CENTRAL WESTERN FIREMEN’S ASSOCIATION 

EMT SQUAD COMPETITION - JUDGES EVALUATION SHEET COMPETITION  

 

Participant ________________________ Team Captain ________________________

Situation_______________________ Time started_______ Time Finished__________

 Total Time Utilized ______________________________ Judge___________________

Grade Scale:   Each squad will be graded on all categories for proper procedure, technique, and order of sequence. Points will be deducted per category for improper procedure, technique and order of sequence. There is a total of 230 points for this competition.

 

1.        Self Introduction to Victim                                                   05 ___

   2.       Primary Assessment (ABC’s)

A.  Airway                                                                            10 ___

B.  Breathing                                                                        10 ___

C.  Circulation                                                                      10 ___

   3.       Secondary Assessment

A.  Level of Consciousness                                                  10 ___

B.  Blood Pressure                                                                10 ___

C.  Pulse                                                                                           10 ___

D.  Respirations                                                                    10 ___

            1. Chief Complaint                                                                 10 ___

                        A.  Location                                                                10 ___

                        B.  Type                                                                      10 ___

                        C.  Severity                                                                 10 ___

                        D.  Duration                                                                05 ___

                        E.  Activity at onset or mechanism of injury              10 ___

                        F.  Aggravating or alleviating factors                         05 ___

            2. Medical History

                        A.  Medical Alert Tag                                                 10 ___

                        B.  General Health                                                      05 ___

                        C.  Current Medical Problems                                    05 ___

                        D.  Physician                                                               05 ___

                        E.  Medication                                                            05 ___

                        F.  Allergies                                                                 05 ___

            4.  Treatment

                        A.  Positioning                                                            10 ___

          B.  Application of oxygen                                          10 ___

          C.  Splinting                                                                10 ___

          D.  Bleeding Control                                                  10 ___

          E.  Cervical Immobilization                                        10 ___

          F.  Spinal Immobilization                                            10 ___

          G. General Squad Appearance                                   10 ___

 

Total Points____________

Judges Signature_______________________

Team Captain’s Signature______________________