Mental status
Record first
Mechanism of injury
All that apply
Haemorrhage control
All that apply
Tourniquet clock started. Applied 0 min ago. Time of application travels with the patient.
Airway
All that apply
Cardiac
Always record
High-risk drugs
Re-dose risk
Epinephrine
Arrest / anaphylaxis · fatal on repeat
Epinephrine recorded. Next provider sees dose and elapsed time before considering a repeat.
Tranexamic acid
1g · second dose window is narrow
TXA 1g recorded. Repeat only inside the 10 to 30 minute window from injury.
Opioid
Morphine / fentanyl · respiratory depression
Opioid recorded. Monitor respiration. Confirm naloxone availability at handover.
Ketamine
Dissociative · airway and BP
Naloxone
Reversal · dose and time recorded
Fluids
Overload risk downstream
Volume given
Crystalloid or blood product, total
0 ml