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
Unrestrained driver, positive LOC, GCS 10, lateralizing left, pupil 5 mm right.
Extrication 8 minutes. C-spine immobilized. Mechanism: high-speed frontal impact.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
BP 158/92, HR 54, SpO₂ 96% on high-flow; scalp hematoma.
Traffic delayed by construction unrelated to crash.
Moderate TBI with unilateral pupillary change — herniation concern.
Prevent hypoxia/hypotension, head elevation 30°, Level I trauma alert, 12-minute ETA.
Vehicle was blue sedan.
Patient confused, repeats questions; denies alcohol use.
GCS 10 (E3V3M4), right pupil 5 mm sluggish, left hemiparesis.
Bystander reports driver struck steering wheel; brief LOC.
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
