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Trauma - (D.C.A.P.B.T.L.S)
Deformity
Contusions
Abrasions
Penetrations & Punctures
Burns
Tenderness
Lacerations
Swelling & Symmetry
Patient History (S.A.M.P.L.E)
Signs & Symptoms
Allergies
Medications
Past Pertinent Medical History
Last Oral Intake/Bowel Movement/Urination/Menstruation
Events leading up to Injury or Illness
Pain ( O.P.Q.R.S.T.I)
Onset of the event
Provocation
Quality of Pain
Radiation/Region
Severity
Time
Intervention
Mental Status ( A.V.P.U)
Alert
Verbal
Pain
Unresponsive
Stroke Scale (B.E.F.A.S.T)
Balance
Eyes
Facial Weakness
Arm Weakness
Speech
Time
PMS/CMS
Pulse or Circulation
Motor
Sensory
Difficulty Breathing (P.A.S.T.E)
Provocation / Progression
Associated Chest Pain
Sputum Production
Talking Tiredness
Exercise Tolerance
Altered Mental Status (A.E.I.O.U.T.I.P.S)
Alcohol
Epilepsy(Seizures)
Insulin(Hypo/Hyper-Glycemia)
Overdose
Urema
Trauma / Temperature
Infection
Poisoning / Psychiatric
Shock / Stroke