From: Preventable deaths following emergency medical dispatch – an audit study
1. | Date and time of 112 call referred to EMCC: |
2. | Danish Index criteria (index code): |
3. | Additional information, if any, in dispatch software visible in ambulance: |
4. | EMD response interval (min:sec): |
5. | EMS response interval (min:sec): |
6. | Vital signs: |
7. | Summary of pre- and in-hospital charts and tests results: |
8. | Short summary of prior medical history (if any): |
9. | Age: |
10. | Time of death: |