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EMS PREHOSPITAL REPORT (UPDATED MAY 2010) SERVICE: PT AGE: M F AO X: INITIAL GCS: CHIEF COMPLAINT/MECHANISM OF INJURY: PERTINENT HISTORY: B/P: HR: RESTS: O2 SAT: TEMP IV: Y N BREATH SOUNDS: NEBULIZER:

How to fill out ems prehospital report

How to fill out EMS prehospital report:

Gather patient information:

1. Obtain the patient's name, date of birth, and contact information.
2. Record the patient's demographic details, such as gender, race, and address.
3. Document the patient's medical history, including any preexisting conditions or medications.

Document incident details:

1. Provide a detailed description of the incident or reason for EMS involvement.
2. Note the date, time, and location of the event.
3. Include information about bystanders or witnesses present during the incident.

Assess the patient's condition:

1. Conduct a thorough physical examination of the patient.
2. Document vital signs, such as heart rate, blood pressure, respiratory rate, and temperature.
3. Describe the patient's level of consciousness, pain scale, and any visible injuries or symptoms.

Determine and record interventions:

1. Describe all medical interventions performed, such as administering medication or performing CPR.
2. Note the method and dosage of medications administered.
3. Record any procedures or assessments performed, such as airway management or spinal immobilization.

Document transport details:

1. Indicate whether the patient was transported to a medical facility.
2. Specify the mode of transportation used (e.g., ambulance, helicopter).
3. Include the destination facility's name, address, and contact information.

Provide handover information:

1. Note any important information shared with receiving medical personnel.
2. Summarize the patient's condition at handover and any changes during transit.
3. Include the name and contact information of the transferring EMS provider.

Who needs EMS prehospital report?

1. EMS agencies require prehospital reports for internal record-keeping and quality assurance purposes.
2. Medical facilities, such as hospitals or clinics, use these reports to provide continuity of care for the patient.
3. Insurance companies or legal entities may request EMS prehospital reports for claims or legal proceedings.
4. Researchers or public health organizations might utilize these reports to study trends and improve patient outcomes.

Overall, filling out an EMS prehospital report requires attention to detail, accurate documentation of patient information, incident details, assessment findings, interventions performed, transport information, and ensuring a seamless handover to receiving medical personnel.

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