Critical Care Medicine Specialist-Vorlage
HEMS PRF
Eine professionelle Critical Care Medicine Specialist-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
The HEMS PRF template is designed for critical care medicine specialists involved in emergency medical services, particularly those using helicopter emergency medical services (HEMS). This template facilitates the documentation of pre-hospital care, including scene assessment, patient history, primary survey, and interventions. It is ideal for capturing detailed information about the patient's condition and the actions taken during emergency situations. The template ensures comprehensive and structured documentation, aiding in effective communication and continuity of care during patient handover. This template is particularly useful for documenting high-stakes scenarios such as trauma incidents.
Vorlagenvorschau
LANDING:
- We arrived by Helimed 72 at a rural location with a clear landing area.
SCENE:
- The scene was a two-vehicle collision on a country road. The environment was clear and dry.
- Local police and fire services were on scene, managing traffic and ensuring safety.
- The patient was found lying on the ground, conscious but in distress, with first responders providing oxygen and stabilizing the neck with a cervical collar.
HISTORY:
- The patient is a 45-year-old male with multiple lacerations and suspected rib fractures.
- The mechanism of injury was a high-speed collision.
- Initial findings by first responders included a rapid pulse and shallow breathing. Oxygen was administered, and a cervical collar was applied.
PMH:
- Hypertension, managed with medication.
DH:
- Amlodipine 5mg once daily.
Allergies:
- No known drug allergies.
Primary survey:
- The patient appeared alert but in significant pain, found supine on the ground.
- C: No catastrophic haemorrhage noted. Minor lacerations were dressed with sterile gauze.
- A: Airway patent, no obstructions.
- B: Respiratory distress noted, SpO2 at 92%, shallow chest rise, and tenderness over the left chest wall.
- C: Pulse 120 bpm, BP 100/60 mmHg, abdomen soft, pelvis stable, no long bone deformities.
- D: GCS 14, pupils equal and reactive, blood sugar level 5.6 mmol/L.
Imp:
- Suspected rib fractures and possible pneumothorax.
Plan suggest:
- Administer analgesia and prepare for rapid transport to the nearest trauma centre.
Plan deploy:
- Administered IV morphine for pain relief. No complications encountered. The patient responded well to analgesia.
- During transport, the patient's condition remained stable. Upon handover, the patient was alert and oriented, with vital signs monitored continuously.
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