Trauma identifier data should be reported for all serious injury patients regardless of whether or not they were transported to a designated specialty center. Mark all responses that apply.

Shock; Multi-system Trauma; Severe Skeletal System (Fx pelvis, femur(s), spine, multiple fractures); Penetrating Wound; Central Nervous System Injury; Mechanism of Injury; Other Fatality in the same vehicle; Age

Document all of the airway/ventilation equipment or procedures attempted. You should write the number of liters per minute at which oxygen was administered in the boxes provided on the lower right corner of the form. If you use procedures or equipment other than those listed, mark the "Other" response and note the procedure or equipment used in the blank space provided at the bottom of the form.

Suction; used Nasopharyngeal Airway; Nasal Cannula; Non-Rebreather Mask; Bag-Valve-Mask; Mechanical Ventilator; patient was Hyperventilated; used Oropharyngeal Airway; used pocket Face Mask; Positive Pressure Device; Pulse Ox; Oxygen; CPAP; Other (i.e. simple face mask, venturi mask)