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GENERIC RUN REPORT Prehospital Patient Care Chart A Microsoft Word version of this form is available from the EMS Office of Research & Analysis INCIDENT NUMBER INCIDENT ADDRESS
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Document Date: 2013-07-03 15:25:01
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File Size: 42,12 KB
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Company
Microsoft /
Amp /
/
Facility
HOSPITAL DISPOSITION Death Discharge Transfer /
/
MedicalCondition
TBI /
ALS /
Stroke /
burn /
w/TBI Tension pneumothorax SysBP /
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MedicalTreatment
Drainage /
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Organization
EMS office of Research /
/
Person
Min Hazmat /
Neck Genitalia Psych Skin Musculoskeletal /
/
Position
General /
Physician /
INJURY Blunt Penetrating Burn Not Known CHIEF /
ED Transfer Transport Non-transport Multiple No Mutual Aid Intercept Supervisor /
/
/
Product
BLS /
/
SocialTag
Emergency medical services
Cardiac arrest
Mass-casualty incident
Medicine
Emergency medicine
Ambulance