Professional Documents
Culture Documents
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Perfusion Parameters
PAIN
CRT MM Pulse (0-10)
Time HR Mentation SBP
(sec) Color Quality
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Treatments: (X all that apply, and fill in the blank)
Pressure Dressing Location: Tourniquet Location:
C:
Hemostatic Dressing Type:
A: Intact Cric Trach Naso-Phar EndoTrach: Other (describe):
O2 Needle-D: R L Chest-Tube: R L (size: )
B: Chest Seal (Vented Non-vented ) Other (describe)
Fluid Therapy
Type Name Volume Route Time
FLUID
BLOOD
Antibiotic
Other
(e.g. TXA, EACA)
OTHER TX:
Eye Trauma / Shield ( R L) Hypothermia-Prevention ( Type: ______________)
NOTES:
FIRST RESPONDER
NAME (Last, First) / TITLE: ____________________________ Organization: _________________________
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