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
7-year-old school lunch peanut exposure: stridor, urticaria, BP 72/40.
School nurse administered epinephrine auto-injector 5 minutes before EMS arrival.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
BP 72/40, HR 132, SpO₂ 91%; improved hives after first epi, stridor persists.
Anaphylaxis with persistent airway compromise and shock.
Teacher reports student ate classmate's peanut butter sandwich.
Stridor, wheezes, generalized urticaria, angioedema lips.
Known peanut allergy; has EpiPen at school.
Cafeteria served pizza yesterday.
Child likes video games.
Repeat IM epinephrine, IV fluids, albuterol, rapid transport, observe for biphasic reaction.
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
