PatientProfileCardTemplate (1) - «Blood Pressure  «Resp...

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Patient Information Sheet Combine this template with the MCI Patient Planning Matrix to design your own patient profile cards. Patient # «Patient_» Extrication/Triage Group «Group» Age «Age» Gender «Gender» Ambulatory «Ambulatory» Obvious Injuries «Obvious_Injuries» Respiratory Rate «Resp_Rate» breaths per minute Perfusion «Perfusion», radial pulse present Severe Bleeding «Obvious_Bleeding» Follows Simple Commands «Follow_Commands» AVPU or Mental Status «Mental_Status» Patient # «Patient_» Extrication/Triage Group «Group» Age «Age» Gender «Gender» Name «Patient_Name» Related to: «Related_To» Injury 1: «Injury_1» Injury 2: «Injury_2» Injury 3: «Injury_3» Injury 4: «Injury_4» Injury 5: «Injury_5» © Emergency Preparedness Systems LLC www.eps411. com Permission granted for Government and non-profit agencies to use for MCI training activities Email [email protected] 11.com for more information Vital Signs Time BP Resp Pulse SPO 2 Skin Mental Status
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Unformatted text preview: «Blood_ Pressure » «Resp iratory _Rate » «Puls e» «Skin» «Mental_Status1» © Emergency Preparedness Systems LLC www.eps411.com Permission granted for Government and non-profit agencies to use for MCI training activities Email [email protected] for more information Fold Here History S: «Signs_and_Symptoms» A: «Allergies» M: «Medications» P: «Pertinent_History» L: «Last_Meal» E: «Events» Treatments done in the treatment area 1. 2. 3. 4. 5. Transport Priority # © Emergency Preparedness Systems LLC www.eps411.com Permission granted for Government and non-profit agencies to use for MCI training activities Email [email protected] for more information © Emergency Preparedness Systems LLC www.eps411.com Permission granted for Government and non-profit agencies to use for MCI training activities Email [email protected] for more information...
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