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SAMPLE
Signs and symptoms
Allergies
Medications
PMHx
Last ins and outs
Events leading up to
Perfusion status assessment
Pulse: rate, rhythm, strength
Blood pressure
Skin: colour, temperature, moisture, cap refill
Orientation: time, place, person
GCS: eyes /4, verbal /5, motor /6
ECG
Respiratory status assessment (CAPERRSSS)
Conscious state (AVPU)
Appearance: mood, behaviour etc
Pulse rate
Effort
Respiratory rate
Respiratory rhythm
Speech: fluency, full sentence/short phrases, can’t speak
Skin: colour, temp, moisture, cap refill
Sounds: auscultation 6 anterior, 6 posterior
Neurological status assessment
GCS: eyes /4, verbal /5, motor /6
Pupils: equal, round, reactive to light, accommodating, consensual
Motor function: raise your arms, wiggle toes/fingers
Sensory function: arms and legs
BGL
Stroke assessment: face, arms, speech, time
Head to toe assessment
Head
Spine
Neck
Chest
Abdomen
Pelvis
Arms
Legs
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