Department (ED) staff for every patient arriving at the hospital

represents breakdown

treatment or medication errors; and omission of care.

necessary data set that need to be conveyed during an urgent or

is a consistent ordering of the information, greater frequency

 IMIST-AMBO
Clinical Handover Protocol

Approx Age: 18 years ☐ Adult ☐ Pediatic

I dentification:
Nationality Gender:
☐ Male
Identify Age, Gender and ☐ Female
Time of Injury or Illness Time of injury/ illness onset: N/A
onset

Mechanism of injury/ Medical Complaint:

M echanism/ medical Drug overdose
Arrived at the scene with patient vomiting and experiencing confusion
Had got into a fight earlier and had caused possible trauma to the head
complaint:
Describe the Mechanism
of Injury or the Medical
Complaint
Injuries or Illnesses
I njuries/ information
Drug overdose
relative to the complaint:
Patient assessment and Vomiting and confusion
history relevant to
complaint Possible trauma to the head and to extremities throughout the body

First set of Vital Signs:

S igns: BP= 92/64 mm Hg HR = 106bpm GCS: E=3 V=5 M=4 (12/15)
Vital signs and Glasgow SpO2= N/A RR= N/A EtCO2=70mm Hg ECG= N/A
Coma Scale (GCS)
Symptoms: Vomiting and confusion

Signs:
Slightly elevated heart rate with arrhythmia - 106bpm,
Normal blood pressure – 92/64 mm Hg,
Extremely low blood glucose: hypoglycaemia – 3.2 mmol/L.

Treatment and responses

T reatments: Stabilised patient for transport
Interventions and
response to treatment Medication and doses

Admission of intravenous fluids (IV) to replenish fluid levels and hydrate from excessive
vomiting.
A llergies:

M edications:

B ackground:

O ther: The patient has an allergy to penicillin antibiotics

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.

E Eye-opening (E), best score is 4:

1. No eye opening
2. Eye opening to pain
3. Eye opening to sound
4. Eyes open spontaneously

V Verbal responses (V), best score is 5:

1. No verbal response
2. Incomprehensible sounds
3. Inappropriate words
4. Confused
5. Orientated

M Motor (M) best score is 6:

1. No motor response.
2. Abnormal extension to pain
3. Abnormal flexion to pain
4. Withdrawal from pain
5. Localizing pain
6. Obeys commands
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.

ECG An electrocardiogram (ECG) is a medical test that detects cardiac (heart)

abnormalities by measuring the electrical activity generated by the heart as it
contracts.