SAVING LIVES
   

 

C

Chief Complaint

What happened to the patient?

H

History of Chief Complaint

Has this happened before?

How long is it since the problem started?

Has anything made the condition worse or better?

Has there been any change?  Is the patient worse or better?

A

Associated Symptoms

Are there any problems relating to this?  Eg Loss of consciousness with a head injury,  diarrhoea and/or vomiting with abdominal pain etc.

M

Medicines

Has the patient taken any medicines for this problem?  What has been taken, how much, when was it taken, has it made a difference?

Does the patient take any medicine for any other condition?  What is it for?  Has the medicine been taken today?

P

Past Medical History

Does the patient have any medical conditions eg. Asthma, diabetes, epilepsy etc.

Has the patient had any previous operations?  Are they related to this problem?

 OR

S

Signs and Symptoms

What signs can you see and what symptoms does the patient tell you? 

A

Allergies

Do you have any allergies?  Write them down on your patient report.

M

Medicines

Has the patient taken any medicines for this problem?  What has been taken, how much, when was it taken, has it made a difference?

Does the patient take any medicine for any other condition?  What is it for?  Has the medicine been taken today?

P

Past Medical History

Does the patient have any medical conditions eg. Asthma, diabetes, epilepsy etc.

Has the patient had any previous operations?  Are they related to this problem?

L

Last Meal or Drink

When was the last time the patient had anything to eat or drink?   Make a note of this information, as it can be vitally important if the patient required emergency surgery.

E

Events Leading to Incident

What happened to the patient? 

What happened before that?