How this exercise works
Sort ALS narrative elements into SOAP sections or discard non-clinical filler. Advanced calls include more objective data, interventions, and reassessment findings.
Fundamental concept
Building paramedic PCRs that capture interventions, reassessment, medical direction, and critical time stamps for ALS calls.
Read: Advanced ALS Documentation & SOAP Narratives →Scenario
Witnessed VF arrest, ROSC after 3 shocks and epinephrine. Now intubated, EtCO₂ 38, MAP 55.
Bystander CPR in progress on arrival. Family present; wife provided medical history.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
Return of spontaneous circulation after VF arrest; post-intubation hypotension.
Neighbor brought coffee for crew.
Post-ROSC: GCS 6, pupils 3 mm reactive, EtCO₂ 38, SpO₂ 96% on vent.
Living room TV was tuned to a cooking channel.
Avoid hyperventilation, maintain MAP, norepinephrine infusion, hypothermia-capable center.
Wife reports sudden collapse while watching television; no chest pain beforehand.
Known CAD with stent 2019; takes metoprolol and aspirin.
BP 92/48 after push-dose pressor; 12-lead sinus tach, no STEMI.
Trash (not charted)
0Drop useless or irrelevant statements here
S, Subjective
0Drop statements here
O, Objective
0Drop statements here
A, Assessment
0Drop statements here
P, Plan
0Drop statements here
