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Triage tag Triage tag

Name: Name:
Age: Age:
Male □ Female□ Male □ Female□
🏠Address: 🏠Address:
☎Phone: Weight: ☎Phone: Weight: �
: : : : : Note:

/ / / / / : : : : :

GCS:

Spinal injury□ Head injury□ Spinal injury□ Head injury□

: ��🚑/🚶 ☢□ ☣ □ GCS: Major injury:


Note:

☠ ☠
🚑 🚑
⛑ ⛑
🚶 🚶

Triage tag Triage tag


Name: Name:
Age: Age:
Male □ Female□ Male □ Female□
🏠Address: 🏠Address:
☎Phone: Weight: ☎Phone: Weight:
: : : : : Note:

/ / / / / : : : : :

GCS:

Spinal injury□ Head injury□ Spinal injury□ Head injury□

Major injury:
: ��🚑/🚶 ☢□ ☣ □ GCS:

Note:

☠ ☠
🚑 🚑
⛑ ⛑
🚶 🚶

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