4. OPIOID OVERDOSE / CARDIAC ARREST
Reflecting current public-health realities, this scenario trains responders to identify opioid toxicity, administer naloxone, and integrate cardiac-arrest algorithms when necessary. Tie actions to AHA ECC 2025 emphasis on opioid emergencies. Metrics: Recognition time, naloxone dosing, transition to CPR.
5. HAZARDOUS-MATERIALS (HAZMAT) EXPOSURE Simulate a chemical spill with responders donning PPE, conducting decontamination, and triaging contaminated patients. This scenario reinforces coordination with fire and public-health partners. Metrics: Correct PPE donning/doffing, contamination control, communication efficiency.
6. MASS-CASUALTY INCIDENT (MCI)
Design a full-scale disaster simulation incorporating multiple agencies and media pressure. Learners apply incident com- mand, triage, and resource allocation skills while maintaining team safety. Metrics: Triage sorting accuracy, communication hierarchy, re- source deployment.
7. CONFINED-SPACE CARDIAC ARREST A complex technical rescue requiring compressions in re- stricted space (bathroom, vehicle, stairwell). Tests ergonom - ics, leadership, and use of mechanical CPR devices. Metrics: Compression fraction, teamwork, safety compliance.
These seven foundational simulations cover the critical competencies every EMS provider must master—assessment, airway, circulation, decision-making, and interagency coordination. Rotating and refining these scenarios quarterly ensures both skill retention and adaptability to evolving community risks.
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