DAYTONA STATE COLLEGE E.M.S. PATIENT CARE REPORT PATIENT CONTACT # STUDENT NAME PRECEPTOR UNIT / FACILITY TRANSPORT UNIT PATIENT SEX PATIENT AGE MEDICAL HISTORY PEDIATRIC BIRTH - 17 YEARS O SEIZURES ADULT 18 YEARS - 65 YEARS GERIATRIC 65 + YEARS O DEMENTIA O HEPATITIS DIABETIC PATIENT CHIEF COMPLAINT TRAUMA TYPE ABDOMINAL PAIN ANIMAL BITE ALTERED MENTAL STATUS ASSAULT / FIGHT CARDIAC ARREST BURN / SCALD PATIENT MEDICATIONS O NONE O UNKNOWN CHEST PAIN GENERAL MEDICAL GUNSHOT WOUND PREGNANCY / OB MOTORCYCLE ACCIDENT PSYCHIATRIC PROBLEM MOTOR VEHICLE ACCIDENT RESPIRATORY PROBLEM PEDESTRIAN ACCIDENT STABBING DRUG ALLERGIES O NONE O UNKNOWN TRAUMATIC INJURY REATMENT TREATMENT PERFORMED PERFORMED BY REATMENT TREATMENT YOU YOU PERFORMED PERFORMED PERFORMED T AIRWAY INTERVENTION MEDICATION ADMINISTRATION EKG MONITORING ROOM AIR SPO2 BANDAGING ADENOSINE EKG MONITOR O O CPR- AUTOPULSE ALBUTEROL 12 LEAD EKG CPR- MANUAL ATROPINE CARDIOVERT O2 LITER FLOW MANUAL VITALS CALCIUM CHLOR. DEFIBRILATION O O NASAL AIRWAY PEDI. IMMOB. DEXTROSE 50% ORAL AIRWAY RADIO REPORT DIAZEPAM ASSESSMENT SKILLS SCOOP STRETCHER DILTIAZEM SPINAL IMMOB. DIPHENHYDRAMINE O O COMBITUBE SPLINTING DOPAMINE INFUS. EPI. 1:1,000 DCAPBTLS STAIR CHAIR EPI. 1:10,000 AUSCULTATION TRACTION SPLINT ETOMIDATE INSPECTION BLOOD DRAW FUROSEMIDE PALPATION VENTILATOR GLUCOMETER GLUCAGON SKILLS / TREATMENT NEEDLE DECOMP. IV ACCESS LIDOCAINE NOT LISTED ADVANCED AIRWAY INFO LIDOCAINE INFUS. MAGNESIUM SULF. O O ATTEMPTS MORPHINE SULF.
VISUALIZED VOCAL CORDS O NALOXONE
BILATERAL LUNG SOUNDS O SODIUM BICARB. IO ACCESS SOLU MEDROL IM MED. ADMIN SQ MED. ADMIN V3-010807 BREATHING CIRCULATION Y SKIN EYES O DIMINISHE O
OBSTRUCTED O
LABORED O RHONCHI O O CYANOTIC O O WHEEZES O CAPILLARY REFILL
NONREACTIVEO O
SHALLOW O
FLUSHED O TENTING O VITAL SIGNS ETCO2 SPO2 BGL EYES VERBALMOTOR 0 - 10 A = SKILL / TREATMENT PERFORMED BY OTHER B = SKILL / TREATMENT YOU PERFORMED TREATMENT LOG TREATMENT DOSE ROUTE COMMENTS COMA SCORE VERBAL MOTOR ORIENTED LOCALIZED CONFUSED WITHDRAW 3 TO SPEECH INAPPROP. FLEXION NARRATIVE STUDENT SIGNATURE REVIEWED BY: V3-010807
The Ophthalmic Examination 1. HISTORY A complete history includes four aspects: Family history (refractive errors, strabismus, cataract, glaucoma, retinal detachment, retinal dystrophy) Medical history : - systemic disorders (diabetes mellitus, hypertension, infectious diseases, rheumatic disorders, skin diseases) - medications (steroids, chloroquine, Amiodarone, Myambutol, chlorp
Intellectual Property Litigation Report 2004 CONTENTS • Counterfeiting of Cartier products restrained Cartier International B.V v Choosy corner Name of firm not determinative of its status Zuko Engineers v Ministry of Commerce & Industries • Deception/confusing similarity not found in use of United Breweries Ltd. v Khodays Brewing and Infringement of Mitsubishi pen des
DAYTONA STATE COLLEGE