Experience a fully interactive EMS training scenario designed for paramedics, student paramedics, and prehospital clinicians. This advanced case explores the real‑world management of a 45‑year‑old male with a penetrating chest injury in a busy city‑centre environment. Featuring tension pneumothorax recognition, needle decompression decision‑making, JESIP scene management, JRCALC/NICE‑aligned trauma care, and a structured AT‑MIST handover, this scenario challenges your clinical reasoning under pressure. Ideal for CPD, trauma revision, and high‑fidelity prehospital learning

City Centre Stabbing: Penetrating Chest Trauma
An advanced prehospital decision-making scenario for a 45-year-old male with a penetrating chest injury in a busy urban setting. Aligned with JRCALC, NICE and JESIP principles, with tension pneumothorax as a key complication branch.
Advanced level Penetrating chest trauma JRCALC · NICE · JESIP Includes AT-MIST handover
Timer Not started
00:00
Clinical score Baseline
50 / 100
Safety score Baseline
50 / 100
Patient status Stable-ish
Deterioration: 40 / 100
Scene risk Dynamic
Scene risk: 40 / 100
Step 0 / 0
Not started
Branch status No complication yet
Tension pneumothorax: not yet declared
Transport / escalation Not decided
Awaiting decision
Press "Start scenario" to begin
You are the lead clinician on a double-crewed ambulance responding to a city-centre stabbing.
Awaiting start

Control have just allocated you a high-priority call. When you are ready, start the scenario to hear the MDT and arrive on scene.

This case is written in an advanced style. The “right” answer is not always obvious, and some tempting options will worsen the patient or scene.

Decision log

No decisions recorded yet.

    CPD reflection builder

    Use the “What? / So what? / Now what?” structure to capture learning from this case. If you leave the boxes blank, a reflection will be auto-generated based on your decisions and scenario outcome.

    Estimated CPD time: ~20 minutes · Scenario source: “City Centre Stabbing: Penetrating Chest Trauma” (EMSUK interactive case)