SR Resue Amb First

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=" "] in care of: [select name="Serv" value="Golden Cross Ambulance|Walpole Ambulance|"].  [text name="Advised" default="Patient"] advised [textarea name="variable_1" default=""].


TRANSPORT: 
[select name="tprt" 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 crew with patient extrication via: [select name="tx" value="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 [select name="pos" value="supine position|semi-fowlers position."].  Patient was [select name="sec" value="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"].  

**No patient care was rendered by this crew due to ambulance arrival prior to crew. Any refusal paperwork was completed by the ambulance crew**
Crew remained on scene until ambulance started transport.
Crew returned in service without incident.

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

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


TRANSPORT:

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

**No patient care was rendered by this crew due to ambulance arrival prior to crew. Any refusal paperwork was completed by the ambulance crew**
Crew remained on scene until ambulance started transport.
Crew returned in service without incident.

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

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.71, 14 form elements, 96 boilerplate words, 2 text boxes, 2 text areas, 1 dates, 9 drop downs, 14 total clicks
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