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Table 5 Alternatives for documenting patient physiology in seven different ground ambulance record templates

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

 

Exact values

RTS categories

Broadly defined categories

Clinical descriptions

Patient physiology

Chart

Check boxes

Check boxes

Free text field

Consciousness

GCS

6/7

GCS

0/7

3/7

7/7

   Repeated field

 

3

 

0

1

 

Respiration

RR

4/7

RR

3/7

5/7

7/7

   Repeated field

 

4

 

1

2

 

Circulation

SBP

7/7

SBP

3/7

5/7

7/7

   Repeated field

 

7

 

1

2

 
  1. Results are frequencies of the various field types for documentation of physiology among seven ground ambulance record templates. GCS: Glasgow Coma Scale, RR: Respiratory rate, SBP: Systolic blood pressure