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From the pitcher’s mound to the recliner: Where to practice patient assessment skills

Create and complete realistic patient assessment scenarios to challenge EMS students, new EMTs and new paramedics

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Learn to assess and treat patients in the locations you are most likely to find them.

Greg Friese

Assessing patients in various environments is a crucial aspect of EMS. As a student, new EMT or new paramedic It is essential to practice patient assessment skills in different environments. Practice patient assessment skills, including performing a thorough physical examination, obtaining a detailed medical history, and assessing vital signs, in various locations and scenarios to become more proficient and confident in your abilities.

One of the benefits of practicing patient assessment skills in different environments is that it enables EMS providers and healthcare professionals to identify potential hazards and risks. For example, a patient who has fallen in a bathroom may be at risk for further injury if not properly assessed and moved. Similarly, a patient in a car accident may have hidden injuries requiring immediate attention.

Another benefit of practicing patient assessment skills in various locations is that it allows EMS providers to become more familiar with the equipment and tools they will need to use. For instance, a patient who is found in a recliner may require a different approach than one who is found lying in bed.

Where I find patients

I have only responded to a few 911 calls at a high school, college or training center. In every case, the patient was in a hallway, lunch room, or athletics area. I have yet to find a patient seated in a chair at a desk or conference table.

Also, I have worked very few chest pain or cardiac arrest calls where the patient started on a cot or hospital bed at waist level.

Instead, I find patients in the following locations:

  • On the floor
  • In bed
  • In a recliner
  • On the commode
  • In their car
  • At a table in a busy restaurant
  • In a nursing home bed 18” off of the floor
  • On the pitcher’s mound
  • Sitting on the curb

Where do you find patients?

As you prepare patient assessment training scenarios for your students or service members, stage the scenarios in the locations where you actually find patients. As I said, finding a patient sitting at a conference table in a classroom is rare.

Email your ideas and pictures of patient assessment training scenarios to editor@EMS1.com.

This article, originally published June 23, 2009, has been updated

Greg Friese, MS, NRP, is the Lexipol Editorial Director, leading the efforts of the editorial team on Police1, FireRescue1, Corrections1 and EMS1. Greg served as the EMS1 editor-in-chief for five years. He has a bachelor’s degree from the University of Wisconsin-Madison and a master’s degree from the University of Idaho. He is an educator, author, national registry paramedic since 2005, and a long-distance runner. Greg was a 2010 recipient of the EMS 10 Award for innovation. He is also a three-time Jesse H. Neal award winner, the most prestigious award in specialized journalism, and the 2018 and 2020 Eddie Award winner for best Column/Blog. Connect with Greg on Twitter or LinkedIn and submit an article idea or ask questions with this form.

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