EMT
Scene Size-up Dispatched at: [text name="dispatch" default=""] Arrived at:[text name="arrive" default=""] Scene Safe?[checkbox name="scene safe?" value="Yes|No"] BSI Used [checkbox name="bsi" value="Gloves|Gown|Eye protection"] Number of pts [text name="pts#" default=""] Additional Resources Used[checkbox name="addresources" value="None|ALS|Fire|PD"] C-Spine Stabilized?[checkbox name="c-spine" value="Yes|No"] Sex: [checkbox name="sex" value="Male|Female"] Age: [text name="age" default=""] Initial Assessment [checkbox name="stable/unstable" value="Stable|Unstable|Not yet unstable"] AVPU: [checkbox name="avpu" value="Alert|Verbal|Painful|Unresponsive"] C/C [text name="c/c" default=""] Airway [checkbox name="ariway" value="Patent|Obstructed"] Breathing[checkbox name="breathing" value="Self maintained|Assisted"] Circulation [checkbox name="circulation" value="No bleeding|Bleeding"] Transport [checkbox name="trasnport" value="Emergent|Non-emergent"] Secondary Assessment S/S [text name="s/s" default=""] O [text name="o" default=""] P [text name="p" default=""] Q [text name="q" default=""] R [text name="r" default=""] S [text name="s" default=""] T [text name="t" default=""] A [text name="a" default=""] M [text name="m" default=""] P [text name="p" default=""] L [text name="l" default=""] E [text name="e" default=""] Medical Pulmonary [checkbox name="pulm" value="WNL"][text name="pulmt" default=""] Cardiovascular[checkbox name="cardio" value="WNL"][text name="cardiot" default=""] Neurological [checkbox name="neuro" value="WNL"][text name="neurot" default=""] Skin[checkbox name="skin" value="WPD"][text name="skint" default=""] GI/GU[checkbox name="gi/gu" value="WNL"][text name="gi/gut" default=""] Reproductive[checkbox name="repor" value="WNL"][text name="reprot" default=""] Psychological/Social[checkbox name="psych/soc" value="WNL"][text name="psych/soct" default=""] Trauma [checklist name="DCAPBTLS" value="Deformities/discolorations|Contustions|Abrasions|Punctures/penetration|Burns|Tenderness|Lacerations|Swelling"] HEENT [text name="heent" default=""] Chest [text name="chest" default=""] Abdo [text name="abdo" default=""] Back [text name="back" default=""] Extremities [text name="extremities" default=""] Vitals Pain [text name="pain" default=""]/10 Resp [text name="resp" default=""] Skin [text name="skinv" default=""] O2 [text name="o2" default=""] Pulse [text name="pulse" default=""] BP [text name="bp" default=""] Glucose [text name="glucose" default=""] Treatments [textarea name="rx" default=""] Transport [textarea name="transports" default=""] Summary [var name="c/c"][var name="avpu"][var name="airway"][var name="breathing"][var name="circulation"][var name="transport"][var name="S/S"][var name="o"][var name="p"][var name="q"][var name="r"][var name="s"][var name="t"][var name="a"][var name="m"][var name="p"][var name="l"][var name="e"][var name="pulm"][var name="pulmt"][var name="cardio"][var name="cardiot"][var name="neuro"][var name="neurot"][var name="skin"][var name="skint"][var name="gi/gu"][var name="gi/gut"][var name="psych/soc"][var name="psych/soct"][var name="DCAPBTLS"][var name="heent"][var name="chest"][var name="abdo"][var name="back"][var name="extremities"][var name="pain"][var name="resp"][var name="skinv"][var name="o2"][var name="pulse"][var name="bp"][var name="glucose"][var name="rx"][var name="transports"]
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Sandbox Metrics: Structured Data Index 0.33, 102 form elements, 71 boilerplate words, 36 text boxes, 2 text areas, 18 checkboxes, 1 check lists, 45 variables, 81 total clicks
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