Ed Trauma Flow Sheet Page 4
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1
2
3
4
5
6E
EXPOSE PATIENT
COMPLETELY
HEAD TO TOE
F
FAHRENHEIT
BLANKETS
WARMING LIGHTS
G
MONITOR
BP
BP
HEART
PRINTOUT
R ARM
L ARM
RATE
RATE
GET FULL SET
OF BP+HR:
(vs.) TIME
ORAL/RECTAL TEMPERATURE
Separate SHEET
OPEN CARDIAC
TIME BY
INITIAL OUTPUT
ELECTROCARDIOGRAM / 12 LEAD
MASSAGE
PERITONEAL LAVAGE
CODE BLUE
CHEST TUBE #1
SHEETS
SITE:
SIZE:
CHEST TUBE #2
INTERNAL DEFIB
SITE:
SIZE:
FOLEY SIZE
NG TUBE SIZE
CRIC
MONITOR STRIP
NEEDLE DECOMPRESSION
LARGE BORE IV
H
PERICARDIOCENTESIS
LARGE BORE IV
NORMAL / INTACT SKIN
CENTRAL LINE
GAUGE: __________________
A= ABRASION
L=
LACERATION
B= BURN
M=
AMPUTATING
HEAD
C= CLOSED/SUSPECTED
O=
OPEN FRACTURE
TO TOE
FRACTURE
P=
PAIN
D= DEFORMITY
S=
STABWOUND
E= ECCHYMOSIS
V=
AVULSION
G= GUNSHOT WOUND
Z=
OTHER: ___________________
BLEEDING
ABDOMEN:
VOMITING
DISTENDED
BOWEL SOUNDS
CSF -
NON-TENDER
TENDER
SOFT
FIRM
EARS
PELVIS:
STABL
STOOL GUAIC:
RECTAL TONE:
NOSE
UNSTABLE TO PALPITATION
PAIN TO PALPITATION
GENITOURINARY:
SPONT. VOID
INCONTINENT
URINE:
COLORLESS
YELLOW
RED
BROWN
UPT
CLOUDY
NONE
URINE DIP
VAGINAL BLEEDING:
NO
YES
PRIAPISM:
NO
YES
I
INSPECT THE BACK:
TIME
INSPECT BACK
LOG ROLL:
INJURIES
PART OF THE MEDICAL RECORD
PAGE 4 of 6
8850011 Rev 05/05
ED Trauma Flow Sheet_EMERGENCY ROOM
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