AGE:  57 YEARS

REASON WHY YOU WERE DISPATCHED:mvc

COMPLAINT: neck and back pain.

SUBJECTIVE:pt was driving and hit a car. pt does not remember accident. air bags did not deploy.

OBJECTIVE: pt has a history of high bp and a diabetic. pt had abrasion to the left eye, hematoma on the left elbow, right middle figure pain, abrasion to the left elbow. nkda. pt has history of high bp and diabetes. compliant with both meds. no crepidus in right middle finger. transported to grady

TREATMENT:12 lead acquired, took vitals, full spinal immobilization, 22g left hand. stopped bleeding above the left eye and left forearm.

CHANGES:

Edit
The following values must be in a numerical form
VITAL SIGNS
PulseRespirationsBP SystolicBlood Pressure DiastolicPulse OxBlood Glucose
1201615090960
15016176110960
1031618711096157
1061417397980
Pulse
Respirations
BP Systolic
BP Diastolic
SpO2
Blood Glucose
 
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