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TREK MEDICAL CHART WW


Trek: Dates: Start Finish

Number of World Wide Trekking Guests:

Important Contacts: Owner:

Dean Cardinale | 1.801.230.9089 | dean@wwtrek.com

Global Rescue

Elise Allan | 1.617.459.4200 |eallan@GlobalRescue.com GlobalRescue.com | 1.800.381.9754 | Operations@GlobalRescue.com

Travel Guard TravelGuard.com | 1.800.826.4919 | 1.715.345.0505 | webmaster@travelguard.com Medical Advisors:

Dr. Phil Levy | 1.248.840.0169 | phillevy_2000@yahoo.com Dr. Scott Macintosh | 1.435.640.2535 | scott.mcintosh@hsc.edu

Eye Doctor:

Dr. Geoff Tabin | 1.435.729.9610 | geoffrey.tabin@hsc.utah.edu


Medical Terms: STOP

Stop Think Observe Plan

ABC / BSS Airway Breathing Circulation Bleeding Shock Spine

MOI or NOI

Mechinism of Injury or Nature of Illness

SAMPLE history

S - Signs and Symptoms A - Allergies M - Medications P - Past History (Pertaining to the Present Illness) L - Last Oral Intake E - Events Leading up to the Event

OPQRST (With Relation to Pain) O - Onset P - Provokes Q - Quality R - Radiation S - Severity (1-10) T - Time (How long?)

DCAP-BTLS (Trauma)

D - Deformities C - Contusions A - Abrasions P - Penetrations/Perforations B - Burns T - Tenderness L - Lacerations S - Swelling


WORLD WIDE TREKKING MEDICAL CHECKLIST Name: Age:

Medications:

Comments:

Height: Weight:

1

Pulse O²: 2

Pulse O²: 3

Pulse O²: 4

Pulse O²: 5

Pulse O²: 6

Pulse O²: 7

Pulse O²:

Date: Diamox:

Location: Head:

Date: Diamox:

Head:

Head:

Head:

Head:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

Location: Head:

Date: Diamox:

Bathroom:

Location:

Date: Diamox:

Sleep:

Location:

Date: Diamox:

Eating:

Location:

Date: Diamox:

General:

Location:

Date: Diamox:

Body:

Body: Location:

Head:

Body:


8

Pulse O²: 9

Pulse O²: 10

Pulse O²: 11

Pulse O²: 12

Pulse O²: 13

Pulse O²: 14

Pulse O²:

Date: Diamox:

Location: Head:

Date: Diamox:

Head:

Head:

Head:

Head:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

Location: Head:

Date: Diamox:

Bathroom:

Location:

Date: Diamox:

Sleep:

Location:

Date: Diamox:

Eating:

Location:

Date: Diamox:

General:

Location:

Date: Diamox:

Body:

Body: Location:

Head:

Body:

Comments:

Key:

ü = Yes ø = No

G = N = F = P =

Good Normal Fair Poor

1 2 3 4

= = = =

No Pain Mild Pain Moderate Pain Severe Pain


WORLD WIDE TREKKING MEDICAL CHECKLIST Name: Age:

Medications:

Comments:

Height: Weight:

1

Pulse O²: 2

Pulse O²: 3

Pulse O²: 4

Pulse O²: 5

Pulse O²: 6

Pulse O²: 7

Pulse O²:

Date: Diamox:

Location: Head:

Date: Diamox:

Head:

Head:

Head:

Head:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

Location: Head:

Date: Diamox:

Bathroom:

Location:

Date: Diamox:

Sleep:

Location:

Date: Diamox:

Eating:

Location:

Date: Diamox:

General:

Location:

Date: Diamox:

Body:

Body: Location:

Head:

Body:


8

Pulse O²: 9

Pulse O²: 10

Pulse O²: 11

Pulse O²: 12

Pulse O²: 13

Pulse O²: 14

Pulse O²:

Date: Diamox:

Location: Head:

Date: Diamox:

Head:

Head:

Head:

Head:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

Body:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

General:

Eating:

Sleep:

Bathroom:

Location: Head:

Date: Diamox:

Bathroom:

Location:

Date: Diamox:

Sleep:

Location:

Date: Diamox:

Eating:

Location:

Date: Diamox:

General:

Location:

Date: Diamox:

Body:

Body: Location:

Head:

Body:

Comments:

Key:

ü = Yes ø = No

G = N = F = P =

Good Normal Fair Poor

1 2 3 4

= = = =

No Pain Mild Pain Moderate Pain Severe Pain


Notes


Notes


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