easyDCHART

Fast and Accurate Charts The First Time, Every Time!

Instructions

Dispatch Nature:

Dispatch Priority:

No Lights&Sirens Lights&Sirens

What was the PT's CC:

What is the pt's age:

What is the pt's sex?

male female male-female female-male

What is the PT's LOC?

Alert Verbal Pain Unresponsive

What was the pt's distress level?

None Emotional Physical

Possition

What possition was the pt found in?

Pupils

PERRL Asymetrical Fixed&Dialated Pinpoint

Transport or Refusal:

Transport Refusal

Radio report and medium

Radio Report

Radio Report Done?

Yes No

Radio Report Medium

Radio Cellular

Transport Destination and Priority

Transport Info

Transport Destination: Transport Descriptor:

Sample History

Medications*

*PCR* ASA METOPROLOL SULFA LISINOPRIL

Last Oral Intake Present History of Illness