Trauma Scenario Template
Dispatch:
Patient Presentation:
LOC/Mental Status A–
B–
C–
Transport decision:
Secondary Assessment Findings:
Head/Face:
Groin, etc.:
Neck:
Lower Extremities:
Chest:
Upper Extremities:
Abdomen:
Back:
Pelvis:
SAMPLE History:
S:
A:
M:
P:
L:
E:
Vital Signs:
BP:
Pulse:
Respirations (Rate & Quality):
Pupils:
Lung Sounds:
Expected treatment:
Pulse Ox:
Blood Glucose (if appropriate):