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Next& Cancel39 Tag Triage$ <dz,Bbx,H^x "B\vTriageDoc Treaments   Airway cleared U  aSuction    Airway intubated U  aOxygen Admin /   /Bleeding control ?  ?CPR U?  a?Cardiovert J   JCardiac Monitor UJ  aJEKG U   UDefibrillated e   eIV started Ue  aeMeds Admin p   pImmobilized Up  apBaby delivered {   {Move to ambulance  Prev ( List K( New Pt ~! Next a& (T|   *.T rv   n  <@f *DTriageDoc Treamtments Detailed b  c8 Med Admin c d d8 @ e"8 Med Admin e f f"8 @ g.8 Med Admin g h h.8 @ i:8 Med Admin i j j:8 @ kF8 Med Admin k l lF8 @ mFRD IV Fluid Line 1 m n nSHDT@NSRLD5WD5W1/2NSD51/4 NSD50Other oF^D IV Fluid Line 2 o p pS^D @ qRIV Fluid Line 1: r^IV Fluid Line 2 sjIV Fluid Line 3 tFjD IV Fluid Line 3 t u uSjD @ vvIV Fluid Line 4 wFvD IV Fluid Line 4 w x xSvD @ yOther Medications: z Prev {&$ New Pt |~ Next }J< Pt Summary ŀ) :Rz.Dfx&Pb&<Rh~  :VTreaments 2     Washed/cleansed to decontaminate '  'Reduced fx('s) ]'#: k' @ 5  5Pressure Dressings ]5#: k5 @ C  CCleaned Wound(s) ]C#: kC @ Q  QUse Splint(s) to stabilize sQ#: Q @ _  _Breathing Rx('s) ]_#: k_ @ 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . <  Prev ( List K( New Pt ~! Next )' .Jr<Px &<Rh~. DHb|TriageDoc Name *  +First Name: ,3d D( - Last Name: .3 d D( /.Date of Birth: 0<.2 D 1<SSN: 2<7 D 3JAddress: 4'Jn D( 5Ul D( 6sU- State 6 7 7-@5ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWY 8cZip Code 9(c F :qPhone #: ;*qP D 0 1 2& 31 4< 5G 6R 7] 8h 9s .{ / - < < Prev =( List >K( New Pt ?~! Next  $:\r ":Pn"8LfPt Disposition     Treated Transported   Treated Transferred Care %  %Treated No Transport 0  0No Treatment Needed ;  ;Cancelled F  FPronounced Dead Q  QTreat private vehicle transport \  \Patient Refused Care g  gNo patient found r  rOther  Prev 2l Remove from TriageList 2( New Pt _@ Pt Summary   DZx ">Tp(Jj TriageDoc Destination Destination Determined by:   Nearest Facilty P  \Weather %  %Patient/Family Choice 0  0Physician P0  \0Managed Care ;  ;Mass Casualty P;  \;Other F   FLaw Enforcement Q   QHospital Diversion _Divert Start time: N_: [Select time] mDivert End time: Fm: [Select time] {Destination: 6{d @  Prev ( List ~! Nextt U # 8V lp6 LPx v.DZp  (BTriageDoc Run Log End VTransport From: W  W X Xx@Accident siteAnother ambulanceAirplaneDisaster SiteEducational InstitutionFarmHome ResidenceHospitalIndustryPhysician OfficePublic BuildingRecreationalResidential Custodial FacilityResidential InstitutionStreet/HWYOther Y(Number of Pt transported: Zr( ` [3Enroute Interferences: \>  \ ] ]@ Accident enrouteCrowd interfenceDisable vehicleEquipment failureFlat tireMediaMechanical breakdownRoute blockedRerouted to another destinationTraffic congestionVehicles blockingWeather deterioration ^ITransferred to: _T  _ ` `Tb@ No transferAssisted Living FacilityHospitalTemp Mobile Med UnitHomeOfficeNursing HomeShelterTemp ResidenceOther abDestination arrival time: bhb: [Select time] cpEnd milage: d2p @ 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . < e Prev f( List g~! Next   8Pv4L~(BTriageDoc Run Summary Start time: / End time: ' %Total number of miles: ^% 0Total # of patients triaged: s0 ;Total number of treatments: y; F# transported: @F Q# of pt on active TriageList yet: Q \# of pt completed now off list: ~\ g# died: g  Prev ( List ~! Done2 m VvTriageDoc Analysis ym OK  0Rj0DXj 04 TriageDoc Summary ID:  First Impression: U *Tag Color: 4* 5Prior Vitals: @T= P= R= BP= / KGCS: K VRTS: V aTS: a $ Retag 48 Triage List ~! Next / Retriage 4( New Pt u- IAnalysis sr( Go to <l`@Report Seconday SurveyReport HistoryReport ExamTreatmentsPatient NamePatient Disposition---Change ID s. Agents HBT@DifferentialDxAnthraxChlorineInfluenzaPlagueSarinTularemia    $<T bz TriageDoc Active Triage List & ID ' Age > Time V RTS j Tag ~ ET n@ &          n  w( New Pt @3 Finish Run 1 Sort by /0@TSRTSTagMemopad I hTriageDoc Tag-Walking J  KIs the patient walking? L. Yes M. No N Prev  t $<TriageDoc Tag-Breathing   Does Pt appear to be Xbreathing ? . Yes . No  Prev :\~TriageDoc Tag-RR Apparent respiratory rate:.F Prob Under 30.F IProb Under 40.F IProb Under 60J.B Prob Over 30J.B IProb Over 40J.B IProb Over 60V<(too fast) Prevu hTriageDoc Tag-Pulsev wIs there a radial pulse?x. Yesy. Noz Prevـ hTriageDoc Tag-Refill Capilliary refill within 2 secs?. Yes. No Prev= hTriageDoc Tag-Airway> ?Is the airway blocked?@. YesA. NoB Prev ,DZt.RjTriageDoc Tag-Repos Interventions:  Head Tilt'  'Jaw Thrust3  3Heimlich?  ?Tongue unblockedK  KFB removed\Does reposition open tohrestore respirations?x Yesx No Prev t 8TriageDoc Tag-Mental Can Pt follow6simple commands ? . Yes . No  Previ hTriageDoc GREENj k<Tag Pt GREENl> Tag Next Ptm` Listn~! Next̀ hTriageDoc RED <Tag Pt RED> Tag Next Pt` List~! Next1 hTriageDoc BLACK2 3<Tag Pt BLACK4> Tag Next Pt5` List6~! Next hTriageDoc YELLOW <Tag Pt YELLOW> Tag Next Pt` List~! Next* @^<bFV~&BXn4 JNhTriageDoc TS/RTS Repiratory Expansion: $ Normal. $ ShallowR 1 Retractive  None0Capillary Refill: <H Under or = 2 secR<1 Over 2 secLPulse Ox Sat AL `PL%\T\ ` '\P /\ ` D\R M\ ` b\BPq\ `\/\ `oGCS: o4 Enter GCSsp, GCS=15 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . <~! Next<( New Pt Prev2]m: *DZx&:Rbx "8Lb~4J`v2H^vGlasgow Coma Scale^Check one box in each group:_Motor: `, a' bc 'Obeys Cmdsd3 be 3Localizes Painf? bg ?Withdr fr PainhK bi KTowards PainjW bk WAbn Extensionlc bm cNonenZVerbal: o pP( Hqr\(OrientedsP( Hqt\(Approp wordsuP( Hqv\(Approp soundswP4 Hqx\4ConfusedyP4 Hqz\4Words{P4 Hq|\4Inconsolable}P@ Hq~\@WordsP@ Hq\@Cries,screamsP@ Hq\@Inapp cryPL Hq\LSoundsPL Hq\LGruntsPL Hq\LPers cry, gruntPX q\XNone-hEyes Open: fh  t tSpontaneouslyYt etTo Pain  To SpeechY eNoneTotal Score: A m OKlW& Cancel& (Dl~ t  ( >B   , 0   Chief Complaint CC:h Enter chief complaintD8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing Onset: ' FlD Delayed > 72 hoursDelayed =>1 weekDelayed > 2 weeksDelayed > 1 monthDelayed > 1 yearGradualInsidiousRapid < 24 hoursRelative Rapid < 72 hoursSudden < 3 hoursSudden < 8 hoursSudden < 12 hours )Duration: 4)g (Tap to enter duration) 5Made worse by: L5 k53x@ coldcoughheatinspirationlightmovementpositiontouchother @Better with: <@ [@Ax@ coldheatimmobilizationmedicationmovementno movementnothing helpspressureotherJAssociated findings: UR Chief Symptom~D/Abdominal PainAnorexiaBad tasteBleedingBlurred VisionBurning sensationChest discomfortChest painChest pain, pleuriticChest tightnessChillsChokingConfusionCoughCoughing blood (Hemoptysis)DiaphoresisDiarrheaDroolingDyspneaEye painFeverHeadacheLymph nodes, enlargedLymph nodes, painfulMouth soresMyalgiasNauseaRash Red skin spotRhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing _: Chief SignfD:BleedingBruisesBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDroolingDyspneaEnlarged nodesErythemaErythema NodosumFeverHematemesisHemoptysisInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaRalesRash Red skin spotRhinorrhea Rigors SalivationSeizureShockSkin blistersSkin poxSkin red spotSkin ulcer Stiff neckStridorSweatsTemp Up+Pulse downTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes WheezingiOther Complaints:  tK 2nd complaintD8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing J 3rd complaintD8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing Prev( ListK( New Pt~! Next2AU%m 0F\r <VpComplaint Duration7 07 1%7 207 3;7 4F7 5Q7 6\7 7g7 8r7 9}7 .7 <7&Duration: '+ `(J )secs*c )mins+| )hrs,J )days-c )mos.| )yrsmG OK+ Ff  26 8N fj   z     F\ tx .2*FTriageDoc Findings Estimate of Pt distance from event:\ Distance estimate!C@0 ft1-3 ft4-6ft8-10ft10-12 ft>12ft < 50 ft>50 ft < 100 ft> 100ft>200ft0-5 miles5-10 miles11-29 miles>30 miles>50 miles>100 milesNo estimate\%Findings:0General:-0 1.:NDAnorexiaAphonia-no voiceBlindBlurred VisionBurning sensationChillsConfusionDiaphoresisDiarrheaDisorientedDroolingDyspneaFatigueFeverLethargyMalaiseMyalgiasNADSoft tissue injurySprainSweatsOther;Skin:-; 2.:fD$AbcessAbrasionsBleedingBruisingBubo cervicalBubo femoralBubo inguinal Burn(s)Burn(s) 1-2 degreeBurn(s) 2-3 degreeCyanosisErythemaErythema MultiformeErythema NodosumInflammationLaceration < 4 cmLaceration > 4 cmLacerationsLymph nodes, enlargedLymph nodes, painfulPeeling skinPunctureRash Rash diffuseRash localized Skin blistersSkin burn(s)Skin red spotSkin ulcer UrticariaVesiclesWound(s) infectedWound, cleanWound, dirtyOtherFHEENT:-F 3.:fDAnorexiaBad tasteBleeding noseBleeding scalpBlurred VisionDroolingEye painLacrimationLymph nodes, enlargedLymph nodes, painfulMouth soresPharyngitisPhotophobiaRhinorrhea Runny NoseSore ThroatStiff neckVoice hoarseWatering eyes QRespiration:-Q 4.:DChest pain, pleuriticChokingCoughCough, dryCoughing blood (Hemoptysis)Difficulty breathing (Dyspnea)DyspneaNo breath soundsNo BS left lungNo BS right lungPneumoniaRespiratory failureShort of Breath(Dyspnea)StridorSweatsTachypneaWheezingOther\Cir-Cardiac:-\ 5.:`DAnginaArrestArrhythmiaBleedingBleeding gumsBleeding, controlledChest discomfortChest painChest pain left sideChest pain right sideChest pain, pleuriticChest pain, substernalChest tightnessCHFCold to touchCyanosisEdemaHeart MurmurIrregular heartMINo carotid pulseNo radial pulsesSepsisShockSVTVFVTgGI+GU:-g 6.:VDAbd EpigastricAbd LUQAbd pain LLQAbd pain RLQAbd pain RUQAbd periumbilicalAbdominal PainAnorexiaBad tasteDiarrheaDroolingDyspepsiaDysphagiaGasHematemesisIncontinence, urineInvolun. DefecationNauseaOliguriaUrinary frequencyUrination excessiveVomiting rOrtho:-r 7.:fDAnkle fxAnkle sprainArm fxBackacheCellulitis extremityDeformitiesFxFx(s)Fx, closedFx, openFx, stableLeg fxLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMyalgiasSoft tissue injurySprainStiff neckSwelling feetTwitching muscles}Neuro:-} 8.:ODBalance abnBehavior abnComaConfusionDisorientedDizzyEyes move abnGait abnHeadacheMyalgiasOriented x 1Oriented x 2Oriented x 3ParalysisPhotophobiaPosturingPupils, dilatedPupils, pinpointRhinorrhea SeizureSensation abnSpeech garbledStiff neckStrokeTwitching musclesUnresponsiveOther Prev( ListK( New Pt~! Next> 8Ndt FV~.BV~      &<Rh~ TriageDoc Exam Age:  `P M^ FT `'P/ `DRM `bBPq `/ `+Weight: !+ `=+ kgM+ lbs8Height: 8 `.8 cm @8OR P8 `U8 ft a8 `k8 in BSigns:  M2 Sign #1   rDKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing tM* IDiff Dx Z2 Sign #2 rDKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes WheezingtZ* IDiff Dxg2 Sign #3rDKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezingtg* IDiff Dxt2 Sign #4rDKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezingtt* IDiff Dx 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . < Prev( ListK( New Pt~! NextQ!  *Rh ~ *B X\0J `d      l &TriageDoc InjuriesR SHEENT: T2 TUU?TD%No injuriesAbscessAbrasionsAvulsionAvulsion earAmputationBite(s)BleedingBrain exposedBlindBuboeBurn(s)Cervical FxDecapitationEar injuryEar lacerationEye blow outEye injuryFracture(s) closedFx openHead Injury, closedJaw injuryLaceration(s)LumpsNeck injuryNeck tendernessNodes enlargedNose FxPhotophobiaRashRhinorrheaSkin lesionSwellingStabTeeth injuryTongue injuryVThorax: W2 WXX?^D&No injuriesAbsent breath soundsAxillary nodesAbrasionsBleedingBreast injuryBuboesBurn(s)BruisesChest injuryChest tendernessCrushCrepitationDislocationFlailFracture(s)Fx ClosedFx OpenGSWHeart injuryHemopneumothoraxPainLumpsLung InjuryPenetrating objectPneumothoraxRashRib FxScarsSkin lesionStabStridorSwellingTattoo(s)WheezingWound(s)OtherY)Abdomen: Z2) Z[[?]DNo injuriesAbrasionsBladder injuryBleedingBuboBurn(s)BruisesCrushGenital injuryGroin nodesGSWExposed bowelExposed kidneyExposed organ(s)Exposed spleenLiver injuryLumpsRectal injuryRashRigid abdomenSkin lesion(s)Spleen injuryStabSwellingTattoosTenderness, reboundTendernessWound(s)Other\8Upper ext:]28 ]^^?\D&No injuriesAvulsionAmputationBiteBite, HumanBleedingBurn(s)BruisesCellulitisCrushDislocationElbow injury, LeftElbow injury, RightFinger injury LeftFinger injury, RightFracture(s)Fx ClosedFx OpenGSWHand injury LeftHand injury RightInfectionLumpsLaceration(s)PainParalysisRashShoulder injury LeftShoulder injury RightSoresSprain(s)StabTattoo(s)SwellingWound(s)Wrist injuryOther_CLower ext:`2C `aa?WD-No injuriesAnkle injury LeftAnkle injury RightAbrasionsAvulsionAmputationBiteBite, HumanBleedingBurn(s)BruisesCellulitisCrushDislocationFoot injury LeftFoot injury RightFracture(s)Fx ClosedFx OpenGSWHip injury LeftHip injury RightHip dislocation LeftHip dislocation RightHip Fx LeftHip Fx RightInfectionKnee injury LeftKnee injury RightLumpsPainPelvic injuryLaceration(s)ParalysisRashSoresSprain(s)ScarsStabSwellingTattoo(s)Toe injury LeftToe injury RightWound(s)bRBack: c2R cdd?SDNo injuriesAbrasionsBleedingBurn(s)BruisesCrepitanceCrushDeformityFractureGSWExposed organ(s)Lumbar FxPainParalysisPenetrating objectRashRib (s) FxSpine FxSpine injurySprainSwellingTendernessThorax FxVertebral FxWound(s)eaOther apparent injuries:fl@dg Prevh( ListiK( New Ptj~! Nextt% "Db (>Rh~ "8Ndz TriageDoc Begin Run 1* Call Date- Call Time^@ Current Time+Caller phone #:@+< @ 7x Call Received as:7xH@EmergencyNonemergencyStandbyTransport nonemergencyOtherDRequested by:DD PD911hD tDCallerP PEMS BackuphP tPOtherDP PPPolice`L Dispatched TimepVehicle4p2 DP 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . <~! Next!  2T txBl l &<Rh~ 6TriageDoc EMS Run 2 Enroute,Lights & Siren to:P,@ Select One],@0@To SceneTo DestinationOther<` Select enroute time?:lArrival at Scene Mileage:ll @ \` Select arrival time?:! Run Type:"D 9 Run Type"##QO@ACLS1ACLS2BLSBackupDisaster responseEMSInterfacilityMutual AidNonEMSScheduledStandyTrainingOther$L Enroute Interference Factors$%% @ Accident enrouteCrowd interfenceDisable vehicleEquipment failureFlat tireMediaMechanical breakdownRoute blockedRerouted to another destinationTraffic congestionVehicles blockingWeather deterioration&Start Mileage:'D @ 0 1% 20 3; 4F 5Q 6\ 7g 8r 9} . <( Prev)~! Next}$ Bj 4\ n 4H^t : TTriageDoc Run Environment~ Environmental AssessmentW General LocationZ@In HospitalOut of HosptialBusiness OfficeCityHighway ruralHighway cityHighway urbanHomes cityHome(s) ruralHomes UrbanIndustrialManufacturing plantRuralRural and remoteUrbanForeign( (Safe SceneH( T(Unsafe SceneDOther: #Dd @8 Accident/MCI/Disaster Type @Airplane(s)Aniaml +vechicleAnimal + patientBioHazardsChemical(s)CrowdEarthquakeElectricalFallFireFumesGasHazardsHurricaneMotorcycleMotorcycle-CarMVA simpleMVA complex, high impactMVA >5 vehiclesMVA >5 vehicles, homes, plane(s) complexPedestrian MVARadiationWeatherTwo of the aboveThree or more of the aboveOther PGross estimate of number injured:` `1-104` @`101-300k` w`>1000l l11-50x x51-1004l @l301-5004x @x501-1000kl wl>5000kx wx>10 Prev~! Nextt  :Pl  BX6 \`2 VZ<VTriageDoc Run ExtractionExtraction Factors: Crowd ControlP \Media Control4 4Disabled vehciles@ @Equipment FailureL LMechanical problemX XWait for speical equipment( (Communication Problem`4 l4Weather`@ l@Other|L Time reached pthP Care in Progress0Pl@ NoneAll below on the sceneCitizen/laymanCPR in progressEMS already thereFire DepartmentFirst Responder, professionalPolice DepartmenXhH Rx in Progresse H@ NoneAirway IntubatedBleeding controlDecontaminationCPR bystanderCPR professionalEvacutaionImmobilizationSearchingAll of the aboveOther Prev`? Start TriageE  2Vl$H^v8N~TriageDoc PreferencesFTriage Output Sort by:G  H( Tag Color Red on TopI, J(,Revised Trauma ScoreK T L,TTrauma ScoreM vN,< Start TriageO$ PrevP | Q,|First Impression onlyRfb SrbCheckboxT: U:Low to High Red Top Black BottomVD WDLow to High Black on TopXl YlLow to High Black on TopZb [bLow to High Red Top Black bottom\l4 Start Run  t2TriageDoc Comparitive FeedbackPt IDoYour Triage, RTS Score +Color$ Startl$ Print40 Triage List28d m n 2About TriageDocBuild #000000 (01/01/2005) Copyright 2004,Medical Decisions Software8http://md-software.com/mV OK2qr hTriageDoc Differential Dxs-#F Hemoptysist-7F Dyspneau-KF Myalgiasv-_F Cyanosisr OK2Ոm 8`t*NbzAnthraxHx: y Inhalation usual complaints | Cutaneous usual complaints/Y GI usual complaints>Ex: >h View Signs/SymptomsMDx: MB To dx collect:\Ddx: \f Differential Diagnosis:kRx: kQ Meds/start dosezPx: z PxRef:  Refm OK29m 0Dh~$<Chlorine:Hx: ;P Usual complaints< Ex: = h View Signs/Symptoms>/Dx: ?/B To dx collect:@>Ddx: A>f Differential Diagnosis:BMRx: CMQ Meds/start doseD\Px: E\ PxF\Ref: G\ Refm OK2m 0Dh~$<InfluenzaHx: P Usual complaints Ex:  h View Signs/Symptoms/Dx: /B To dx collect:>Ddx: >f Differential Diagnosis:MRx: MQ Meds/start dose\Px: \ PxkRef: k Refm OK2m .Bf| ":PlagueHx: P Usual complaints Ex:  h View Signs/Symptoms/Dx: /B To dx collect:>Ddx:  >f Differential Diagnosis: MRx:  MQ Meds/start dose \Px:  \ PxkRef: k Refm OK2em 0Dh~$<TularemiafHx: gP Usual complaintsh Ex: i h View Signs/Symptomsj/Dx: k/B To dx collect:l>Ddx: m>f Differential Diagnosis:nMRx: oMQ Meds/start dosep\Px: q\ PxrkRef: sk Refm OK2Ɉm ,@dz  8SarinHx: P Usual complaints Ex:  h View Signs/Symptoms/Dx: /B To dx collect:>Ddx: >f Differential Diagnosis:MRx: MQ Meds/start dose\Px: \ PxkRef: k Refm OK2-m \ TriageDoc ScrollableList title to be replaced.}p}/m OKAirway open NO breathDead UnresponsiveBreathing(RR) too fastRR ok+ poor perfusionRR+pulse ok can't obeyRR+P+obeys ok no walkWalking RR okNSRLD5WD5W1/2NSD51/4 NSD50Other5ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWYAccident siteAnother ambulanceAirplaneDisaster SiteEducational InstitutionFarmHome ResidenceHospitalIndustryPhysician OfficePublic BuildingRecreationalResidential Custodial FacilityResidential InstitutionStreet/HWYOther Accident enrouteCrowd interfenceDisable vehicleEquipment failureFlat tireMediaMechanical breakdownRoute blockedRerouted to another destinationTraffic congestionVehicles blockingWeather deterioration No transferAssisted Living FacilityHospitalTemp Mobile Med UnitHomeOfficeNursing HomeShelterTemp ResidenceOtherReport Seconday SurveyReport HistoryReport ExamTreatmentsPatient NamePatient Disposition---Change IDDifferentialDxAnthraxChlorineInfluenzaPlagueSarinTularemiaTSRTSTagMemopad8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing Delayed > 72 hoursDelayed =>1 weekDelayed > 2 weeksDelayed > 1 monthDelayed > 1 yearGradualInsidiousRapid < 24 hoursRelative Rapid < 72 hoursSudden < 3 hoursSudden < 8 hoursSudden < 12 hours coldcoughheatinspirationlightmovementpositiontouchother coldheatimmobilizationmedicationmovementno movementnothing helpspressureother/Abdominal PainAnorexiaBad tasteBleedingBlurred VisionBurning sensationChest discomfortChest painChest pain, pleuriticChest tightnessChillsChokingConfusionCoughCoughing blood (Hemoptysis)DiaphoresisDiarrheaDroolingDyspneaEye painFeverHeadacheLymph nodes, enlargedLymph nodes, painfulMouth soresMyalgiasNauseaRash Red skin spotRhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing:BleedingBruisesBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDroolingDyspneaEnlarged nodesErythemaErythema NodosumFeverHematemesisHemoptysisInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaRalesRash Red skin spotRhinorrhea Rigors SalivationSeizureShockSkin blistersSkin poxSkin red spotSkin ulcer Stiff neckStridorSweatsTemp Up+Pulse downTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing8Abdominal PainAnorexiaBackacheBad tasteBleedingBlurred VisionBody aches (Myalgias)Burning sensationChest discomfortChest painChest pain, pleuriticChest pain, substernalChest tightnessChillsChokingComaConfusionCoughCough, dryCoughing blood (Hemoptysis)CyanosisDiarrheaDifficulty breathing (Dyspnea)DroolingDyspneaEye painFeverHeadacheLacrimationLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMouth soresMyalgiasNauseaRash Rhinorrhea Runny NoseSeizureShort of Breath(Dyspnea)Skin blistersSkin burn(s)Skin red spotSkin ulcer Sore ThroatStiff neckStridorSweatsTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing0 ft1-3 ft4-6ft8-10ft10-12 ft>12ft < 50 ft>50 ft < 100 ft> 100ft>200ft0-5 miles5-10 miles11-29 miles>30 miles>50 miles>100 milesNo estimateAnorexiaAphonia-no voiceBlindBlurred VisionBurning sensationChillsConfusionDiaphoresisDiarrheaDisorientedDroolingDyspneaFatigueFeverLethargyMalaiseMyalgiasNADSoft tissue injurySprainSweatsOther$AbcessAbrasionsBleedingBruisingBubo cervicalBubo femoralBubo inguinal Burn(s)Burn(s) 1-2 degreeBurn(s) 2-3 degreeCyanosisErythemaErythema MultiformeErythema NodosumInflammationLaceration < 4 cmLaceration > 4 cmLacerationsLymph nodes, enlargedLymph nodes, painfulPeeling skinPunctureRash Rash diffuseRash localized Skin blistersSkin burn(s)Skin red spotSkin ulcer UrticariaVesiclesWound(s) infectedWound, cleanWound, dirtyOtherAnorexiaBad tasteBleeding noseBleeding scalpBlurred VisionDroolingEye painLacrimationLymph nodes, enlargedLymph nodes, painfulMouth soresPharyngitisPhotophobiaRhinorrhea Runny NoseSore ThroatStiff neckVoice hoarseWatering eyes Chest pain, pleuriticChokingCoughCough, dryCoughing blood (Hemoptysis)Difficulty breathing (Dyspnea)DyspneaNo breath soundsNo BS left lungNo BS right lungPneumoniaRespiratory failureShort of Breath(Dyspnea)StridorSweatsTachypneaWheezingOtherAnginaArrestArrhythmiaBleedingBleeding gumsBleeding, controlledChest discomfortChest painChest pain left sideChest pain right sideChest pain, pleuriticChest pain, substernalChest tightnessCHFCold to touchCyanosisEdemaHeart MurmurIrregular heartMINo carotid pulseNo radial pulsesSepsisShockSVTVFVTAbd EpigastricAbd LUQAbd pain LLQAbd pain RLQAbd pain RUQAbd periumbilicalAbdominal PainAnorexiaBad tasteDiarrheaDroolingDyspepsiaDysphagiaGasHematemesisIncontinence, urineInvolun. DefecationNauseaOliguriaUrinary frequencyUrination excessiveVomiting Ankle fxAnkle sprainArm fxBackacheCellulitis extremityDeformitiesFxFx(s)Fx, closedFx, openFx, stableLeg fxLow back painLymph nodes, enlargedLymph nodes, painfulLymphadenitisMyalgiasSoft tissue injurySprainStiff neckSwelling feetTwitching musclesBalance abnBehavior abnComaConfusionDisorientedDizzyEyes move abnGait abnHeadacheMyalgiasOriented x 1Oriented x 2Oriented x 3ParalysisPhotophobiaPosturingPupils, dilatedPupils, pinpointRhinorrhea SeizureSensation abnSpeech garbledStiff neckStrokeTwitching musclesUnresponsiveOtherKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes WheezingKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes WheezingKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes WheezingKAnorexiaBleedingBlurred VisionBruisingBubo cervicalBubo femoralBubo inguinal BuboesBurn(s)ChokingComaConfusionCoughCyanosisDiaphoresisDiarrheaDiarrhea, bloodyDisorientedDroolingDyspepsiaEdemaErythemaErythema NodosumFacial swellingFacial traumaFeverHemoptysisHypoxiaInvolun. DefecationLacrimationLymph nodes, enlargedLymph nodes, painfulLymphadenitisMeningitisMouth soresMyalgiasOliguriaOtitisParalysisPharyngitisPhotophobiaPneumoniaPurpuraRalesRash Rash localized Rash, generalizedRash, maculopapularRed skin spotRhinorrhea Rigors SalivationSeizureShockShort of Breath(Dyspnea)Skin blistersSkin poxSkin red spotSkin ulcer SneezingStiff neckStridorSweatsSwelling feetSwollen nodesTearingTemp Up+Pulse downTongue lesionTwitching musclesUrination excessiveVoice hoarseVomiting Watering eyes Wheezing%No injuriesAbscessAbrasionsAvulsionAvulsion earAmputationBite(s)BleedingBrain exposedBlindBuboeBurn(s)Cervical FxDecapitationEar injuryEar lacerationEye blow outEye injuryFracture(s) closedFx openHead Injury, closedJaw injuryLaceration(s)LumpsNeck injuryNeck tendernessNodes enlargedNose FxPhotophobiaRashRhinorrheaSkin lesionSwellingStabTeeth injuryTongue injury&No injuriesAbsent breath soundsAxillary nodesAbrasionsBleedingBreast injuryBuboesBurn(s)BruisesChest injuryChest tendernessCrushCrepitationDislocationFlailFracture(s)Fx ClosedFx OpenGSWHeart injuryHemopneumothoraxPainLumpsLung InjuryPenetrating objectPneumothoraxRashRib FxScarsSkin lesionStabStridorSwellingTattoo(s)WheezingWound(s)OtherNo injuriesAbrasionsBladder injuryBleedingBuboBurn(s)BruisesCrushGenital injuryGroin nodesGSWExposed bowelExposed kidneyExposed organ(s)Exposed spleenLiver injuryLumpsRectal injuryRashRigid abdomenSkin lesion(s)Spleen injuryStabSwellingTattoosTenderness, reboundTendernessWound(s)Other&No injuriesAvulsionAmputationBiteBite, HumanBleedingBurn(s)BruisesCellulitisCrushDislocationElbow injury, LeftElbow injury, RightFinger injury LeftFinger injury, RightFracture(s)Fx ClosedFx OpenGSWHand injury LeftHand injury RightInfectionLumpsLaceration(s)PainParalysisRashShoulder injury LeftShoulder injury RightSoresSprain(s)StabTattoo(s)SwellingWound(s)Wrist injuryOther-No injuriesAnkle injury LeftAnkle injury RightAbrasionsAvulsionAmputationBiteBite, HumanBleedingBurn(s)BruisesCellulitisCrushDislocationFoot injury LeftFoot injury RightFracture(s)Fx ClosedFx OpenGSWHip injury LeftHip injury RightHip dislocation LeftHip dislocation RightHip Fx LeftHip Fx RightInfectionKnee injury LeftKnee injury RightLumpsPainPelvic injuryLaceration(s)ParalysisRashSoresSprain(s)ScarsStabSwellingTattoo(s)Toe injury LeftToe injury RightWound(s)No injuriesAbrasionsBleedingBurn(s)BruisesCrepitanceCrushDeformityFractureGSWExposed organ(s)Lumbar FxPainParalysisPenetrating objectRashRib (s) FxSpine FxSpine injurySprainSwellingTendernessThorax FxVertebral FxWound(s)EmergencyNonemergencyStandbyTransport nonemergencyOtherTo SceneTo DestinationOtherACLS1ACLS2BLSBackupDisaster responseEMSInterfacilityMutual AidNonEMSScheduledStandyTrainingOther Accident enrouteCrowd interfenceDisable vehicleEquipment failureFlat tireMediaMechanical breakdownRoute blockedRerouted to another destinationTraffic congestionVehicles blockingWeather deteriorationIn HospitalOut of HosptialBusiness OfficeCityHighway ruralHighway cityHighway urbanHomes cityHome(s) ruralHomes UrbanIndustrialManufacturing plantRuralRural and remoteUrbanForeignAirplane(s)Aniaml +vechicleAnimal + patientBioHazardsChemical(s)CrowdEarthquakeElectricalFallFireFumesGasHazardsHurricaneMotorcycleMotorcycle-CarMVA simpleMVA complex, high impactMVA >5 vehiclesMVA >5 vehicles, homes, plane(s) complexPedestrian MVARadiationWeatherTwo of the aboveThree or more of the aboveOther NoneAll below on the sceneCitizen/laymanCPR in progressEMS already thereFire DepartmentFirst Responder, professionalPolice Departmen NoneAirway IntubatedBleeding controlDecontaminationCPR bystanderCPR professionalEvacutaionImmobilizationSearchingAll of the aboveOtherStart RunStart TriageOKCancel < 12 mo< 8 yrAdult>= 80 yrAppearsGreenYellowRedBlackNextCancelTag TriageAirway clearedSuctionAirway intubatedOxygen AdminBleeding controlCPRCardiovertCardiac MonitorEKGDefibrillatedIV startedMeds AdminImmobilizedBaby deliveredMove to ambulancePrevListNew PtNext Med AdminMed AdminMed AdminMed AdminMed AdminIV Fluid Line 1IV Fluid Line 2IV Fluid Line 3IV Fluid Line 4PrevNew PtNextPt Summary Washed/cleansed to decontaminateReduced fx('s)Pressure DressingsCleaned Wound(s)Use Splint(s) to stabilizeBreathing Rx('s)PrevListNew PtNext StatePrevListNew PtNextTreated TransportedTreated Transferred CareTreated No TransportNo Treatment NeededCancelledPronounced DeadTreat private vehicle transportPatient Refused CareNo patient foundOtherPrevRemove from TriageListNew PtPt SummaryNearest FaciltyWeatherPatient/Family ChoicePhysicianManaged CareMass CasualtyOtherLaw EnforcementHospital Diversion[Select time][Select time]PrevListNext[Select time]PrevListNextPrevListDoneOKRetagTriage ListNextRetriageNew PtAnalysisGo toAgents IDAgeTimeRTSTagETNew PtFinish RunSort byYesNoPrevYesNoPrevProb Under 30Prob Under 40Prob Under 60Prob Over 30Prob Over 40Prob Over 60PrevYesNoPrevYesNoPrevYesNoPrevHead TiltJaw ThrustHeimlichTongue unblockedFB removedYesNoPrevYesNoPrevTag Next PtListNextTag Next PtListNextTag Next PtListNextTag Next PtListNext NormalShallowRetractiveNoneUnder or = 2 secOver 2 se