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EELS Trauma Addendum Form Extra corporeal Life Support Organization (ALSO) Please refer to the ALSO Registry Trauma Data Definitions Document for Details Unique ID:Associated Run Number:___Note: Unique

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How to fill out ecls trauma addendum form

01

Obtain a copy of the ECLS Trauma Addendum form.

02

Fill in the patient's name, date of birth, and medical record number at the top of the form.

03

Provide a detailed description of the trauma the patient has experienced.

04

Document any relevant medical history or pre-existing conditions that may impact the patient's treatment.

05

Include information on the patient's current vital signs and clinical status.

06

Obtain necessary signatures from the appropriate healthcare professionals involved in the patient's care.

07

Submit the completed form to the appropriate medical records department or facility.

Who needs ecls trauma addendum form?

01

Patients who have experienced trauma and are receiving Extracorporeal Life Support (ECLS) treatment may require the ECLS Trauma Addendum form.

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What is ecls trauma addendum form?

The ecls trauma addendum form is a supplementary form that provides additional information related to trauma cases in the Extracorporeal Life Support Organization (ELSO) registry.

Who is required to file ecls trauma addendum form?

Healthcare providers and facilities participating in the ELSO registry are required to file the ecls trauma addendum form for trauma cases.

How to fill out ecls trauma addendum form?

The ecls trauma addendum form can be filled out electronically or manually, and should include detailed information about the trauma event and the patient's condition.

What is the purpose of ecls trauma addendum form?

The ecls trauma addendum form is used to collect additional data on trauma cases in order to improve outcomes and provide valuable information for research and quality improvement initiatives.

What information must be reported on ecls trauma addendum form?

The ecls trauma addendum form must include details such as the type of trauma, mechanism of injury, pre-hospital care, interventions, and outcomes.

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