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AGE: 81 YEARS
REASON WHY YOU WERE DISPATCHED:vomiting blood
COMPLAINT: pt vomiting blood for 3 days
SUBJECTIVE:pt stated he had been coughing up blood for 3 days.
OBJECTIVE: a.o.s to find pt sitting on a couch in his apartment. pt has a history of copd, htn, diabetes. pt has been coughing up blood for 3 days. pt takes multiple medications and nkda.
TREATMENT:took vitals, 20 g in left ac, 12 lead acquired. pt on 3 lpm of 02. transported to grady
CHANGES:

SELF REPORT SKILLS

Directions: Check the box for all the skills you performed for this patient then press the 'Input Skill' button. Click the delete button to remove extraneous skills.

Delete	Obtain A Patient History from an Alert and Oriented Patient	3/26/2017 9:22:34 PM
Delete	Intravenous Therapy - Initiaion	3/26/2017 9:22:40 PM
Delete	Glucometer	3/26/2017 9:22:43 PM

Administering Oxygen by Nasal Cannula

Administering Oxygen by Non-Rebreather

Applying a Cervical Collar & LSB

Assessment Blood Pressure by Auscultation

Assessment of Blood Glucose Levels

Assessment of Breathing and Breath Sounds

Assessment of Pulse Oximetry

Assessment of Pulses

Assist with Administering EpiPen

Assist with Administering Nalaxone (autoinjector IN only)

Basic Airway Maneuvers (Head-Tilt, Chin-Lift and Jaw-Thrust)

Dressing and Bandaging a Soft Tissue Injury

Hemorrhage Control and Shock Management

Inserting an OPA

Lifting and Transferring a Patient to a Stretcher

Managing Burns

Pediatric Restraining System for Stretcher

Performing CPR & AED: Adult

Performing CPR: Adult

Performing CPR: Neonate

Performing FBAO: Adult

Performing Oral Suctioning

Performing Uncomplicated Childbirth

Splinting a Suspected Joint Injury

Splinting a Suspected Long Bone Injury

Stabilizing an Impaled Object

Stretcher Operations Manual/Automatic

Ventilating an Adult Patient with BVM

Applying an Occlusive Dressing to an Open Wound to the Thorax

Defibrillation: Automated or Semi-Automated

Eye Irrigation

Mechanical Patient Restraint

Ventilating a Neonate Patient with a BVM

Ventilating a Pediatric Patient With A BVM

SELF REPORT TAGS

Directions: Check the box for all patient conditions, ages, and procedures (yes, some of the procedures would also be recorded above) that you peformed for this patient then press the 'Input Tag' button. Click the delete button to remove extraneous skills.

Newborn (age 0- 30 days)

Infant (age 30 days to 1 year)

Toddler (age 1 to 3 years)

School Age Child (age 6 to 12 years)

Adolescent (age 12 to 18 years)

Geriatric Trauma

Geriatric Medical

Acute Coronary Syndrome (Chest Pain)

Cardiac Dysrhythmias

Respiratory Distress/Failure

Hyperglycemia/DKA/HHS

Sepsis

Shock

Toxicological Event/OD

Psychiatric

Altered Mental Status

Stroke

General Weakness, Headache, Blurred Vision, or Dizziness

Abdominal Pain

Trauma - Any Age

Medical - Any Age

IV Bolus Medications

IM medication administration

SQ medication administration

Nebulized Medication

Oral Medication

Sub Lingual Medication Administration

Ventilate unintubated patients

Endotracheal Intubation

Mission Complete, Ready To Do Another PCR or Quit

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