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
32-year-old 36 weeks pregnant postictal after generalized seizure. BP 182/110.
Husband on scene. Prenatal care at community clinic; no magnesium given prior.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
Husband reports headache and visual changes today then witnessed seizure.
Eclampsia with severe preeclampsia features.
BP 182/110, HR 108, SpO₂ 97%; fetal heart tones 148.
G1P0, no prior eclampsia; missed appointment last week.
Postictal, left lateral position, 3+ pitting edema lower extremities.
Couple planning baby name discussion.
Apartment painted beige.
Magnesium sulfate per protocol, BP control per protocol, OB emergency transport.
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
