Template Information
Medical report
Category: general
Template Questions
- Incident date Date
- Reported time Date
- Arrival on scene Date
- Patient Name
- Patient's Birthday
- Chief Complaint
- Onset time Date
- Medication Patient is taking
- Allergies patient has
- Patient vitals
- Demographics
- If AED USED HOW MANY TIME DID IT TELL YOU SHOCK.
- Was Ambulance needed?
- What is the GCS LEVEL
- Delays in care or response
- Past Pertinent Medical History
- Narrative
- Treatment and disposition
- Follow up with nurse Date
- Other responding staff
- EMT SIGNATURE