Practice Scenarios
Select a scenario, work through your assessment, then reveal the correct clinical response.
Abdominal trauma with haemodynamic compromise and peritoneal signs
You are called to a patient (Marcus Donovan, 35-year-old male) at the Subiaco Oval AFL community day event. Bystanders report he was struck heavily by another player during a demonstration game and has been on the ground for several minutes complaining of severe abdominal pain.
Abdominal trauma with haemodynamic instability and peritoneal signs
You are called to the first aid post at Optus Stadium during an AFL match. A 35-year-old female was struck by a metal barrier that fell from the terracing and is now complaining of severe abdominal pain. (Sarah Kowalski)
Acute asthma exacerbation at a fun run
You are called to a 35-year-old female who has come to the FAP during the City to Surf Fun Run. She is sitting upright and appears short of breath. (Sarah Nolan)
Acute asthma exacerbation at AFL match
A 35YO male has walked into the FAP at Optus Stadium complaining of difficulty breathing. He states his chest feels tight and he has been wheezing for the past 15 minutes. (Marcus Daly)
Acute asthma exacerbation in a child at a school carnival
You are called to the FAP at Claremont Primary School Autumn Carnival for an 8-year-old girl (Mia Nguyen) who is having trouble breathing after running in the sack race.
Acute asthma exacerbation in a child at a school sports carnival
You are called to the FAP at Hale Primary School Sports Carnival. A teacher has brought in an 8-year-old boy (Lachlan Tran) who is wheezing and struggling to breathe after competing in the 100m sprint.
Acute asthma exacerbation in elderly female
You are called to a 75YO female at the FAP who is having difficulty breathing. (Margaret Dunne, DOB 14/03/1950)
Acute asthma exacerbation in elderly male
You are called to a 75YO male at the First Aid Post during the Perth Royal Show. Bystanders report he has been coughing and struggling to breathe for the past 10 minutes. (Ray Hutchinson)
Acute Decompensated Heart Failure at AFL Match
You are called to a 75YO male (Barry Neville) who is seated in the grandstand at Optus Stadium, reporting he cannot catch his breath and feels unwell. Security has brought him to the FAP.
Anaphylaxis following bee sting at community cricket carnival
A 35YO male has been stung by a bee on the oval and is now complaining of throat tightness and difficulty breathing. (Jake Morrow)
Anaphylaxis following insect sting — 8-year-old male
You are called to the FAP at the Perth Royal Show. A parent has brought in an 8-year-old boy who was stung by a bee near the animal exhibits approximately 5 minutes ago. The child is distressed and the parent states he is developing a rash.
Anaphylaxis following insect sting — paediatric female
You are called to a patient (Lily Nguyen, 8-year-old female) who has been stung by a bee at the school carnival and is now having difficulty breathing with a rash spreading across her body.
Anaphylaxis following shellfish ingestion — elderly male
A 75YO male has come to the FAP at the Fremantle Seafood Festival reporting difficulty breathing and a rash after eating prawns approximately 10 minutes ago. (Barry Hutchinson)
Anaphylaxis following wasp sting at community fair
You are called to a patient (Margaret Holt, 75YO female) near the garden display stalls at the Kalamunda Community Fair. Bystanders report she was stung by a wasp and is now having difficulty breathing.
Anaphylaxis following wasp sting at community festival
A 35YO female has been brought to the FAP by friends after being stung by a wasp approximately 5 minutes ago. She is complaining of throat tightness and difficulty breathing. (Sarah Nguyen)
Atypical ACS presentation — elderly female
You are called to the First Aid Post at the Perth Royal Show where a 75YO female (Margaret Hollis) has been brought in by a family member. She is sitting in a chair complaining of feeling unwell with nausea and upper back discomfort.
Atypical STEMI with claimed aspirin allergy and concurrent COPD
You are called to a 75-year-old female at the Anzac Day community morning tea, Fremantle Town Hall. Patient reports feeling unwell with jaw pain and nausea — no chest pain reported. (Margaret Holt)
Chest pain at a fun run — suspected ACS in a young adult female
A 35YO female has self-presented to the FAP at the Riverside Fun Run complaining of chest tightness and shortness of breath after completing the 10km course. (Mia Cartwright)
Chest pain at AFL match — suspected ACS
You are called to Gate 4 of Optus Stadium where a 35YO male (Marcus Hale) is sitting on a bench complaining of chest pain. He was watching the Dockers game when the pain came on.
Chest pain at the footy — suspected ACS in elderly male
You are called to an elderly male (Brian Carmichael, 75YO) seated in the grandstand at Optus Stadium. A bystander reports he has been complaining of chest tightness for the last 20 minutes and looks pale and unwell.
Choking — food bolus obstruction at community event
A 35YO female has come to the FAP after choking on food at the multicultural food festival. Bystanders report she was eating and suddenly started grabbing at her throat. (Sarah Nguyen)
Choking — partial airway obstruction in a child
You are called to the canteen area at the school carnival. A parent is waving you down — an 8-year-old boy appears to be choking on food.
Choking — severe airway obstruction in a child
You are called to a patient at the First Aid Post during the Claremont Showgrounds School Carnival. An 8-year-old female has been brought in by a teacher who states she was eating a sausage sizzle and is now unable to speak or breathe properly.
Congestive Cardiac Failure — Acute Presentation
You are called to a 35-year-old male (Marcus Donnelly) at the Perth Royal Show who is sitting on a bench outside the main pavilion, extremely short of breath and refusing to walk to the FAP.
Congestive Cardiac Failure — elderly female at community fair
You are called to a 75-year-old female (Margaret Holloway) who is sitting outside the main tent at the Kalamunda Community Fair, complaining of difficulty breathing and feeling 'very tired'. A bystander reports she has been struggling for the last 20 minutes.
COPD Exacerbation — Elderly Male
A 75YO male has presented to the FAP at the Perth Royal Show reporting significant difficulty breathing. (Reg Hollingsworth)
COPD exacerbation at community festival
You are called to a 35YO female (Karen Elliot) who has presented to the FAP with increasing shortness of breath and wheeze. She states she has been struggling for the last 20 minutes.
COPD exacerbation at community festival
You are called to a 35YO male (Derek Haines) who has walked into the FAP at the Fremantle Winter Festival complaining of increasing shortness of breath and wheezing. Bystanders report he has been struggling for the last 20 minutes.
COPD Exacerbation in elderly female at community fair
You are called to the FAP at the Fremantle Community Fair for a 75YO female (Margaret Doyle) who is having trouble breathing. Bystanders say she has been struggling for the past 10 minutes.
Crush injury with prolonged entrapment and lower limb fractures
You are called to the maintenance compound at the rear of Optus Stadium following reports of a female worker who has been trapped under a collapsed equipment pallet. DFES have released the patient and are on scene. (Sarah Brennan, 35YO female)
Crush injury with prolonged entrapment at community festival
You are called to a patient at the Northbridge Street Festival. A 35YO male has been trapped under a collapsed temporary stage structure for approximately 25 minutes. DFES have just freed him. (Marcus Holt)
Deep burn with suspected inhalation injury — elderly female
You are called to the FAP at the Ascot Vale Community Fair. A 75YO female (Margaret Holt) has sustained burns to her right arm and hand after a gas burner flared at a cooking demonstration stall. Bystanders report she was in close proximity to the flame for approximately 15–20 seconds before being pulled clear.
Deep burn with suspected inhalation injury at community bonfire event
You are called to a 35YO male at the Australia Day community bonfire event at Langley Park. Bystanders report he was standing too close when the bonfire flared unexpectedly — his arms and chest are burned and he is coughing.
Head injury following a fall at an AFL game
You are called to a 75YO male (Brian Calloway) at Optus Stadium who has slipped on wet concrete steps and struck the back of his head. A bystander reports he was briefly confused after the fall.
Head injury following a fall from a horse
You are called to a patient (Sarah Calloway, 35YO female) who has fallen from a horse during the equestrian display at the Claremont Showgrounds. Bystanders report she struck her head on the ground and was briefly unresponsive.
Head injury following fall at AFL game
You are called to a patient (Marcus Henley, 35YO male) who has been found on the ground in the stadium concourse after reportedly slipping and striking his head on the concrete steps. Bystanders state he was briefly unresponsive.
Hypertensive Emergency — Severe Headache and Visual Disturbance
You are called to a patient (Margaret Sutton, 75YO female) at the Perth Royal Show who is seated near the main grandstand, reporting a severe headache and saying she 'can't see properly'. A bystander states she looked unwell and sat herself down.
Hypertensive Emergency with Headache and Visual Disturbance
A 35YO male presenting to the FAP at the Perth Royal Show complaining of a severe headache and blurred vision. (Marcus Holt)
Hypertensive emergency with headache and visual disturbance at AFL match
You are called to a 75YO male patron (Graeme Hutchinson) in the grandstand seating area at Perth's Optus Stadium who is complaining of a severe headache and is reporting he cannot see properly. Security has seated him and his wife is with him.
Hypoglycaemia in a child at a school carnival
You are called to a patient (Liam Carter, 8-year-old male) who has come to the First Aid Post during a school carnival. His teacher reports he is acting strangely and complaining of feeling shaky.
Hypoglycaemia in a known diabetic at a community fun run
You are called to a patient (Sarah Nguyen, 35YO female) who is sitting slumped against the fence near the finish line of the Fremantle Community Fun Run. Bystanders report she finished her race and then became confused and unsteady.
Hypoglycaemia in a known diabetic at a fun run
You are called to a patient (Jake Thornton, 35YO male) who is sitting slumped against a barrier near the finish line of the City to Surf Fun Run, appearing confused and sweaty.
Hypoglycaemia in an elderly male at a community fair
You are called to a patient (Robert Hennessey, 75-year-old male) who is sitting on a bench near the main stage looking confused and sweaty. A bystander says he was 'fine a few minutes ago.'
Hypoglycaemia in elderly female — Perth Royal Show
You are called to the First Aid Post at the Perth Royal Show. A 75-year-old female is seated in a chair, confused and shaking. Bystander states she 'doesn't seem right' after lunch.
Long bone fracture — elderly female
You are called to a patient (Margaret Hollis, 75YO female) at the FAP during the Fremantle Community Fair. Bystanders report she has fallen and is complaining of severe right leg pain and is unable to stand.
Long bone fracture following fall at fun run
A 35YO female has come to the FAP after tripping on a kerb during the City to Surf Fun Run. She is sitting on the ground holding her lower left leg and unable to weight bear. (Sarah Tran)
Major limb haemorrhage following motocross crash
A 35YO male (Jake Morrow) who has come off his motocross bike at high speed during a community moto event at the Perth Motorplex. Bystanders report significant bleeding from the right thigh.
Neck pain and upper limb tingling following fall from horse
You are called to the Equestrian Ring at the Perth Royal Show. A 35YO female has fallen from her horse during a dressage event and is complaining of neck pain and tingling in both hands. (Megan Hartley)
Open chest wound with developing tension pneumothorax — AFL grand final event
You are called to a 35YO female (Sarah Hennessy) in the outer concourse of Optus Stadium who was struck by a metal barrier that collapsed during a crowd surge. She is conscious and in significant respiratory distress.
Paediatric burn trauma with suspected inhalation injury
You are called to the FAP at the Fremantle Community Summer Festival. A 8-year-old female has sustained burns to her arm and chest after a cooking demonstration accident involving a gas burner flare-up. Bystanders state she was standing very close when it ignited. (Amelia Chen, DOB 14/03/2016)
Post-exertional syncope at fun run
You are called to a patient at the finish line of the Perth River Run. A 35YO male (Marcus Webb) has collapsed after crossing the finish line and is now lying on the ground.
Post-ictal seizure at community fun run
You are called to a patient (Sarah Nguyen, 35-year-old female) who is on the ground near the finish line of the Perth City Fun Run. Bystanders report she collapsed and was shaking for approximately 2 minutes.
Prolonged seizure in a child at a school carnival
You are called to a patient (Mia Thornton, 8-year-old female) who has collapsed near the face-painting stall at Riverside Primary School Spring Carnival. Bystanders report she is shaking and unresponsive.
Prolonged seizure in a child at a school carnival
You are called to an 8-year-old male (Liam Hartley) who has collapsed and is shaking near the jumping castle at Riverside Primary School's end-of-year carnival. Bystanders report he has been seizing for approximately 3 minutes.
Rapid onset palpitations at community fun run
A 35YO female who has walked into the FAP complaining of a racing heart and feeling dizzy. (Sarah Nguyen)
Red Flag Sepsis — elderly male with COPD misidentified as heat exhaustion
You are called to the first aid tent at the Perth Royal Show. A 75-year-old male has been brought in by his family, who say he 'overheated' walking around the grounds. He looks unwell and has been deteriorating over the last hour.
Red Flag Sepsis misidentified as heat exhaustion — COPD patient at music festival
You are called to the FAP at Southbound Music Festival, Busselton. A 35YO female (Maya Hennessy) has been brought in by friends after being found confused and sweating heavily near the main stage. Friends initially told staff she was 'just overheated from dancing.'
Renal colic at AFL game
A 35YO male has presented to the FAP during an AFL game at Optus Stadium, doubled over in severe flank pain that came on suddenly about 20 minutes ago. (Marcus Holloway)
Renal colic at an AFL game
You are called to a 75-year-old male (Graeme Holloway) at the FAP at Optus Stadium who is complaining of severe left-sided flank pain and nausea that started approximately 40 minutes ago.
Seizure at AFL match
You are called to a patient (Marcus Doyle, 35YO male) who has been found on the ground shaking near the southern grandstand. Bystanders report he has been seizing for approximately 2 minutes.
Seizure in elderly female at community event
You are called to an elderly female (Margaret Hollis, 75YO) who has been found unresponsive on the ground near the community hall at the Fremantle Community Fair.
Sepsis in elderly female — delayed recognition at community fair
You are called to the FAP at the Midland Community Fair for a 75YO female who has been brought in by her daughter. Patient is reported to be confused and unwell — initially thought to be heat exhaustion by event staff.
Sepsis with delayed recognition — COPD background
You are called to a patient (Marcus Bellingham, 35-year-old male) at the volunteer first aid tent at the Perth River Festival. Bystanders report he has been sitting in the shade for 20 minutes feeling unwell after the crowd crush. Staff initially thought it was heat exhaustion.
Severe flank pain — suspected renal colic
A 35YO female has come to the FAP at the Perth Royal Show reporting severe right-sided abdominal and back pain. She is conscious and distressed. (Sarah Nguyen)
Severe headache and visual disturbance at outdoor music festival
You are called to the medical tent at the Sunset Sounds outdoor music festival. A 35YO female, Priya Sharma, has presented to the FAP with a severe headache and is reporting blurred vision. Bystanders assisted her to the FAP from the main stage.
STEMI with Aspirin Allergy Claim and COPD on Home Oxygen
You are called to the corporate hospitality area at Optus Stadium during an AFL match. A 75YO male (Graham Whitfield) is seated and clutching his chest. Staff report he has been unwell for approximately 20 minutes.
STEMI with claimed aspirin allergy and concurrent COPD
You are called to a patient (Sarah Kowalski, 35YO female) at the First Aid Post during the Fremantle Folk Festival. Bystanders report she walked in clutching her chest saying she feels 'really unwell'.
STEMI with claimed aspirin allergy and concurrent COPD
You are called to a 35YO male (Darren Murchison) who is sitting outside the medical tent at Fremantle Dockers v West Coast Eagles AFL game, complaining of chest pain and difficulty breathing.
Stimulant overdose at a music festival
You are called to a 35YO male (Dylan Hartley) found agitated and behaving erratically near the main stage. Bystanders report he may have taken something.
Stimulant overdose at music festival
You are called to a patient (Mia Carlson, 35-year-old female) who has been brought to the FAP by friends at the Southbound Music Festival. Friends state she has taken 'something' and is behaving erratically and is very agitated.
Sudden onset facial droop and arm weakness at AFL game
You are called to the northern grandstand concourse at Optus Stadium. A 35-year-old male has been found slumped on a bench by a friend. Bystanders report he suddenly couldn't speak properly and his face 'looked funny'.
Sudden onset facial droop and arm weakness in elderly female
You are called to the First Aid Post at the Perth Royal Show. A 75-year-old female has been brought in by her family — they say she suddenly started slurring her words and her face looks droopy.
Sudden onset facial droop and arm weakness in elderly male
You are called to a 75YO male (Raymond Kowalski) at the ANZAC Day community fair who has been found slumped in his chair by event volunteers. Bystanders report he was speaking strangely and couldn't lift his right arm.
Sudden onset neurological symptoms — suspected stroke
A 35YO female (Mia Carrington) has been brought to the FAP by a friend at the Perth Royal Show. The friend says she suddenly started talking strangely and her face looks 'droopy' on one side.
Sudden onset palpitations and near-syncope at community fair
You are called to a 75YO female (Dorothy Hennessey) at the Rockingham Community Fair who is sitting near the craft stalls feeling very unwell, complaining of a racing heart and nearly fainting.
Superficial burn injury — BBQ flash burn
A 35YO male has come to the FAP after burning his forearm and hand on a BBQ grill at the community fair. (Marcus Doyle)
Superficial burn injury at community fair
You are called to the First Aid Post at the Cottesloe Community Fair. A 75-year-old male (Barry Hutchinson) has been brought in by a bystander after spilling a cup of hot water on his forearm at a food stall.
Superficial burn injury from cooking oil splash
A 35YO female presenting to the FAP with a burn to her right forearm sustained approximately 10 minutes ago. (Sarah Nguyen)
Superficial burn to forearm — child at community fair
You are called to the First Aid Post at the Midland Community Fair. A parent has brought in an 8-year-old boy (Liam Nguyen) who has burned his forearm on a camp oven display approximately 10 minutes ago.
Suspected cervical spinal injury following a fall at the races
A 75YO male who has been brought to the FAP by security after tripping on a staircase and falling down 6 steps at the racecourse. He is alert but complaining of neck pain. (Barry Hutchinson)
Suspected femur fracture following fall from ride
You are called to the ride area at the Perth Royal Show. An 8-year-old male has fallen from a ride platform and is on the ground holding his right thigh and crying.
Suspected femur fracture following fall from spectator barrier
You are called to a 35YO male who has fallen from a spectator barrier at the south end of the oval. (Marcus Webb)
Suspected opioid overdose at music festival
You are called to the general camping area at Fairgrounds Music Festival — a bystander has reported a 35YO male who is unresponsive and 'won't wake up' near the tent area. (Marcus Delgado)
Suspected paracetamol overdose — 8-year-old male
You are called to the first aid tent at the Fremantle Family Festival. A parent has brought in their 8-year-old son after finding him with an open bottle of children's paracetamol — she is unsure how many tablets he has taken.
Suspected paracetamol overdose at a community festival
You are called to a patient (Sarah Nguyen, 35YO female) who has been found by her friend sitting on the ground behind the main stage at the Fremantle Summer Festival, unresponsive to her friend's voice. Friend reports Sarah has been 'acting strange' and they found an empty blister pack of Panadol next to her.
Suspected spinal injury following mountain bike collision
You are called to a patient (Daniel Hartley, 35YO male) who has come off his mountain bike at high speed during the Dwellingup Adventure Race and is lying on the ground complaining of neck pain.
SVT at a city marathon event
A 35YO male has walked into the FAP complaining of a racing heart and feeling dizzy. (Marcus Holt)
Syncope at a community fair — elderly female
You are called to a patient (Margaret Holt, 75-year-old female) who has fainted near the community stage at the Midland Autumn Fair. Bystanders report she briefly lost consciousness and is now sitting on the ground.
Syncope at community bowls carnival
A 75YO male who has collapsed at the bowls green and briefly lost consciousness. Bystanders report he recovered quickly but is now sitting on the ground looking pale and sweaty. (Ron Hutchinson)
Syncope at community fun run
You are called to the finish line area of the Perth City Fun Run. A 35-year-old female (Sarah Nguyen) has collapsed after crossing the finish line and is on the ground.
Thoracic trauma with developing tension pneumothorax following crowd crush
You are called to a 35YO male at the Subiaco AFL stadium who has been crushed against a barrier during crowd movement at half-time. Security staff report he is conscious but in significant respiratory distress. (Marcus Henley)
Traumatic Brain Injury — paediatric fall from height
You are called to a patient (Liam Nguyen, 8-year-old male) who has fallen from a jumping castle at the Fremantle Community Family Fair. Bystanders report he struck his head on the ground after falling approximately 1.5 metres.
Unresponsive female — suspected opioid overdose
You are called to the First Aid Post at Ascot Racecourse. A female has been found unresponsive in the public amenities block by event security. (Sarah Donoghue, 35YO female)
Unstable bradycardia at the Anzac Day march
You are called to a 75YO male (Don Hartley) who has sat down on the curb during the Anzac Day march and is complaining of dizziness and feeling faint. Bystanders report he briefly lost consciousness.
Urticaria with severe reaction
Liam has come to the First Aid stand during an Australia Day event.