SR Rescue Narrative (PTCARE)

Dispatch: On [date name="ddate" default=""], crew was dispatched for [text name="tn1" default=""].  Crew responded [select name="resp" value=" emergency with lights and sirens.| emergency lights only.| non-emergency, no lights/sirens were used."]  During response,[select name="Response" value=" there were no delay's.| crew was cancelled by dispatch.| crew was cancelled by first arriving agency."]

Complaints: Upon arrival at scene, crew located the patient [textarea name="Chiefcomplaint" default=" "].  [text name="Advised" default="Patient"] advised [textarea name="variable_1" default=""].

Additional Signs/Symptoms Reported: [textarea name="s" size = 55 default=" None Noted "].

History: 
Onset: [text name="O" size = 55 default=" "].
Allergies: Obtained as noted.
Medications: Obtained as noted.
Past Medical History: Obtained as noted.
Last Oral Intake: [text name="lastoral" default="  "].
Events Surrounding Condition: [textarea name="e" size = 55 default=" None Noted "].

Assessment:
Level of Consciousness: [checkbox name="loc" value="Alert|Oriented|Person|Place|Time|Event|Disoriented|Arousable by verbal stimuli|Arousable by painful stimuli|Unresponsive"].
Airway: [checkbox name="airway" value="Open|Maintained by patient|No concerns for compromise|Not open|Compromised |Required manual opening|OPA Inserted|NPA Inserted|Advanced airway placed"].
Breathing: [checkbox name="breathing" value="Adequate tidal volume and rate. |Fast|Deep|Slow|Shallow|Apneic|Being controlled manually via BVM"].
Circulation: [checkbox name="circulation" value="Regular and normal pulse rate bi-laterally.|Radial|Carotid|Brachial|Femoral|Posterior Tibial|Dorsalis Pedis|Tachycardic|Bradycardic|Weak pulse|Un-Controlled hemorrhage|Diminished perfusion|Pulseless"].
SKIN: [checkbox name="skin" value="Pink|Warm|Dry|Pale|Cool|Clammy|Diaphoretic|Hot|Flushed|Cyanotic|Lividity|Jaundiced"].
HEENT: [checkbox name="head" value="No reported pain.|Pupils equally round and reactive bi-laterally.|Uneven."]. Pupil Size: [text name="head" size = 55 default=" 3mm "].
Neck: [checkbox name="neck" value="Trachae Midline|No JVD Noted|No reported pain"].
Chest: [checkbox name="chest" value="Breath sounds clear equal bilaterally|Equal chest rise|No reported pain"].
Back: [checkbox name="back" value="C1-C7 No reported pain|T1-T12 No reported pain|L1-L5 No reported pain|S1-S5 No reported pain|No    left    upper    pain    noted|No right upper pain noted|No left flank pain noted|No right flank pain noted"]. 
Abdomen: [checkbox name="abdomen" value="No reported pain in all quadrants|Soft non-tender on palpation in all quadrants"].
Pelvis: [checkbox name="pelvis" value="Stable|No reported pain"].
Extremities: [checkbox name="extremities" value="+CSM x4|Equal grip strength x4|Cap refill less than 2 seconds|Skin pink, warm, dry|No reported pain|No Clubbing|No Edema"].
GI/GU: [checkbox name="variable_1" value="No pertinent findings|Dysuria|Polyuria|Diarrhea|Bloody stools"].
Psych:[checkbox name="variable_2" value="Calm|Cooperative|No SI/HI|Suicidial ideation|Homicidal ideation.|ETOH use.|Drug use."].
Neurological: 
Gait: [select name="G1" value="Steady coordinated gait|Abnormal"].
Sensation: [text name="Sensation" size = 55 default="Intact and symmetric at upper and lower extremities bilaterally"].  Strength: [text name="Strength" size = 55 default="Intact and symmetric at upper and lower extremities bilaterally"].
FAST ED Score:[select name="FastED" value="0|1|2|3|4|5|6|7|8|9|Not indicated for patients condition"]

Additional neurological findings: [textarea default=" None Noted."]

Additional Assessment Findings: [textarea name="additassess" default=" None Noted."]

Rx:
Treatment included: [checkbox name="treatment" value="BLS assessment|ALS assessment|Vital signs obtained as noted|BGL as noted|4-Lead EKG as noted|12-Lead EKG as noted|IV access as noted|IV bolus as noted|Medication as noted"]

TRANSPORT: 
[checkbox name="pe_trans_check" value="Patient refusal Against Medical Advise.|Patient treated and released Against Medical Advise.|Cancelled on scene.|Cancelled while responding.|"] 
Patient care was transferred to: [select name="Amb" value="Golden Cross Ambulance|Walpole Ambulance|Self or legal gaurdian due to refusal"].
Crew assisted the ambulance with patient transfer via: [text name="transferred" default="stand and pivot to stretcher|stand and pivot to stair chair|un-assisted walk to the stretcher|blanket carry to the stretcher"].  Once on the stretcher, patient was placed in the [checkbox name="pe_trans_check" value="supine position|semi-fowlers position."].  Patient was [checkbox name="pe_trans_check" value="Secured to stretcher via 5 seatbelts.|Secured in airway seat via shoulder/lap belt.|Secured on the bench seat via shoulder/lap belt."] 
Patient transported to: [select name="tx9" value="Springfield Hospital|Grace Cottage Hospital|Dartmouth Hitchcock Medical Center|Cheshire Medical Center"].

NPP/Signatures:[checkbox name="Variable_3" value="Signature obtained from PT|Signature obtained from patients legal gaurdian or parent"]

Crew returned in service without further incident.

Note: All interventions performed in this report were approved within state protocols and the scope of practice for the providers licensure.  Interventions and care provided was completed using national, state, regional and local best practices for pre-hospital emergency medical care at the time of contact with this patient.

Provider: 
----- END OF REPORT -----
Dispatch: On , crew was dispatched for . Crew responded During response,

Complaints: Upon arrival at scene, crew located the patient
. advised
.

Additional Signs/Symptoms Reported:
.

History:
Onset: .
Allergies: Obtained as noted.
Medications: Obtained as noted.
Past Medical History: Obtained as noted.
Last Oral Intake: .
Events Surrounding Condition:
.

Assessment:
Level of Consciousness: .
Airway: .
Breathing: .
Circulation: .
SKIN: .
HEENT: . Pupil Size: .
Neck: .
Chest: .
Back: .
Abdomen: .
Pelvis: .
Extremities: .
GI/GU: .
Psych: .
Neurological:
Gait: .
Sensation: . Strength: .
FAST ED Score:

Additional neurological findings:


Additional Assessment Findings:


Rx:
Treatment included:

TRANSPORT:

Patient care was transferred to: .
Crew assisted the ambulance with patient transfer via: . Once on the stretcher, patient was placed in the . Patient was
Patient transported to: .

NPP/Signatures:

Crew returned in service without further incident.

Note: All interventions performed in this report were approved within state protocols and the scope of practice for the providers licensure. Interventions and care provided was completed using national, state, regional and local best practices for pre-hospital emergency medical care at the time of contact with this patient.

Provider:
----- END OF REPORT -----

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.65, 40 form elements, 173 boilerplate words, 8 text boxes, 6 text areas, 1 dates, 19 checkboxes, 6 drop downs, 133 total clicks
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