HAS THE PATIENT EVER � BEEN UNCONSCIOUS, VOMITED,COMPLAINED OF HEADACHE, EXPERIENCED AMNESIA ?įill in all sections on a regular basis� 1 card per patient
TIME PULSE RESPIRATION PUPIL SIZE DETAILS & COMMENTS INDICATE INJURIES FOUND:-= WOUND / GUNSHOT= FRACTURE / DISLOCATION= BURN / FROSTBITEĬOMA SCALE / RESPONSE TO STIMULI A = ALERT (NORMAL) V = VOCAL P = TO PAIN U = UNRESPONSIVE
TALISMAN' OR A 'MEDI-ALERT' BRACELET / TAG?YES NO REFERENCE NUMBER KNOWN MEDICATIONS, ILLNESSES, ALLERGIES, ETC.ĭETAILS OF ANY MEDICATIONS TAKEN � DOSE & TIME
NAME OF CASUALTY FIRSTAIDER / MEDICSEX MALE FEMALE AGEADDRESSTIME OF ACCIDENT / TIME FOUND DAY MONTH YEARHOW ACCIDENT OCCURRED / ILLNESS