Ime Name called arrived Patient Tag/Sticker Date of Birth Gender Medical Record # Arrived via: Ambulance Helicopter Police Self Transfer from: EMS report in Pt chart Patient was: Driver Passenger-front Passenger-back Pedestrian struck by auto Bicyclist struck by auto Unknown Spontaneous Labored Agonal No effort Breathing Circulation Trachea: Midline Deviated R Chest wall symmetry: Symmetrical Asymmetrical Skin: Warm Pink Cool Pale Hot Flushed Dry Ashen Moist Cyanotic Diaphoretic Eye Op.
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How to fill out the MN Trauma Resuscitation Record online
This guide provides clear and comprehensive instructions for users on how to fill out the MN Trauma Resuscitation Record online. Each section and field of the form is explained in detail to ensure accurate and efficient completion.
Follow the steps to successfully complete the MN Trauma Resuscitation Record.
- Press the ‘Get Form’ button to obtain the MN Trauma Resuscitation Record. This action will allow you to access the form for editing.
- Begin by filling in the admit date and the patient's name. Ensure the information is accurate to facilitate proper documentation.
- Record the arrival time and whether the trauma team was activated. Mark 'Yes' or 'No' and note the time if applicable.
- Fill out patient demographic details, including date of birth, gender, and medical record number.
- Indicate how the patient arrived (e.g., ambulance, helicopter) and the mechanism of injury (e.g., motor vehicle or fall).
- For the breathing and circulation section, accurately describe the patient’s respiratory effort and circulation status.
- Complete the neurological assessment by noting the eye-opening response and disability scale.
- Fill in the initial emergency department vital signs including blood pressure, pulse, and respiratory rate.
- Document any pre-hospital interventions, patient medications, and past medical history as required.
- Proceed with the primary and secondary surveys, detailing findings like pain, tenderness, and any crucial interventions performed.
- In the fluids section, record the size and amount of any blood products administered, and document the start and end times.
- Sign the document, ensuring that the appropriate individuals (physician, primary nurse) verify the content.
- Once all sections are filled out, you can save the changes, download, print, or share the completed form as needed.
Complete the MN Trauma Resuscitation Record online to ensure efficient and accurate documentation of critical patient information.
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