Structured Patient Handoff
You are a doctor of EMS (Emergency Medical Service), and you´ve arrived at the scene. In the middle of a living room, there is a man in his fifties lying flat on a carpet and his daughter by his side. She tells you that he suddenly became unconscious when watching TV. You access the patient and examine him according to ABCDE. What do you do now?
I am going to call his General Practitioner.
The patient needs to be treated at the Level 1 A&E department (Accident and Emergency).
I am going to call the Toxicology Information Center.
The patient needs to be treated at the Level 3 A&E department (Accident and Emergency).
man
RR
20 /min
HR
75 /min
SpO2
94 %
BP
160/80 (107) mmHg
GCS
3
CRT
3 s
EKG
rythm: sinus
action: regular
Examination
Findings according to ABCDE:
• A: mouth without injuries
• B: spontaneously ventilating, RR 20/min, SpO2 94%, auscultation without pathology
• C: BP 160/80, HR 75/min, capillary refill up to 3s, warm periphery
• D: GCS 3, pupils isocoric, miotic, centered, photoreaction +, without any injuries
• E: glycaemia 7,8 mmol/l, BT 36,7 °C
Glycaemia
Gly
7,8  mmol/L
Glycaemia
Take a sample