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    The patient information report from the Marlinton Rescue Squad details a male patient's chief complaint, signs and symptoms, allergies, medications, past medical history, events leading up to the incident, vital signs, physical assessment, and treatment in progress. The report includes information on onset, provocation, quality, radiation, and severity of signs and symptoms as well as last oral intake, head, neck, chest, abdomen, pelvis, legs, and arms examinations. It records respiratory rate, depth, and rhythm; pulse rate and rhythm; blood pressure; and skin color, condition, eyes, and lung assessments. The cardiac rhythm is also noted along with the patient's location, estimated time of arrival at the transport

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    The patient information report from the Marlinton Rescue Squad details a male patient's chief complaint, signs and symptoms, allergies, medications, past medical history, events leading up to the incident, vital signs, physical assessment, and treatment in progress. The report includes information on onset, provocation, quality, radiation, and severity of signs and symptoms as well as last oral intake, head, neck, chest, abdomen, pelvis, legs, and arms examinations. It records respiratory rate, depth, and rhythm; pulse rate and rhythm; blood pressure; and skin color, condition, eyes, and lung assessments. The cardiac rhythm is also noted along with the patient's location, estimated time of arrival at the transport

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3K views1 page

    Sample Opqrst Form

    Uploaded by

    Burns Motor Freight
    The patient information report from the Marlinton Rescue Squad details a male patient's chief complaint, signs and symptoms, allergies, medications, past medical history, events leading up to the incident, vital signs, physical assessment, and treatment in progress. The report includes information on onset, provocation, quality, radiation, and severity of signs and symptoms as well as last oral intake, head, neck, chest, abdomen, pelvis, legs, and arms examinations. It records respiratory rate, depth, and rhythm; pulse rate and rhythm; blood pressure; and skin color, condition, eyes, and lung assessments. The cardiac rhythm is also noted along with the patient's location, estimated time of arrival at the transport

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Marlinton Rescue Squad - Patient Information Report

    Chief Complaint/Mechanism of Injury:


    Age: Sex: Male Female Transporting to: ETA:

    S igns/Symptoms:
    Onset:
    Provocation:
    A llergies:
    Quality:
    M edications: Radiation:
    Severity:
    P ast History: 1 2 3 4 5 6 7 8 9 10

    Time:
    L ast Oral Intake: Head:
    PHYSICAL ASSESSMENT:
    D
    C
    Neck: A
    P
    Chest: B

    E vents Leading up to: Abdomen:


    T
    L
    S
    Pelvis:

    VITAL SIGNS: Legs:


    Time: _________ L.O.C. _________________
    Arms:
    Resp: Rate ____ Depth_______ Rhythm_____
    TREATMENT IN PROGRESS:
    Pulse: Rate ____ Rhythm_____ Char _______

    B/P: ____/_____ SpO2: ______% on _______

    Skin: Color ______ Condition _____________


    Eyes: ___________ Lungs:_______________

    Cardiac Rhythm: _______________________

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