A32 - REPORT - Medical Report

• Automatically Generated Document Number

• Report Title

• Recorded by

• Date created

  Date

A

• Casualty Name

• Casualty Age

• Casualty Date of Birth

T

• Time of Injury/Incident

  Date

M

• Mechanism of Injury/Onset of Illness

I

• Injuries Found/Suspected Symptoms of Illness

S - Signs

• Respiration Rate (breaths per minute)

• Pulse Rate

• SpO2 - Air

• SpO2 - on O2

• Blood Pressure - Syst

• Blood Pressure - Diast

• Pupil Diameter (mm) - left eye

• Pupil Diameter (mm) - right eye

• Blood Sugar - BM

• Blood Temperature

• Where is the casualty on the AVPU scale? Alert, Verbal, Pain, Unresponsive

  A

  V

  P

  U

T

• Treatment Given

A

• Allergies

M

• Normal Medications

P

• Previous Medical History

L

• Last Oral Intake

E

• Events leading to illness or injury

• Filling out Vital Signs Monitor Chart? (inside medical folder)

• Evacuation Required?

  Yes

  No

• Fill out Medical Report for Evacuation (inside medical folder)

• Following the initial assessment, please record daily patient treatment/progress below: (including all dates)