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
Critical care transfer: STEMI patient post fibrinolysis from rural ED to PCI center.
45-minute ground transfer. You assumed care from RN at sending facility.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
Sending facility built 1972.
12-lead: residual ST elevation II/III/aVF; BP 104/68, HR 92.
Hospital cafeteria closed during transfer.
Patient reports mild residual chest pressure 3/10.
Inferior STEMI post fibrinolysis — rescue PCI likely needed.
Continuous monitoring, repeat 12-leads, PCI team notified, ETA 18 minutes.
Dual IVs patent, heparin infusion running per sending orders.
Sending RN reports chest pain onset 2 hours ago; tenecteplase given 40 minutes ago.
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
