Dispatch
You and a riding partner are 40 minutes of rough trail from the trailhead on a dual-sport ride. Around a corner you find another rider down. His bike is on its side ten yards past him, engine off. He's on his back on the gravel, open-face helmet still on, clutching at his right leg. It's 48°F and overcast, late afternoon. Your partner pulls up behind you. You have your kit, and your phone shows one bar.
Clock T+0 min
What do you do?
All actions…
Decide — ends the scenario…
Full transcript
Debrief
Critical actions
Review: Lesson 2 — Patient Assessment · Lesson 6 — Musculoskeletal Injuries · Lesson 13 — Evacuation
More scenarios
Fifteen shorter drills, each built around one habit worth owning. Same rules: no script, no recording, tempting mistakes on the menu.
- Hero Complex Scene safetyA hiker is down at the base of a live scree slope and her friend is screaming your name. Practice scene safety before patient contact.
- The Guy Who's Fine Serial vitalsA 15-foot ground fall, and Dale is already making jokes. One set of vitals is a snapshot, and two are a trend. Practice catching it.
- Snoring Isn't Sleeping Airway firstA trail runner face-down, making a noise like a bear. Snoring in an unresponsive patient is an obstructed airway. Practice positioning it.
- Don't Sit Him Up SpineOver the bars, neck pain, and a storm rolling in. Practice spinal motion restriction even when you have to move.
- Stop Peeking BleedingCamp kitchen, dull knife, forearm, more blood than seems reasonable. Practice holding direct pressure without peeking.
- Wiggle, Feel, Warm CSM & splintA fall on an outstretched hand and the wrist has a new corner. Practice CSM before and after the splint.
- Cool First Heat strokeRidge, noon, 95°F, and your buddy is talking nonsense. Heat stroke means cooling right here with what you have. Practice not walking to the car.
- The Burrito HypothermiaA kayaker out of a 50°F lake, shivering like a paint mixer. Practice the hypothermia wrap, and what it means when the shivering stops.
- Leave It Frozen FrostbiteWhite numb toes, two hours of walking left, getting colder. Practice the frostbite call. Don't thaw what might refreeze.
- Find the Epi AnaphylaxisA bee at lunch, hives at two minutes, wheeze at five. Practice giving epinephrine first and early while the clock runs.
- It's Not Indigestion CardiacA 58-year-old at the overlook, sweaty, rubbing his chest, blaming the burrito. Practice taking chest pain seriously.
- Sugar First DiabetesYour Type 1 partner is sweaty, confused, and swears she's fine. If she can swallow, sugar goes in now. Practice before the window closes.
- Sharpie on the Leg SnakebiteRattlesnake, ankle, five miles out, and everyone has a theory from a movie. Practice the short list that works.
- Treat the Dead First LightningLightning on the ridge: one person screaming, one not moving. Practice reverse triage, where the quiet one is the one you can save.
- Two Go, One Stays EvacuationAn ankle six miles out, three hours of daylight, one phone at 8%. Practice the send-for-help note and the messenger rules.
This is a deterministic practice sandbox. The patient follows the physiology taught in the course, with no script and no AI behind it. It trains decision-making, not hands-on skill, and nothing here replaces practicing on a real, padded, complaining friend.