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Table 6 Patient physiology documented

From: A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

 

Ground ambulance

Air ambulance

Hospital record only*

 

N = 231

N = 75

N = 76

Patient physiology

n (%)

n (%)

n (%)

Glasgow coma scale

      

   Exact values

110

(48)

67

(89)

8

(11)

   RTS category documented

0

 

0

 

0

 

   RTS category inferred

113

(49)

8

(11)

64

(84)

Repeated**

158

(68)

71

(95)

(11)

(15)

Respiratory rate

      

   Exact values

23

(10)

5

(7)

0

 

   RTS category documented

124

(54)

60

(80)

0

 

   RTS category inferred

59

(26)

4

(5)

38

(50)

Repeated

109

(47)

60

(80)

1

 

Systolic blood pressure

      

   Exact values

122

(53)

63

(84)

5

(7)

   RTS category documented

10

(4)

4

(5)

0

 

   RTS category inferred

47

(20)

4

(5)

32

(42)

Repeated

103

(45)

68

(91)

3

(4)

  1. Repeated: Documentation of repeated assessment of the variable at least every 20th minute. EMCC: Emergency Medical Communication Centre. *Hospital arrival records were evaluated when ground and air ambulance records were missing. **Includes free text descriptions of change (or no change) in conscious level.