Statewide Medical and Health Exercise Actor Card Completed
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[INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 1
PATIENT INFORMATION:
Name: Francisco McGilleain Age: 38 Gender: M Blood Pressure: 100/76 Heart Rate: 120 Respiratory Rate: 24 Temperature: 96.8F Weight (lb): 220 Weight (kg): 100 Chief Complaint: Dizziness, leg pain History: Ex-military with a history of PTSD
MEDICAL CENTER INFORMATION:
Other: Was the second security guard that was onsite during the event. He saw the van lurching into the crowd and attempted to alert people of danger but was trampled in the process Additional Information: Extreme fatigue, emotionally agitated, worried about his security guard counterpart and other event victims
Medical Record Number: ______
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Instructions: Act confused and repeat responses Acting tips: Continually tell staff to ignore you and help others. Diagnosis: Broken extremities
1 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 2
PATIENT INFORMATION:
Name: Arden Prinz*** Age: 30 Gender: F Blood Pressure: 80/50 Heart Rate: 142 Respiratory Rate: 28 Temperature: 99.1F Weight (lb): 154.3234 Weight (kg): 70 Chief Complaint: Dizziness, extreme neck and back pain History: None
MEDICAL CENTER INFORMATION:
Other: Daughter of Nadia Prinz (#3) Additional Information: Responsive. Follows commands. Oriented but anxious. Unable to walk
Medical Record Number: ______
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Instructions: Crying, in extreme pain, but responsive and following commands. Weak and tired Acting tips: Scared and crying. Does not like needles or doctors, and is anxious about her mother. Very weak. Diagnosis: Concussion, trauma to neck and back
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 3
PATIENT INFORMATION:
Name: Nadia Prinz*** Age: 61 Gender: F Blood Pressure: 70/40 Heart Rate: 130 Respiratory Rate: 30 Temperature: 99.5 Weight (lb): 176.3696 Weight (kg): 80 Chief Complaint: Dizziness, unable to stand, pain in hip and back History: None
MEDICAL CENTER INFORMATION:
Other: Mother of Arden Prinz (#2) Additional Information:
Medical Record Number: ______
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Instructions: Follows commands, unable to walk, worried about her daughter Acting tips: Keep asking about the condition of your daughter. Diagnosis: Concussion, trauma to neck and back
3 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 4
PATIENT INFORMATION:
Name: Lucas Declan Age: 28 Gender: M Blood Pressure: 160/70 Heart Rate: 100 Respiratory Rate: 24 Temperature: 99.5 Weight (lb): 185.18808 Weight (kg): 84 Chief Complaint: Compound fracture, right forearm History: None
MEDICAL CENTER INFORMATION:
Other: Was standing in a circle of friends when a white van plowed into them Additional Information:
Medical Record Number: ______
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Instructions: Oriented but confused and in pain. Able to follow commands. No respiratory complaints Acting tips: Say you were the first one to see the van but were unable to warn your friends in time. Get upset and snap at the doctors or nurses trying to treat you Diagnosis: Broken extremities. Possible shock or head trauma
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 5
PATIENT INFORMATION:
Name: Elijah Regenbogen Age: 30 Gender: M Blood Pressure: 118/72 Heart Rate: 112 Respiratory Rate: 24 Temperature: 98.6F Weight (lb): 132.2772 Weight (kg): 60 Chief Complaint: Anxious and confused History: Panic attacks
MEDICAL CENTER INFORMATION:
Other: Was getting drinks for a group of friends when he witnessed the van plow into the crowd Additional Information: Able to follow directions
Medical Record Number: ______
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Instructions: Aware, knows name and location but slow to respond. Very quiet, shows very little emotion Acting tips: Able to walk. Worried about your friends, but you keep quiet and reserved, not very responsive or emotional. Mumble, saying they were at the event because of you, that you think its your fault. Diagnosis: Injured by debris and other fleeing victims
5 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 6
PATIENT INFORMATION:
Name: Edmund Green Age: 33 Gender: M Blood Pressure: 132/88 Heart Rate: 90 Respiratory Rate: 24 Temperature: 98.6F Weight (lb): 154.3234 Weight (kg): 70 Chief Complaint: Bleeding from a scalp wound History: None
MEDICAL CENTER INFORMATION:
Other: Was standing in a circle of friends when a white van plowed into them Additional Information:
Medical Record Number: ______
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Instructions: Aware, knows name and location. Able to follow directions, moving all extremities, able to walk Acting tips: Complain of a headache and tingling sensation in the arms. Tell doctors you saw the driver as he escaped from the van, and you would like to talk to police so you can tell them what he looked like. Diagnosis: Possible head trauma
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 7
PATIENT INFORMATION:
Name: Billie Kemp*** Age: 30 Gender: M Blood Pressure: 120/70 Heart Rate: 90 Respiratory Rate: 20 Temperature: 97.1 Weight (lb): 141.09568 Weight (kg): 64 Chief Complaint: Can't feel anything below his waist History: Social anxiety disorder
MEDICAL CENTER INFORMATION:
Other: Was standing in a circle of friends when he saw his friends face turn into an expression of horror. Felt the blunt force of a vehicle hit him from behind Additional Information: Aware of place and time, knows name. Unable to follow directions.
Medical Record Number: ______
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Instructions: Quiet, withdrawn. Not responsive to questions Acting tips: Act withdrawn. Stare at your legs. Unresponsive to questions from staff. Diagnosis: Both legs deformed, crushed
7 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 8
PATIENT INFORMATION:
Name: Cassandra Moore Age: 44 Gender: F Blood Pressure: 175/89 Heart Rate: 110 Respiratory Rate: 28 Temperature: 98 Weight (lb): 198.4158 Weight (kg): 90 Chief Complaint: Confused, shallow breathing History: Ex-military with history of PTSD
MEDICAL CENTER INFORMATION:
Other: She was walking with a friend to the food table when a white vehicle attempted to hit them. Her friend pushed her out of the way Additional Information: Knows name, date, and what happened
Medical Record Number: ______
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Instructions: Weak, fatigued, dizzy Acting tips: Moaning, asking for your friend Diagnosis: Chest pain with possible broken ribs
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 9
PATIENT INFORMATION:
Name: Bonnie Lemieux Age: 46 Gender: F Blood Pressure: 130/90 Heart Rate: 92 Respiratory Rate: 22 Temperature: 98.7F Weight (lb): 154.3234 Weight (kg): 70 Chief Complaint: Extreme pain radiating from legs History: Latex allergy
MEDICAL CENTER INFORMATION:
Other: Was walking with a friend to the food table when she heard screams and noticed the approaching van. She pushed her friend out of the way but was not able to move out of the way Additional Information: Anxious, unable to walk. Worried about her friend.
Medical Record Number: ______
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Instructions: Panicky, anxious Acting tips: Act easily upset, panicky, nervous. State that you are worried you might not walk again. Ask about your friend, if she's being treated here too. Tell doctors you are worried about your friend because she has a history of PTSD and doesn't do well with stress Diagnosis: Both feet crushed by van
9 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 10
PATIENT INFORMATION:
Name: Jaylene Peck Age: 56 Gender: F Blood Pressure: 110/60 Heart Rate: 88 Respiratory Rate: 30 Temperature: 98.6F Weight (lb): 196.21118 Weight (kg): 89 Chief Complaint: Cuts on face, eye pain History: Diabetic
MEDICAL CENTER INFORMATION:
Other: Heard screams and was impacted by shards of glass and flying debris as van lurched through the event Additional Information: Able to walk
Medical Record Number: ______
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Instructions: Aware, knows name and location but complains she cannot see Acting tips: Tell staff that you won't let them see your eye because it will hurt more. Diagnosis: Facial injuries, debris in left eye
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 11
PATIENT INFORMATION:
Name: Phillip Espinoza Age: 27 Gender: M Blood Pressure: 165/80 Heart Rate: 90 Respiratory Rate: 24 Temperature: 99.9 Weight (lb): 158.73264 Weight (kg): 72 Chief Complaint: Headache, sweaty, pain in extremities History: Bipolar Disorder, medicated (Seroquel)
MEDICAL CENTER INFORMATION:
Other: Was a waiter at the event when the van plowed through the crowd Additional Information: Shaking, slightly delirious
Medical Record Number: ______
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Instructions: Panicky, anxious Acting tips: Act very unwell. Moan, cry. Do not follow commands. Tell doctors you need your medication (Seroquel). Diagnosis: Bone projecting from right leg
11 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 12
PATIENT INFORMATION:
Name: Graciela Carter*** Age: 16 Gender: F Blood Pressure: 90/60 Heart Rate: 132 Respiratory Rate: 32 Temperature: 99F Weight (lb): 110.231 Weight (kg): 50 Chief Complaint: Abdominal gun shot wound History:
MEDICAL CENTER INFORMATION:
Other: Unresponsive, unable to follow commands Additional Information:
Medical Record Number: ______
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Instructions: Moaning only Acting tips: Act very unwell. Moan, cry. Do not follow commands. Diagnosis: Internal injuries
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 13
PATIENT INFORMATION:
Name: Augustyn Chelle*** Age: 36 Gender: F Blood Pressure: 92/64 Heart Rate: 127 Respiratory Rate: 24 Temperature: 98.6F Weight (lb): 207.23428 Weight (kg): 94 Chief Complaint: Visible chest injury History: None
MEDICAL CENTER INFORMATION:
Other: Confronted shooters and began yelling and throwing objects to distract them from students Additional Information: Unable to walk
Medical Record Number: ______
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Instructions: Unresponsive, unable to follow commands Acting tips: Moaning only. Diagnosis: Internal injuries
13 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 14
PATIENT INFORMATION:
Name: Taylor Mah*** Age: 17 Gender: F Blood Pressure: 130/70 Heart Rate: 110 Respiratory Rate: 18 Temperature: 99F Weight (lb): 121.2541 Weight (kg): 55 Chief Complaint: Shot in the neck History: Blind
MEDICAL CENTER INFORMATION:
Other: Was heading to class with her guide dog, heard screaming and running, felt a shot to her neck and collapsed Additional Information:
Medical Record Number: ______
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Instructions: Unable to walk Acting tips: Clutch your neck wound, cry and ask for someone to find your guide dog. Your dog ran off after the accident and you need him and want to make sure he's ok. Diagnosis: Gun shot wound to the neck
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 15
PATIENT INFORMATION:
Name: Denis Loup Age: 56 Gender: M Blood Pressure: 140/80 Heart Rate: 110 Respiratory Rate: 20 Temperature: 98.6F Weight (lb): 176.3696 Weight (kg): 80 Chief Complaint: Shot in the left hip History:
MEDICAL CENTER INFORMATION:
Other: Was to the right of the shooters as they drew their weapons and began the assault Additional Information:
Medical Record Number: ______
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Instructions: Frantic Acting tips: Worried about students and coworkers in the building Diagnosis: Internal injuries
15 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 16
PATIENT INFORMATION:
Name: Arielle Apted Age: 16 Gender: F Blood Pressure: 160/90- HIGH BP -PRE -ECLAMPSIA Heart Rate: 115 Respiratory Rate: 30 Temperature: 99 Weight (lb): 198.4158 Weight (kg): 90 Chief Complaint: Back and neck pain History: 33 weeks pregnant
MEDICAL CENTER INFORMATION:
Other: Was heading to class when the incident occurred Additional Information: Hyperventilating
Medical Record Number: ______
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Instructions: Experiencing abdominal cramping and light spotting Acting tips: Frantically ask if you're in labor and if your baby is OK. Ask for your mother to be called. Diagnosis: Possible early labor
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 17
PATIENT INFORMATION:
Name: Mailys Lucas Age: 14 Gender: F Blood Pressure: 110/60 Heart Rate: 82 Respiratory Rate: 20 Temperature: 98.6F Weight (lb): 88.1848 Weight (kg): 40 Chief Complaint: Pain in left ankle History: Diagnosed ADHD patient
MEDICAL CENTER INFORMATION:
Other: Was walking to class when she and other students heard gun shots and screaming. She tripped and twisted her ankle but hid in a locker for safety Additional Information:
Medical Record Number: ______
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Instructions: Able to follow directions. Worried Acting tips: Act in severe pain but tell caregivers that you are lucky you were small enough to fit in a locker. Keep asking about classmates - list names, asking if they are at the hospital too. Diagnosis: Left ankle swollen and deformed
17 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 18
PATIENT INFORMATION:
Name: Alex Soto Age: 16 Gender: M Blood Pressure: 150/80 Heart Rate: 92 Respiratory Rate: 24 Temperature: 100.1 Weight (lb): 116.84486 Weight (kg): 53 Chief Complaint: Trauma to left shoulder History: None
MEDICAL CENTER INFORMATION:
Other: Heading to class when the indent started Additional Information:
Medical Record Number: ______
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Instructions: Alert and oriented Acting tips: Act panicked and scared. Ask for your parents and if your arm will need to be amputated Diagnosis: Gun shot wound to left shoulder
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 19
PATIENT INFORMATION:
Name: Nora Lennon*** Age: 15 Gender: F Blood Pressure: 142/82 Heart Rate: 84 Respiratory Rate: 16 Temperature: 98.6F Weight (lb): 132.2772 Weight (kg): 60 Chief Complaint: Facial injuries. Unable to hear History: Panic disorder
MEDICAL CENTER INFORMATION:
Other: Was walking through the front entrance when the shooting started. She caught a bullet to the left side of her face, part of her cheek and ear was severed off Additional Information:
Medical Record Number: ______
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Instructions: Dizzy, frantic, unable to follow directions Acting tips: With a loud voice, tell people you cannot hear. Ask repeatedly what is happening. Start to panic. Diagnosis: Severe facial wound
19 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 20
PATIENT INFORMATION:
Name: Clive Blythe Age: 17 Gender: M Blood Pressure: 160/90 Heart Rate: 130 Respiratory Rate: 32 Temperature: 98.9 Weight (lb): 191.80194 Weight (kg): 87 Chief Complaint: Gun shoot wound to the back and chest History: None
MEDICAL CENTER INFORMATION:
Other: Came into school with his little sister. Attempted to shield her when the shooting started Additional Information:
Medical Record Number: ______
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Instructions: In pain, weak, shortness of breath, able to follow commands Acting tips: Softly ask about the whereabouts and condition of your sister. Diagnosis: Internal injuries
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 21
PATIENT INFORMATION:
Name: Joseline Bythe*** Age: 15 Gender: F Blood Pressure: 75/40 Heart Rate: 140 Respiratory Rate: 18 Temperature: 99.5 Weight (lb): 127.86796 Weight (kg): 58 Chief Complaint: Internal trauma History: None
MEDICAL CENTER INFORMATION:
Other: She had lost a lot of blood due to gun shot wound to the chest. She is the sister of Clive Blythe ( #20) - HYPOVOLEMIC Additional Information: Barely able to follow directions
Medical Record Number: ______
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Instructions: Weak, fatigued, dizzy Acting tips: You struggle to remain conscious Diagnosis: Suspect severe internal injuries
21 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 22
PATIENT INFORMATION:
Name: Vincent Garver Age: 38 Gender: M Blood Pressure: 80/40 Heart Rate: 120 Respiratory Rate: 20 Temperature: 98.6F Weight (lb): 198.4158 Weight (kg): 90 Chief Complaint: Major crushing injuries to lower abdomen History:
MEDICAL CENTER INFORMATION:
Other: Garver was driving his son (#23) to school when the traffic accident occurred Additional Information: Able to follow commands, but cannot walk
Medical Record Number: ______
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Instructions: Moans to painful stimulation Acting tips: Act frantic and tell the hospital staff that you didn't cause the accident. Moan in pain when abdomen is pressed. Diagnosis:
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 23
PATIENT INFORMATION:
Name: Lu Garver*** Age: 10 Gender: M Blood Pressure: 80/40 Heart Rate: 80 Respiratory Rate: 20 Temperature: 98.9F Weight (lb): 105.82176 Weight (kg): 48 Chief Complaint: Crush injury to foot History:
MEDICAL CENTER INFORMATION:
Other: Son to (#22) Additional Information: Able to follow directions
Medical Record Number: ______
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Instructions: Alert and oriented Acting tips: Crying and anxious. Repeatedly ask: where is my father? Diagnosis: Severe fracture
23 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 24
PATIENT INFORMATION:
Name: Marion Ward Age: 42 Gender: F Blood Pressure: 120/74 Heart Rate: 78 Respiratory Rate: 18 Temperature: 98.6F Weight (lb): 136.68644 Weight (kg): 62 Chief Complaint: Crush injuries to right arm History: None
MEDICAL CENTER INFORMATION:
Other: Was driving to work when she was involved in the multi- car pileup. A good Samaritan transported her to the hospital Additional Information:
Medical Record Number: ______
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Instructions: Alert and oriented Acting tips: Your body is extremely stiff and mention that it hurts to move your arm. Diagnosis:
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 25
PATIENT INFORMATION:
Name: Freddy Zamorano Age: 24 Gender: M Blood Pressure: 120/80 Heart Rate: 90 Respiratory Rate: 28 Temperature: 99 Weight (lb): 165.3465 Weight (kg): 75 Chief Complaint: No visible injuries, wheezing and short of breath History: Asthma
MEDICAL CENTER INFORMATION:
Other: Driving for Uber when he was involved in the accident. In the aftermath of the accident he witnessed a man running along the highway and away from the scene Additional Information:
Medical Record Number: ______
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Instructions: Wheeze, act scared Acting tips: Bend over wheezing, asking for your inhaler, which you left in your car. Ask if you should be talking to the police. Say that you think you saw the face of a man running away from the accident and that you want to do the right thing and report it. Diagnosis: Asthma attack
25 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 26
PATIENT INFORMATION:
Name: Rolo Burke Age: 50 Gender: M Blood Pressure: 76/30 Heart Rate: 110 Respiratory Rate: 30 Temperature: 101.3 Weight (lb): 264.5544 Weight (kg): 120 Chief Complaint: Fractured femur History: Diabetic type I, history of depression
MEDICAL CENTER INFORMATION:
Other: Was driving a cargo truck when suddenly the truck was hit by a black van. The truck swerved and was knocked onto its side blocking traffic Additional Information:
Medical Record Number: ______
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Instructions: Nausea, weak, pale, cold sweat, severe leg pain (10 out of 10) Acting tips: Clutch your leg, in severe pain and shock. Short of breath. Disoriented. Pretend you cannot hear some of the questions that staff is asking you. Diagnosis: Shock, fractured femur, elevated WBCs
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 27
PATIENT INFORMATION:
Name: Jinan Ash*** Age: 28 Gender: F Blood Pressure: 76/60 Heart Rate: 160 Respiratory Rate: 18 Temperature: 98.6 Weight (lb): 121.2541 Weight (kg): 55 Chief Complaint: Visible head injury History: None
MEDICAL CENTER INFORMATION:
Other: Does not speak English Additional Information: Cannot walk
Medical Record Number: ______
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Instructions: Cannot follow commands, but unsure if it's due to language barrier or head injury Acting tips: Moaning loudly, only whimper "no English." Diagnosis:
27 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 28
PATIENT INFORMATION:
Name: Lolita Berger Age: 39 Gender: F Blood Pressure: 130/82 Heart Rate: 108 Respiratory Rate: 25 Temperature: 98F Weight (lb): 132.2772 Weight (kg): 60 Chief Complaint: Confused, complaining of difficulty breathing History: None
MEDICAL CENTER INFORMATION:
Other: Was on her way to the gym when the crash happened. Self-transported to the hospital Additional Information: Follows commands. No respiratory distress.
Medical Record Number: ______
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Instructions: Acting tips: Repeatedly ask if anyone else saw the man running away from the scene of the incident. Ask if the crash was related to the other incidents you heard about on the radio - the shooting at the school or the van hitting the crowd earlier today? Is this another attack? Diagnosis: Worried and anxious but no physical injuries
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 29
PATIENT INFORMATION:
Name: Elijah Beyer Age: 18 months Gender: M Blood Pressure: 75/48 Heart Rate: 124 Respiratory Rate: 140 Temperature: 98.9 Weight (lb): 22.0462 Weight (kg): 10 Chief Complaint: Nonstop crying, no visible injuries History: None
MEDICAL CENTER INFORMATION:
Other: Child to Selma Beyer (#30). No visible injuries but cannot stop crying. Was strapped into car seat in the center of the vehicle when another car overturned onto their mini van Additional Information: Baby is crying uncontrollably but otherwise has no injuries
Medical Record Number: ______
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Instructions: Acting tips: Diagnosis:
29 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 30
PATIENT INFORMATION:
Name: Selma Beyer Age: 35 Gender: F Blood Pressure: 124/62 Heart Rate: 86 Respiratory Rate: 16 Temperature: 97.5F Weight (lb): 176.3696 Weight (kg): 80 Chief Complaint: Crying, no visible injuries History: History of depression
MEDICAL CENTER INFORMATION:
Other: Mother to Elijah Beyer (#29) Additional Information: Follows commands. No respiratory distress
Medical Record Number: ______
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Instructions: Alert and oriented to person and place Acting tips: Ask if your baby will be okay. Explain that he hasn't stopped crying since you arrived but that he might just be scared. Diagnosis: Worried and anxious but no physical injuries
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 31
PATIENT INFORMATION:
Name: Augusta Boniva Age: 62 Gender: F Blood Pressure: 80/44 Heart Rate: 38 Respiratory Rate: 14 Temperature: 98.6F Weight (lb): 209.4389 Weight (kg): 95 Chief Complaint: Major head injury, active seizure History: None
MEDICAL CENTER INFORMATION:
Other: Arrived unconscious with a major head injury. Experiences a seizure upon arrival to the ER Additional Information: Cannot walk
Medical Record Number: ______
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Instructions: No respiratory distress, unable to follow commands Acting tips: Pretend to have a seizure by shaking body and limbs. Do not communicate with staff as you are unconscious. Diagnosis:
31 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 32
PATIENT INFORMATION:
Name: Poldi Liu Age: 50 Gender: M Blood Pressure: 110/50 Heart Rate: 70 Respiratory Rate: 22 Temperature: 98.6F Weight (lb): 176.3696 Weight (kg): 80 Chief Complaint: Debris embedded in left arm and left leg. Possible dislocated shoulder History: Pacemaker
MEDICAL CENTER INFORMATION:
Other: Was visiting his grandson in the hospital when there was an explosion Additional Information:
Medical Record Number: ______
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Instructions: Can walk but is in extreme pain doing so Acting tips: It hurts to take a deep breath. Dangle left arm. Ask if anyone knows where your grandson is. Diagnosis: Dislocated shoulder, surface wounds
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 33
PATIENT INFORMATION:
Name: Red Blackburn Age: 44 Gender: M Blood Pressure: 162/82 Heart Rate: 94 Respiratory Rate: 22 Temperature: 98.6F Weight (lb): 220.462 Weight (kg): 100 Chief Complaint: Coughing, angry, combative History: Schizophrenic and not taking medicine; HTN UNCONTROLLED
MEDICAL CENTER INFORMATION:
Other: Was panhandling for money near the rear entrance of the hospital when the explosion happened Additional Information:
Medical Record Number: ______
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Instructions: Can walk, no visible injuries Acting tips: Become angry when staff try to touch you or take your vitals. Demand that you see the President of the United States as soon as he arrives. Diagnosis: Psychotic episode
33 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 34
PATIENT INFORMATION:
Name: Antonia Flores Age: 38 Gender: F Blood Pressure: 100/76 Heart Rate: 120 Respiratory Rate: 24 Temperature: 96.8F Weight (lb): 132.2772 Weight (kg): 60 Chief Complaint: Dizziness, wound above eye History: None
MEDICAL CENTER INFORMATION:
Other: Was entering the hospital to visit her mother when the explosion happened. Does not remember the incident. Daughter of Maria Sanchez (#35) and mother of Oscar Flores (# 36) Additional Information: Extremely fatigued, emotionally agitated, worried about her child who came in with her
Medical Record Number: ______
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Instructions: Act confused, repeat responses and slur words Acting tips: Not able to speak English well. Continually tell staff to ignore you and help your child. Diagnosis: Concussion
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ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 35
PATIENT INFORMATION:
Name: Maria Sanchez*** Age: 65 Gender: F Blood Pressure: 140/80 Heart Rate: 70 Respiratory Rate: 25 Temperature: 99.8 Weight (lb): 176.3696 Weight (kg): 80 Chief Complaint: Debris in right eye, nausea. Cuts on face History: Diabetic
MEDICAL CENTER INFORMATION:
Other: Patient in the hospital when the incident occurred. Mother of Antonia Flores (#34) and Grandmother of Oscar Flores( #36) Additional Information:
Medical Record Number: ______
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Instructions: Frantic Acting tips: Crying, worried about her daughter and grandson who might have been arriving at the same time. Diagnosis: Suspected head trauma
35 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 36
PATIENT INFORMATION:
Name: Oscar Flores Age: 4 Gender: M Blood Pressure: 70/40 Heart Rate: 130 Respiratory Rate: 30 Temperature: 98.6F Weight (lb): 59.52474 Weight (kg): 27 Chief Complaint: Burns to legs and hands History: None
MEDICAL CENTER INFORMATION:
Other: Child of Antonia Flores (#34) Additional Information:
Medical Record Number: ______
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Instructions: Follows commands, unable to walk Acting tips: Keep screaming in pain for your mom. Diagnosis: Burn injuries
36[Type text] [Type text] [Type text] [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 37
PATIENT INFORMATION:
Name: Meriel Bocker*** Age: 42 Gender: F Blood Pressure: 120/74 Heart Rate: 78 Respiratory Rate: 18 Temperature: 98.6F Weight (lb): 136.68644 Weight (kg): 62 Chief Complaint: Unable to hear History: None
MEDICAL CENTER INFORMATION:
Other: Front desk receptionist, heard a loud blast followed by ringing in the ears. Cannot hear anything Additional Information:
Medical Record Number: ______
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Instructions: Pretend you cannot hear, talk loudly Acting tips: Act alert but frustrated because you cannot hear. Ask for a pen and paper to communicate. Tell them you are in pain. Diagnosis: Hearing loss, minor burn injuries
37 [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 38
PATIENT INFORMATION:
Name: Ysabella Mendelsohn Age: 41 Gender: F Blood Pressure: 80/40 Heart Rate: 120 Respiratory Rate: 20 Temperature: 98.6F Weight (lb): 143.3003 Weight (kg): 65 Chief Complaint: Major crushing injuries to lower abdomen History: None
MEDICAL CENTER INFORMATION:
Other: Ysabella is a doctor and was making her rounds when the explosion occurred Additional Information: Able to follow commands, but cannot walk
Medical Record Number: ______
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Instructions: Moans to painful stimulation Acting tips: Act frantic and tell the hospital they need to find out how this happened. Moan in pain when abdomen is pressed. Diagnosis: Suspected severe internal injuries
38[Type text] [Type text] [Type text] [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE ACTOR CARDS
ACTOR INFORMATION CARD
EMS INFORMATION: Patient Number: 39
PATIENT INFORMATION:
Name: Maxwell House*** Age: 43 Gender: M Blood Pressure: 160/70 Heart Rate: 100 Respiratory Rate: 24 Temperature: 98 Weight (lb): 185.18808 Weight (kg): 84 Chief Complaint: Painful scrapes on forearms, bruise on forehead History: Social anxiety disorder
MEDICAL CENTER INFORMATION:
Other: Had just parked his car on the curb near the loading dock when the explosion happened. His passenger, a colleague he was giving a ride to work, died on scene Additional Information:
Medical Record Number: ______
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Instructions: Oriented but confused and crying. Able to follow commands and no respiratory complaints Acting tips: Say you know your friend died and it was all your fault because you picked him up late. Pretend to cry. Diagnosis: Minor injuries on forearms. Possible shock or head trauma
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