WFR Exam 2025 Questions and Answers
Size up the Scene - ANS 1. Survey the scene for hazards
-Immediate danger to resources
-immediate dangers to bystanders
-immediate danger to patients
2. Determine mechanisms of Injury (MOI)
3. Establish body substance isolation (BSI)
4.Determine the number of patients. Consider what resources are available
5. Form a general impression of the patients
-very sick/very hurt
-not sick/not seriously hurt
-Decide ABC or CAB
Im #1
2 what happened to you
3 dont get it on me
4 r there any more
5 Dead or alive
Initial Assessment - ANS Identify self level of training
Establish reponsiveness and spine control: if there is an moi for spine injury, protect the spine
Airway management
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,Breathing adequacy
Circulation: assess pulse and blood check
Decision of disability: if MOI for spine injury, maintain spine protection
Expose: Expose and treat life threatening injuries
Secondary assessment - ANS Head to toe, vitals, patient history
Vital signs - ANS LOR: name, place, time, events
Heart rate: BPM and RYTHM AND QUALITY: Regular/irregular and easy/shallow/ laboured/deep
RR: breaths per minute, RYTHM AND QUALITY
SKIN: lip and collarbone
BP:
-Ascultate: w/ stethoscope
-Palpation: over p
-Estimations: petal, radial
Pupils: PERRL (note any changing signs)
Temperature: measure with thermometer
Sample History - ANS Symptoms: headache? dizziness? Nausea? Cold? Hot? Stress?
Allergies: ask for all kinds
Medications: OTC or prescribed
Pertinent Medical History: Diabetes, asthma, seizures, heart (DASH)
Last ins and outs
Events: what happened leading up to it? how were you feeling prior
Ask if things are normal
Go in depth
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,Why do we document? - ANS Legality, continuum, care
Spine+Spinal cord injuries MOI - ANS Falls from height or high speed
Falls from more than 3 feet landing on head
Falls w/ change in LOR or loss of responsiveness
Unconscious patient, unknown MOI, know trauma
Spine+Spinal cord injuries Questions about fall - ANS How Far?
Fast going?
What body part was landed on?
What surface landed on?
Spine+Spinal cord injuries S/Sx - ANS Pain or tenderness
CSM altered
Weakness or paralysis
Difficulty breathing
loss of blatter or bowel control
Shock
Spine+Spinal cord injuries EVAC - ANS Any suspect spine injury
Rapidly if spinal cord is injured
Chest injuries - ANS Rib or clavicle Fx
Chest injuries S/Sx - ANS Pain
RR increase + SOB
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Discolouration
Tenderness or feeling disfromities
Chest injuries Tx - ANS Stabilize
Consider medication
Encourage deep breath
Monitor: S/Sx, respiratory difficulty
Unstable Chest Wall - ANS 2 or more ribs broken in two or more places
S/S: disformity, paradoxical respiration, elevated RR, S/S of shock
Tx: POC, Rapid evac
Pneumothorax - ANS if punctured, cover with a 4 sided occlusive dressing, or hand
Evac
Spontaneous Pneumothorax - ANS S/S: sudden SOB (at rest)
elevated vitals
PCC
Bad lung sounds
bubbles under skin
Respiratory distress
Tx: Help breathing, Evac
Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Size up the Scene - ANS 1. Survey the scene for hazards
-Immediate danger to resources
-immediate dangers to bystanders
-immediate danger to patients
2. Determine mechanisms of Injury (MOI)
3. Establish body substance isolation (BSI)
4.Determine the number of patients. Consider what resources are available
5. Form a general impression of the patients
-very sick/very hurt
-not sick/not seriously hurt
-Decide ABC or CAB
Im #1
2 what happened to you
3 dont get it on me
4 r there any more
5 Dead or alive
Initial Assessment - ANS Identify self level of training
Establish reponsiveness and spine control: if there is an moi for spine injury, protect the spine
Airway management
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,Breathing adequacy
Circulation: assess pulse and blood check
Decision of disability: if MOI for spine injury, maintain spine protection
Expose: Expose and treat life threatening injuries
Secondary assessment - ANS Head to toe, vitals, patient history
Vital signs - ANS LOR: name, place, time, events
Heart rate: BPM and RYTHM AND QUALITY: Regular/irregular and easy/shallow/ laboured/deep
RR: breaths per minute, RYTHM AND QUALITY
SKIN: lip and collarbone
BP:
-Ascultate: w/ stethoscope
-Palpation: over p
-Estimations: petal, radial
Pupils: PERRL (note any changing signs)
Temperature: measure with thermometer
Sample History - ANS Symptoms: headache? dizziness? Nausea? Cold? Hot? Stress?
Allergies: ask for all kinds
Medications: OTC or prescribed
Pertinent Medical History: Diabetes, asthma, seizures, heart (DASH)
Last ins and outs
Events: what happened leading up to it? how were you feeling prior
Ask if things are normal
Go in depth
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,Why do we document? - ANS Legality, continuum, care
Spine+Spinal cord injuries MOI - ANS Falls from height or high speed
Falls from more than 3 feet landing on head
Falls w/ change in LOR or loss of responsiveness
Unconscious patient, unknown MOI, know trauma
Spine+Spinal cord injuries Questions about fall - ANS How Far?
Fast going?
What body part was landed on?
What surface landed on?
Spine+Spinal cord injuries S/Sx - ANS Pain or tenderness
CSM altered
Weakness or paralysis
Difficulty breathing
loss of blatter or bowel control
Shock
Spine+Spinal cord injuries EVAC - ANS Any suspect spine injury
Rapidly if spinal cord is injured
Chest injuries - ANS Rib or clavicle Fx
Chest injuries S/Sx - ANS Pain
RR increase + SOB
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Discolouration
Tenderness or feeling disfromities
Chest injuries Tx - ANS Stabilize
Consider medication
Encourage deep breath
Monitor: S/Sx, respiratory difficulty
Unstable Chest Wall - ANS 2 or more ribs broken in two or more places
S/S: disformity, paradoxical respiration, elevated RR, S/S of shock
Tx: POC, Rapid evac
Pneumothorax - ANS if punctured, cover with a 4 sided occlusive dressing, or hand
Evac
Spontaneous Pneumothorax - ANS S/S: sudden SOB (at rest)
elevated vitals
PCC
Bad lung sounds
bubbles under skin
Respiratory distress
Tx: Help breathing, Evac
Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
