Professional Documents
Culture Documents
represents breakdown
I dentification:
Nationality
Greek
Gender:
☐ Male
Identify Age, Gender and ☐ Female
Time of Injury or Illness Time of injury/ illness onset: N/A
onset
complaint:
Describe the Mechanism
of Injury or the Medical
Complaint
Injuries or Illnesses
I njuries/ information
Had been heavily drinking the night prior.
relative to the complaint:
Patient assessment and
history relevant to
complaint
Signs:
Temperature 36.3 °C (Normal)
Elevated blood pressure 158/81 mm Hg,
Sinus heart rate – 83 bpm.
M edications:
B ackground:
O ther: The patient’s dad had died of a heart attack – family history of
heart conditions.
Definitions
BP Blood pressure (BP) is the pressure of circulating blood against the walls of blood
vessels.
HR Heart rate: The number of heartbeats per unit of time, (per minute).
Glasgow The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired
Coma Scale consciousness in all types of acute medical and trauma patients. The scale assesses
(GCS) patients according to three aspects of responsiveness: eye-opening (E), motor (M),
and verbal responses (V). Based on the responses a total is taken of each response
out of 15 for the GCS.
Sp02 SpO2, also known as oxygen saturation, is a measure of the amount of oxygen-
carrying hemoglobin in the blood relative to the amount of hemoglobin not carrying
oxygen.
RR Respiratory rate (RR), or the number of breaths per minute, is a clinical sign
that represents ventilation (the movement of air in and out of the lungs).
EtC02 End-tidal CO2 (EtCO2) monitoring is a noninvasive technique which measures the
partial pressure or maximal concentration of carbon dioxide (CO2) at the end of an
exhaled breath, which is expressed as a percentage of CO2 or mmHg. The normal
values are 5% to 6% CO2, which is equivalent to 35-45 mmHg.