Gunshot wound Scenarios

SUGGESTED SCENARIOS FOR FINAL PRACTICAL

Scenario 1You are called to assist with victims at the scene of a gunfight that broke out in a crowded marketplace. (17 victims)

Name: Alpha Zaire

45 yr old maleClutching his left shoulder with blood oozing down left arm.Good pulse at right wrist

Entry bullet wound noted anterior left shoulder. No exit wound found for bulletNo sensation in left arm, slight movement in fingers, weak pulse at left wrist P 120, good volume; RR 22

Name: Braxton Hicks

25 yr old femaleMoaning in pain blood oozing from abdominal wound.Good pulse at wrist

Entry bullet wound at umbilicus with exit left flank. Abdomen stiff. Wants to pee. Abdomen swollen, tense and stiff. Swollen left flank.

P 110, full; RR 32; MM pale; Skin clammy

Name: Arlene Sterling

20 yr old femaleSobbing inconsolably and vomiting. No evidence of trauma. Can’t find her husband.

RR 18 ; P 105, good volume

Name: Travis Wallis

29 yr old maleAbrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Right thigh swollen and very painful to movement.

RR 22; P 68, good volume; skin dry

Name: Frank Belgrave

25 yr old male

Multiple superficial cuts to the right forearm, all superficial.

R 28; P 88, good volume.

Name: Roger Martin

35 yr old maleWound to left leg, bleeding profusely.

R 20; P 120, good volume. Weak distal pulses left foot.

Name: Cedric Clancy

45 yr old maleLarge bleeding wound to right side scalpAlcohol on breath +++

RR 22; P 98, good volume;

Name: Barney Carry

55 yr old maleNo obvious injuries, wandering around aimlessly.

P 90, good volume; RR 22. Lost his wallet. No injuries evident.

Name: Ann Marie Foster

40 yr old female

Gaping cut to her left upper arm, bone exposed.

RR 22; P 90. Good distal pulse. No other injuries.

Name: Basil Bradley52 yr old maleGunshot wound to right side of abdomen.Complains of worsening pain.

RR 22, P 140, thready. Skin cold and clammy.

Name: Darrel Arindel

22 yr old malePain right knee.Complains of pain when walking.

RR 22; P 70, good volume. Good distal pulses.

Name: Cory Alexander

32 yr old male

Bullet wound to right thigh Bleeding +++.Weak distal pulses at right ankle

Entry bullet wound noted through thigh. Bone marrow oozing from wound site, good sensation in foot..

RR 22; P 90, good volume; Skin warm and dry

Name: Alex Arnold

22 yr old maleStab wound to right chest, shallow breathing

4cm long stab wound just below nipple. No respiratory movements right chest wall

RR 38; P 98, full; Skin dry

Name: Tim Reilly

19 yr old femaleScreaming for upper back painStab wound to left scapula area, upper back. Breathing comfortably. No bleeding from wound. No other obvious injuries. Continues to moan and scream for pain. Inconsolable.

RR 22; P 88, full

Name: Joseph Belmont

25 yr old male

No obvious injuries. Denies trauma. Complaining of numbness and tingling down right arm and leg. Normal breathing. Is looking for a police.

R 18; P 88, good volume pulseRight arm and leg still numb. Denies drugs or alcohol.

Name: Jonathon Muller

15 yr old maleCuts to cheek and left eyebrow. Two upper teeth missing.Good pulse.

Partial skin thickness cuts to cheek and left eyebrow. Painful Right shoulder, on movement only. No further complaints.

P 80, full; RR 22; skin warm and moist

Name: Mory Miller

19 yr old maleStab wound to left thigh.No active bleeding evident. Good distal pulses.


Scenario TwoYou are at scene of a nightclub where a fire broke out while patrons were inside. Some were injured trying to escape while others are wounded from the incident. (17 victims)

Name: Hilary Clarke

25 yr old femalePainful deformed right wrist. Complains of “a lot of pain” in the hand. Good pulse at right wrist

P 90, RR 22No other complaints

Name: Joseph Muller

42 yr old maleLimpingPainful left ankle and Knee. Swollen left ankle. Deep abrasions on left knee. Unable to weight-bear.

RR 22; P 90; skin dry

Name: Alexis Landers

62 yr old femaleSobbing +++Pain right shoulder. Would not allow shoulder to be touched or moved.

Shoulder is out of jointGood distal pulse on right, has tingling down arm.RR 22, P 90

Name: Amanda Stone

20 yr old femaleSobbing inconsolably and vomiting. No evidence of trauma. Says she always vomits when she’s nervous. No recall of trauma

RR 18 ; P 98

Name: Trevor Williams

29 yr old maleAbrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Mild headache. Right arm swollen and very painful to movement. Left 3rd and 4th fingers deformed.

RR 22, P 88

Name: Frazier Belmont

25 yr old male

Multiple superficial cuts in the palm of right hand. Good finger movements. His left thigh is deformed and swollen.

R 18; P 88. Good volume pulse. Normal breathing. Normal movement all fingers.

Name: Ruth Mc Carthy

25 yr old femaleHaving difficulty breathing.Frequent coughing audibly wheezing.Known asthmatic.

R 30; P 110, good volume

Name: Celbert Carey

45 yr old maleShortness of breath, burning eyes.Wheezing ++

RR 32; P 110, good volumeLeft ankle swollen, deformed. Unable to bear his weight

Name: Barney Calbot

55 yr old maleUnsteady gait, slurred words. Mild wheezing

Unsteady gait, slurred speech, Alcohol on breath. Swearing and belligerent.

P 90, good volume; RR 22. Vomited during assessment.

Name: Amy Fischer

42 yr old female

Burning eyes, coughing +++Difficulty breathing. Gaping cut to the left side of her forehead.

RR 22; P 90

Name: Barry Browder

62 yr old malePain right side head.Walking around. Complains of worsening abdominal pain.

RR 22, P 140, thready. Left pupil not reactive to light

Name: Anita Carter

20 yr old female

Sobbing inconsolably. Burns to her right hand and right side of chest and back. No evidence of trauma

RR 18 ; P 105, good volume. No facial burns.

Name: Troy Carter

29 yr old maleRight thigh swollen and very painful to movement. No other trauma evident. Very anxious about his wife, Anita, and refuses to stay still.

RR 22; P 88; skin cool and dry.

Name: Fran Belmar

25 yr old female

Multiple superficial cuts to the back of scalp. Laceration to the right foot.


Name: Roy Martin

35 yr old maleCrush injury to left 4th and 5th toes. Burns to face with singeing of beard.

R 20; P 90, good volume. Good distal pulses left foot.

Name: Clarence Clancy

45 yr old maleLarge bleeding wound to right side scalpNot responding to voice, or pain

RR 6, gasping; P ?; Pupils dilated.

Name: Barry Talbot

55 yr old maleComplains of chest pain, radiating down his left arm.

P 90, good volume; RR 22. Skin cool and dry. No injuries evident.

Scenario ThreeYou are at the scene of a hotel where an explosion from the kitchen caused partial collapse of a section of the building. (20 victims)

Name: Amy Tossful

50 yr old femaleSobbing Says she’s scaredNo evidence of trauma

RR 18, P 98 . Complaining that something just got in her right eye. ? dust

Name: Mary Jones

29 yr old maleBroken fingernail with scanty bleeding.Very aggressive

RR 22; P 100. Pupils equal.Bloody left mid-finger. Insists on walking around. Has large swelling to the left side of her head, but skin is intact.


40 yr old female

Gaping cut to her left leg, bone exposed.


Name: Basil Bradley52 yr old maleSwollen deformed left wrist

RR 22, P 80, good volume. Skin cool and dry. Abrasions to his right shin.

Name: Dawn Arlington

22 yr old femaleLaceration right knee. Superficial abrasion to left hand. Complaining of neck pain.


Name: Maxwell Faries

45 yr old male. Clutching an infant. Bleeding abrasion on his left elbow.Good pulse distally. Normal ROM joint. No numbness.

RR 22 P 60 Infant asleep in his arms

Name: Megan Faries (with Maxwell)

9 month old female twin sleeping comfortably in Dad’s armsGood air entry bilaterally. Abdomen soft. Pink and cooing with father

R 38; P 140, good volume

Name: Melody Faries

30 yr old femaleClutching an infant. Bleeding from nose. She often gets nose bleeds. Deep bruises to her left leg. Good pulse distally.

P60,good volume; RR 22; Infant asleep in her arms.

Name: Mark Faries (in Melody’s arms)

9 mth old male twin

Infant lying quietly in Mom’s arms

RR 32; P 140, normal volume. Good colour.

Alert to surroundings. No evidence of trauma. Abdomen soft.

Name: Amanda LaKeyes

62 yr old femaleLying on her side. Sobbing +++Painful neck and right shoulder.

Good distal pulse on right, has tingling down arm.RR 22, P 90

Name: Arlene Stowe

20 yr old femaleSobbing inconsolably and vomiting. No evidence of trauma. Says she always vomits when she’s nervous. No recall of any trauma

RR 18; P 105, good volume

Name: Troy Wallis

29 yr old male

Abrasion to forehead with swelling. No neuro deficit, no bleeding from ears. Right thigh swollen and very painful to movement. Left 4th finger avulsed.

RR 22, P 68

Name: Francis Belgrave

25 yr old male

Multiple superficial cuts to the right cheek. Laceration to the right side of his neck.

R 28; P 128, thready.

Name: Roger Martin

35 yr old maleCrush injury to left leg.

R 20; P 100, good volume. Weak distal pulses left foot.

Name: Cedric Clancy

45 yr old maleLarge bleeding wound to right side scalp

Not responding to voice, pulls away from pain

RR 22; P 48, good volume;

Name: Barney Calbot

55 yr old maleUnsteady gait, says he cannot see clearly.

P 90, good volume; RR 22. Lost his glasses. No other injuries evident.


40 yr old female

Gaping cut to her left upper arm, bone exposed.


Name: Basil Bradley52 yr old maleWood fragment impaled in right side of chest.Complains of worsening chest pain.

RR 22, P 140, thready. Skin cold and clammy.

Name: Darrel Arindel

22 yr old malePain right knee.Complains of pain when walking.


Name: Kenneth Moore

36 yr old maleComplains of object in his eye causing discomfort. Left arm and forearm badly burnt. Has no pain in burnt areas.

P 100; R 24

Gunshot wound Scenarios

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