Signs:

Heart Rate: Bradycardic (slow heart rate, below 60)

Respiratory Rate: Bradypneic (slow respirations, below 10)

Oxygen Saturation: Hypoxic (low oxygen saturation, below 90%)

Blood Pressure: Hypotensive (low blood pressure, below 100/70)


Additional Resources:
https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685 

Diabetic Emergency - Hyperglycemia (High Blood Sugar)


Diabetes is increasingly common, especially within the US. Diabetics have issues controlling their blood sugar levels. Hyperglycemia is the event in which a blood glucose level has become higher than normal. Normal causes of hyperglycemia may include stress, illness, eating too much, a lack of exercise, dehydration, missing a dose of diabetes medication used to lower blood pressure.

Signs/Symptoms:

Vital Signs:

Heart rate: Tachycardia (fast heart rate, above 100)

Respiratory rate: Normal or mildly tachypneic (high respirations, greater than 20)

Oxygen Saturation: Normal (above 95%)

Blood Pressure: Normal or mildly hypertensive (high blood pressure above 130/90)


Additional Resources:

https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685

Cardiac Emergency - Heart Attack


In the United States, someone has a heart attack every 40 seconds. Heart attacks are a very common cardiac medical emergency that require immediate treatment. Heart attacks occur fatty, cholesterol-containing deposits build up over time, forming plaques in the heart's arteries. If a plaque ruptures, a blood clot can form. This blood clot can block oxygenated blood to the rest of the heart, leading to a heart attack.

Signs/Symptoms:

VITAL SIGNS:

Heart rate: tachycardic, usually between 110-120bpm

Respiratory Rate: Normal or slightly elevated - 22-25 breaths per minute

Oxygen Saturation: Normal

Blood Pressure: Normal or slightly elevated - above 120/80

Identification of heart attacks are very crucial to the treatment process. A heart attack can be identified by a medical provider by using a EKG which shows electrical activity in the heart. There would be an abnormal elevation of the wave called the ST wave. 


More information about heart attacks can be found here: 

https://www.mayoclinic.org/diseases-conditions/heart-attack/symptoms-causes/syc-20373106


Cardiac Emergency - Abnormal Rhythm


When your heart beats abnormally, it is known as an arrhythmia. This occurs when the electrical signals that coordinate your heart beats don't work properly. There are so many different types of arrhythmias which will be listed below.

These rhythms can be identified on a test done by a EMS provider known as a electrocardiogram (EKG) which shows the electrical activity in the heart.


Link for description for each: 

https://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/symptoms-causes/syc-20350668



Respiratory Emergency: Asthma Attack


Asthma is a common chronic medical condition that affects your lungs. Mucus builds up causing narrowing and swelling of the airway which can lead to difficulty breathing. Asthma can interfere with daily activities and can be triggered by different things. It is usually managed by a rescue inhaler, which should be carried at all times by someone with asthma. 

Signs/Symptoms:

VITAL SIGNS:

Heart rate: tachycardic - Greater than 120bpm

Respiratory Rate: tachypneic - Greater than 20 breaths per minute

Oxygen Saturation: hypoxic - Lower than 90%

Blood Pressure: hypertensive - Greater than 120/80


For more information, use the link below:

https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653


Neurological Emergency: Stroke

A stroke is a medical emergency that occurs when a blod clot blocks a blood vessel in the brain leading to the brain to not have full blood supply. If not treated immediately, it can lead to brain damage, disability, and even death. This is why it's important to know the signs of a stroke. 

Signs/Symptoms:

VITAL SIGNS:

Heart rate: tachycardic - Greater than 100bpm

Respiratory Rate: bradypneic - Less than 12 breaths per minute

Oxygen Saturation: hypoxic - Less than 92%

Blood Pressure: hypertensive -  Greater than 120/80


For more information, use the site listed below:

https://www.mayoclinic.org/diseases-conditions/stroke/symptoms-causes/syc-20350113


Neurological Emergency: Seizure

A seizure is a sudden, uncontrolled electrical disturbance in the brain causing involuntary movements. A person can be diagnosed with epilepsy, which is when the seizures are reoccuring. There can be different triggers to seizures such as: high fever, abnormal glucose levels, alcohol, use of certain medications, etc. 

Signs of a seizure about to occur are:

Seizure Symptoms:

After Seizure: 

Vital Signs After Seizure:

Heart rate: tachycardic - Greater than 100 bpm

Respiratory Rate: tachypneic - Greater than 20 breaths per minute

Oxygen Saturation: hypoxic - Less than 95%

Blood Pressure: hypertensive - Greater than 120/80


For more information, use the link provided below:

https://www.mayoclinic.org/diseases-conditions/seizure/symptoms-causes/syc-20365711#:~:text=A%20seizure%20is%20a%20sudden,generally%20considered%20to%20be%20epilepsy.


Overdose

An overdose can occur when a person takes more of a substance than recommended. Usually it is too much of medications or illegal drugs. It can result in serious symptoms and even death depending on the amount taken and severity of reaction.

Signs/Symptoms:

Vital Signs:

Heart rate: bradycardic - less than 60bpm or loss of pulse (cardiac arrest)

Respiratory Rate: bradypneic - less than 12 breaths per minute or loss of respiratory rate 

Oxygen Saturation: hypoxic - Less than 95%

Blood Pressure: hypotensive - less than 90/60


For more info, a link is provided below.

https://americanaddictioncenters.org/overdose


Hypothermia (Low Body Temperature)

A normal body temperature is between 97* F to 99* F. When a persons temperature is under 97*, it is considered hypothermia. This occurs when the body loses heat faster than it can produce heat. When this occurs, if it is low enough, it can be very dangerous. It can be caused by inappropriate clothing in cold weather, falling into cold water, staying out on the cold too long, etc. This can cause the bodys nervous system (such as brain) or heart to not be able to work properly. 

Signs/Symptoms:

Vital Signs:

Heart rate: tachycardic - Less than 60bpm

Respiratory Rate: bradypneic - Less than 12 breaths per minute

Oxygen Saturation: hypoxic - Less than 95%

Blood Pressure: hypotensive - Less than 90/60


For more info on hypothermia, a link is provided below.

https://www.mayoclinic.org/diseases-conditions/hypothermia/symptoms-causes/syc-20352682#:~:text=Hypothermia%20is%20a%20medical%20emergency,95%20F%20(35%20C).


General Sickness/Infection

A lot of people experience the flu or head cold occasionally. However, when people with the sickness experience complications, it can be a serious issues. People may experience dehydration, severe fever, or just severe weakness. This may cause people to use emergency services to recieve care from the hospital. If you are interested in creating a call for a general sickness, you can recieve information about it by just looking it up! Some common ones are pneumonia, flu, Strep, and much more!

Carbon Monoxide Poisoning

Carbon monoxide poisoning is a common illness that occurs when natural gas leaks into the air and it is inhaled for an extended period of time. This causes the body to replace oxygen in your red blood cells with carbon monoxide in the blood which can lead to serious illness.

Symptoms:

Vital Signs:

Heart rate: higher than 100bpm

Blood Pressure: lower than 90/60

Oxygen Saturation: 95-100% because the carbon monoxide takes place of the oxygen making the reading seem normal.

Respiratory Rate: higher than 20 breaths per minute

For more information, a link is provided below.

https://www.mayoclinic.org/diseases-conditions/carbon-monoxide/symptoms-causes/syc-20370642