COE COE Wilderness First Aid & Emergency Response 2

Question 1

What information should be included in a field patient assessment report (SOAP note) written by a COE instructor?

Accepted Answer

Subjective complaints, Objective findings, Assessment, and Plan (SOAP)

Answer

SOAP notes provide a structured, complete record that guides ongoing care and is essential for medical handoff during evacuation.

Question 2

A participant is stung multiple times by wasps and begins to show hives, throat tightening, and difficulty breathing. What is the IMMEDIATE priority?

Accepted Answer

Administer epinephrine (EpiPen) and initiate emergency evacuation

Answer

Throat tightening and respiratory distress indicate anaphylaxis, a life-threatening emergency requiring immediate epinephrine and evacuation.

Question 3

In the wilderness, a participant develops severe diarrhea and vomiting over 12 hours. What is the primary management concern?

Accepted Answer

Dehydration and electrolyte imbalance

Answer

Prolonged vomiting and diarrhea rapidly cause dehydration and electrolyte loss, which can become dangerous without oral rehydration or evacuation.

Question 4

What is the correct field treatment for a closed (non-displaced) ankle fracture when evacuation is delayed?

Accepted Answer

Splint the ankle in a position of comfort, elevate, and monitor circulation

Answer

Splinting immobilizes the injury to prevent further damage, and circulation checks ensure the splint isn't too tight.

Question 5

A COE program operates in bear country. Which emergency response protocol addresses a bear encounter that becomes an attack?

Accepted Answer

For grizzly attacks, play dead; for black bear attacks, fight back aggressively

Answer

Wildlife agencies recommend playing dead (face down, protecting neck) for defensive grizzly attacks while actively fighting black bear attacks.

COE - Certified Outdoor Educator Practice Test