Emergency Medicine Specialist-Vorlage
Ambulance Handover in ED triage
Eine professionelle Emergency Medicine Specialist-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
The 'Ambulance Handover in ED triage' template is a crucial tool for Emergency Medicine Specialists, facilitating seamless communication during patient handovers from ambulance crews to emergency department staff. This template captures essential information such as the chief complaint, history of presenting complaint, associated symptoms, past medical history, and prehospital observations. It also includes details on interventions provided and patient response, ensuring that emergency teams receive a comprehensive overview of the patient's condition upon arrival. This template is vital for efficient triage and immediate care in emergency settings.
Vorlagenvorschau
1. Ambulance Crew Information:
CAD 12345
PIN Number: 67890
CREW 12
2. Chief Complaint:
Severe chest pain
3. History of Presenting Complaint:
The patient, a 58-year-old male, began experiencing severe chest pain approximately 2 hours ago. The pain is described as a crushing sensation, radiating to the left arm and jaw. The patient reports shortness of breath and nausea accompanying the pain.
4. Associated Symptoms:
Shortness of breath, nausea, diaphoresis
5. Past Medical History:
Hypertension, hyperlipidemia
6. Medication History:
Current Medications: Lisinopril, Atorvastatin
Allergies: Penicillin
7. Prehospital Observations:
Temperature: 37.2°C
Heart Rate: 110 bpm
Respiratory Rate: 22 breaths/min
Blood Pressure: 150/90 mmHg
Oxygen Saturation: 92%
Blood Glucose: 120 mg/dL
8. Examination Findings:
The patient appears diaphoretic and in distress. There is tenderness upon palpation of the chest.
9. Interventions Provided:
Oxygen therapy, aspirin administration, nitroglycerin sublingual
10. Patient Response:
The patient reported slight relief in chest pain following nitroglycerin administration.
11. Transport Details:
Transport Time: 30 minutes
Transport Mode: Ambulance
12. Additional Information:
The patient has a family history of coronary artery disease.
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