Work through three fictional adult emergencies. Choose a course of action before reading the debrief, interpret an ECG and practise a handover. The cases and answers are in the same PDF, so you can use it offline after downloading.
Print the worksheets or type in the boxes in a form-enabled PDF reader. Rotate your phone to read the ECG.
The Emergency Medicine Practice Toolkit is a free, 8-page adult simulation workbook from The Ship Doctor. Each of its three fictional cases asks you to write your next action within your role, then turn the page to a debrief that explains the reasoning and cites its clinical sources. It suits students, nurses, paramedics and doctors using it for supervised or self-directed learning within their role and scope, on their own or as a short team session.
It is teaching material, not clinical guidance. The 12-lead ECG on page 3 is a simulated teaching trace drawn for the toolkit, not a patient recording, and no patient details are reproduced. Follow your local protocols, your supervisor and your scope of practice in real care. The PDF is free to download, print and share in full and unaltered for personal and departmental teaching.
Written by Dr Ezekiel Aluda Osolika, MBChB, DipPEC(EM), FEBEM, emergency, aeromedical and remote-care physician. Edition 1, November 2026. How the site’s clinical content is written, sourced and corrected: clinical governance.
Three cases, one PDF
Page numbers are the printed pages of the PDF. Each case page has a link to its debrief and back to the contents.
Interpret a simulated 12-lead ECG and choose the next step for a patient with chest pain. Answer on p. 4.
A 58-year-old presents 70 minutes into heavy central chest pain at a hospital without a catheter laboratory. Weigh transfer for PCI, local fibrinolysis then transfer, or waiting, and name the clock and the lead findings behind your choice; the debrief also covers what would change the plan.
Choose a destination after major trauma and practise an SBAR pre-alert. Worked handover on p. 6.
A motorcyclist is in shock on a rural road at night, with a nearby unit that cannot give blood or surgery and a major trauma centre 48 minutes away. Write your radio pre-alert in the SBAR boxes, then compare it line by line with the model call and the circumstances that would make you divert.
Prioritise treatment and retrieval for a patient with fever and impaired consciousness. Answer on p. 8.
Six hours by road from hospital in a malaria-endemic area, with limited drug stock and an aircraft that cannot fly at night. Answer three questions, including an adult weight-based dose calculation with your working shown, before reading how treatment and transfer run in parallel.
All three cases, the ECG and the debriefs in one free PDF.
Download the free practice toolkit (PDF)8 pages · Answers included · No email required. Print the worksheets or type in the boxes in a form-enabled PDF reader. Rotate your phone to read the ECG.
Clinical sources cited in the debriefs include the ESC 2023 acute coronary syndrome guidelines, NICE NG40 and NG39 on major trauma, and the WHO malaria guidelines.
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Carry on with an interactive case, or see how a longer book works through emergencies like these. Both are optional; the toolkit is complete on its own.
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More free practice: interactive decision cases, ECG exercises and SBAR handover practice, or browse all free downloads.
