Professional Documents
Culture Documents
2 History - Trauma
2 History - Trauma
صاصتخال ةماعلاةحارجلا
ىفشتسميميلعتلادادغب
History of trauma
mark C B A Introduction
Greeting the patient , Self introduction , Permission 1
mark C B A At accident site
The exact time of accident ( history in hours) 2
How the accident happen ( passenger in the front seat ) 3
Where the patient was hit (which part of the body) – left side of 4
the body –side collision
Other passengers or pedestrians condition –fine 5
The condition of patient immediately after accident 6
mark C B A Transportation
How the patient was transported 7
The condition of the patient during transportation 8
mark C B A In the hospital ( ER, OR , ward)
The condition of the patient in ER 9
Over the last night what treatment he received and investigation 10
done-cxr, abdominal us and blood investigation and received iv
fluid
mark C B A Symptoms of the patient at time of history taking
Any loss of consciousness 11
Respiratory distress 12
Abdominal pain 13
Vomiting and the type of vomitus 14
The color of the urine 15
Asking about bowel motion and color of feces 16
mark C B A Related history
Any Systemic illness? 17
any medications and 18
allergy 19
Last meal 20
mark C B A Finishing
Thanking the patient 21
Task:
Obtain a focused and relevant history.