Alright. Not alot changes from your respiratory scenarios to your cardiac scenarios. This is where ALS will be needed more (they never come but call anyway), do your assesment, look listen and feel, palpating can tell you alot in a chest pain case. Learn your rhythm rules and know them well, you get marks for interpreting the correct rhythym.
Really our treatments dont vary much. You want your abc's you want your vitals, and you want your full assessment just like all your scenarios. Most of your patients will get oxygen, some may get nitro. The treatment is simple, whats hard is getting into a groove where you go through everything the same way every time. It helps, you forget less.
Some tips I learned. BSI " I'm protecting myself from the patient, and the patient from me" (thats very basic but you get the idea)
Keep the head to toe idea in your brain at all times (it will really help in trauma) Airway: is he breathing is he talking Breathing: fast/slow, laboured, depth Circulation: is there a pulse, fast/slow regular/irregular strong/weak Skin lots of people forget this, temp,color, and is it dry/moist/sweating like hes on trial
Next JVD (your instructor may want you to check for pitting edema here as well), is the trachea in the center,what does his chest look like is there urticaria, swelling, paradoxical movement and so on. What do the lungs sound like. Does it hurt more when you press on the area. Is there pitting edema.
Thats the order that I used for all my cardiac scenarios, and with a little modification it fits almost everything, just get an order down. You'll think less about what you need to ask, and what you need to check and more about what you found and what that means.
On a side note, if your get a patient with subcutaneous emphysema in your practicum, or after, feel it. Not many medics find it in the field and its a weird sensation/sound