MDT Ambulance Reporting Procedure

This is the Template of which you are to fill out Ambulance Reports in the MDT. Reports should be filled out for every patient that you treat so that we can forward any necessary incidents up your chain of command to be passed onto the police.



Report Title


Patients Full Name



Report Type


Ambulance Report
or
Hospital Report



Report Details

Catastrophic Haemorage


If any large bleeds are present, take immediate action to promote haemostasis. This could involve direct pressure, haemostatic dressing application, or tourniquets.


Airway


Without moving the patient, visibly inspect the neck for any obvious injuries. In major trauma, certain injuries are more likely to be associated with airway compromise.

Listen to how the patient sounds. If they are talking normally, then their airway is most likely clear and open. If this is the case, you can move on to assessing the c-spine.

If they have a hoarse voice, stridor is present (a harsh sounding inspiratory noise), this indicates partial airway compromise.


Breathing


Rate of Breathing

Injuries to Chest

Symmetry of the lung expansion when breathing

Effort of Breathing

Neck

Feel for Crepatus

Assess Resonance

Listen for airflow

Look at Back


Circulation


Take a step back, assess any existing cat hems, look for fresh new blood

Check the following four areas:
Thoracic Cavity
Abdominal Cavity
Pelvic Cavity
Long Bones (Arms and Legs)


Disability


Assess Patients Conscious Level (AVPU, GCS)
Assess Patients PEARL Response
Measure Patients Temperature
Consider Analgesia
Wound and Fracture Care
Consider Fluids


Environment


Keep Patient Comfortable
Reassure
Keep Warm
Prepare to Move Patient