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
ESRD patient missed dialysis: weakness, peaked T waves on monitor.
Family reports nausea and skipped last two sessions. AV fistula arm present.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
Patient watches dialysis unit TV game shows.
K+ 7.1 mEq/L on i-STAT; BP 102/64, HR 52.
Life-threatening hyperkalemia with bradycardia.
Calcium chloride, albuterol, insulin-dextrose per protocol, emergent dialysis-capable ED.
Patient reports progressive weakness and palpitations over two days.
Fistula placed 2018.
ESRD on hemodialysis TThS; last session 5 days ago.
Muscle weakness, prolonged PR and peaked T waves on 4-lead.
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
