Paramedic-Vorlage
IMISTAMBO
Eine professionelle Paramedic-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
Need a quick and comprehensive way to document patient care in the field? The IMISTAMBO template is a vital tool for paramedics, offering a structured approach to recording critical information. This template ensures all essential details are captured, from the patient's identification and chief complaint to treatments administered and background information. With Heidi, this template can be quickly populated from your patient encounter, saving valuable time and ensuring accurate documentation. This is a great way to create a medical progress note example.
Vorlagenvorschau
I - Identification:
John Smith, 45-year-old male.
M - Medical Complaint:
Chest pain, onset approximately 30 minutes prior to arrival.
I - Injuries/Information:
No obvious injuries.
S - Signs:
- Response: Alert and oriented.
- Airway: "Patent."
- Breathing: Patient is breathing at a rate of 24 breaths per minute, with slightly labored effort. Auscultation reveals clear lung sounds bilaterally.
- Circulation: Heart rate is 110 bpm, blood pressure 160/90 mmHg. Skin is pale and diaphoretic. Capillary refill is 3 seconds.
- Disability: GCS 15. Blood glucose level is 110 mg/dL. Pain score 8/10.
T - Treatment:
Administered 324mg Aspirin PO. Placed on 12-lead ECG. IV access established in left antecubital fossa. Oxygen administered via nasal cannula at 4L/min.
A - Allergies:
Patient reports no known allergies.
M - Medications:
Patient reports taking Lisinopril 20mg daily for hypertension.
B - Background:
Patient has a history of hypertension. Denies any recent illnesses or hospitalisations. Smokes one pack of cigarettes per day.
O - Other:
Contacted receiving hospital and provided patient report. Patient is requesting pain relief.
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