Fire Watch: Volume 15, Issue 4

Page 38

PATIENT REPORT BY TORONTO FIRE FIGHTER BRIAN KING, STATION 421-A, ASSISTED BY MICHAEL YOUNG FROM TORONTO PARAMEDIC SERVICES AND EMS COMMITTEE

• Follow your SOGs, but keep it simple! Paramedics do not require a detailed patient report. Brief, to-thepoint, objective, and factual information is all that the paramedics require. • What is pertinent to paramedics? o Patient name and age o The reason for calling 911 and how long has this been going on o Medical history that is related to the patient complaint o Treatment that the patient/family/ bystanders may have provided o Any procedure or treatment that were performed by firefighters

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This is Mary, she is 78 years old. Mary called 911 today for troublebreathing, which has been ongoing for 4 hours. Mary has a history of COPD and lung cancer. She has taken her puffer. It didn’t help. Her O2 sat was 85% on room air prior to oxygen administration.

Additional helpful tips and information to provide paramedics… • Did firefighters move the patient? • Is CPR being done? Who started CPR first (firefighters/ family/bystanders)? • Have firefighters done anything with items on scene? Cut the rope? Moved bloody sheets? • If information was provided to firefighters that was not directly from the patient, who was it from? *** Just as the hospital always reassesses patients that are brought in by paramedics, paramedics will always reassess patients that have been assessed by firefighters. ***

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