SOS
UNIT: CC
Shift: -
Driver:
Medic:
Stretcher: Power with Wings
Odometer:
Main Oxygen:
Medical Air:
Portable Oxygen:
Fuel:
Base:
Notes:
Unit CCT- dispatched to for a request for
The reason for ambulance transport is:
-History of Present Illness-
-EMS Assessment-
Mental Status: AVPU= GCS=
Airway:
Breathing:
Circulation:
Head-To-Toe:
EKG:
SpO2:
ETCO2:
-Ventilator Settings-
Mode:
Rate:
TV:
PEEP:
FiO2:
Alarm Parameters:
PPlat:
-Infusions-
Medication:
Dose:
Concentration:
Rate:
-EMS Course-
The patient was moved to the ambulance stretcher via the two-person draw sheet method and secured with three straps. EKG, SpO2, and ETCO2 were monitored for the duration of care. The patient was transported to the receiving facility in emergency/non-emergency mode. There was/was not any change their condition during EMS care. They were moved from the EMS stretcher to the receiving facility bed via the two-person draw sheet method. Care was transferred to receiving facility staff.