Table 1.
Background information |
Date of patient arrival at ER recorded |
Time of patient arrival at ER recorded |
Date of injury recorded |
Time of injury recorded |
Initial clinical impression of injury recorded |
Triage and monitoring |
Mobility at ER arrival assessed |
Respiratory rate at ER arrival assessed |
Temperature at ER arrival assessed |
Oxygen saturation level at ER assessed |
Primary assessment and actions |
Airway assessed |
Chest examined |
Intravenous line placed |
External bleeding checked for and controlled |
Internal abdominal bleeding ruled out |
Pelvic fracture ruled out |
All distal pulses checked |
Fluid and/or blood requirement considered |
Spine immobilized for RTI or fall victims |
Splinting of fractures considered |
Physical examination findings recorded |
Alcohol on breath assessed |
Total burn surface area recorded |
Tetanus considered for bites, burns, lacerations, and abrasions |
Antibiotic considered |
Analgesics considered |
ER – Emergency Unit