Run Information
Dispatch & Chief Complaint
Onset Duration
Chief Complaint
Quick:
Neuro / LOC
Physical Exam Findings
Trauma Survey — DCAP-BTLS
DCAP-BTLS
Deformity · Contusions · Abrasions · Punctures · Burns · Tenderness · Lacerations · Swelling
Respiratory Assessment
Work of Breathing
Effort / pattern observed
Lung Sounds
Bilateral auscultation
Speech Quality
Sentence completion ability
Skin Assessment
Skin
Color · Temperature · Condition
Head, Eyes, Ears, Nose, Throat
HEENT
Head · Eyes · Ears · Nose · Throat
PERRLA
Pupils equal, round, reactive to light
Battle Signs / Raccoon Eyes / CSF
Head trauma indicators
Neck / C-Spine
Deformity or pain to palpation
Abdomen
Abdomen
Palpation assessment
RDGTP × 4 Quadrants
Rebound · Distension · Guarding · Tenderness · Pulsation
Extremities
Distal PMS × 4 Extremities
Pulse · Motor function · Sensation
Pertinent Negatives
Green = denied/absent · Red = present
Vital Signs
GI / Intake–Output
GI sentence only appears in narrative if any field is used.
Stroke Assessment
DNR / Advanced Directives
DNR line only appears in narrative if a status is selected.
Medical History & Treatment
Allergies
Medication Allergies
Food Allergies
Other Allergies
Treatment טיפול
Transport אופן פינוי
Live Narrative Output
Tap the button below to copy — or tap inside the text, then Select All → Copy
✡️ נרטיב בעברית
English Review
Cardiac Monitor & 12-Lead
12-Lead ECG
Interventions
IV / IO Access & Fluids
Medications Administered
Advanced Airway
Medical Direction